When the examiner indicates that additional testing is necessary to evaluate visual fields, the additional testing must be conducted using either a tangent screen or a 30-degree threshold visual field with the Goldmann III stimulus size. ), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities: Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral, Mild; symptoms relieved by built-up shoe or arch support. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. The anatomical position is considered as 0, with two major exceptions: (a) Shoulder rotation - arm abducted to 90, elbow flexed to 90 with the position of the forearm reflecting the midpoint 0 between internal and external rotation of the shoulder; and (b) supination and pronation - the arm next to the body, elbow flexed to 90, and the forearm in midposition 0 between supination and pronation. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. VA disabilities for Dental and Oral Conditions are those that affect the Mouth and Teeth to include the jaws, the jaw joint, the palates, and the teeth. To determine the evaluation for visual impairment when both decreased visual acuity and visual field defect are present in one or both eyes and are service connected, separately evaluate the visual acuity and visual field defect (expressed as a level of visual acuity), and combine them under the provisions of 4.25. For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. In the absence of limitation of motion, rate as below: With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations, With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups. Note (1): For purposes of this section, characteristic attacks consist of sequential color changes of the digits of one or more extremities lasting minutes to hours, sometimes with pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. [67 FR 49596, July 31, 2002; 67 FR 58448, 58449, Sept. 16, 2002; 73 FR 54710, Oct. 23, 2008; 77 FR 2910, Jan. 20, 2012; 83 FR 32597, July 13, 2018; 83 FR 38663, Aug. 7, 2018], [61 FR 20446, May 7, 1996, as amended at 82 FR 50804, Nov. 2, 2017]. (2) Provided that he or she customarily wears contact lenses, evaluate the visual acuity of any individual affected by a corneal disorder that results in severe irregular astigmatism that can be improved more by contact lenses than by eyeglass lenses, as corrected by contact lenses. L. 90-493 apply, the former evaluations are retained in this section. When the percentage requirements are met, and the disabilities involved are of a permanent nature, a rating of permanent and total disability will be assigned if the veteran is found to be unable to secure and follow substantially gainful employment by reason of such disability. Note: The evaluations specifically indicated under this diagnostic code shall continue for six months following initial diagnosis. 49 CFR 172.101 (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section. 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. Evaluation March 10, 1976; evaluation July 2, 2001. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Mildly impaired judgment. General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833): Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy, FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation, FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted, FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted. (2) Where a case is encountered with a definite history of unemployment, full and complete development should be undertaken to ascertain whether the epilepsy is the determining factor in his or her inability to obtain employment. 6209 Benign neoplasms of the ear (other than skin only): Swelling, dry and scaly or serous discharge, and itching requiring frequent and prolonged treatment. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. Evaluation October 23, 1995; note December 9, 2018; criterion October 23, 1995. Proceeding from this 40 percent efficiency, the effect of a further 30 percent disability is to leave only 70 percent of the efficiency remaining after consideration of the first disability, or 28 percent efficiency altogether. Criterion February 3, 1988; removed August 4, 2014. Where diagnostic codes refer the decision maker to these specific areas of dysfunction, only the predominant area of dysfunction shall be considered for rating purposes. 6208 Malignant neoplasm(other than skin only). VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. ), so that the level of evaluation would differ depending on which test result is used, use the test result that the examiner states most accurately reflects the level of disability. Determining Your Disability Rating - VA.org (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm. (b) With severe associated symptoms or with extensive cavity formation. Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). 5308 Group VIII Function: Extension of wrist, fingers, thumb. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. 6724 Inactive, advancement unspecified. No evidence of fascial defect, atrophy, or impaired tonus. Not improvable by prosthesis controlled by natural knee action. Added September 9, 1975; criterion October 7, 1996. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. By Lorraine 4.86 Exceptional patterns of hearing impairment. Added January 12, 1998; note, criterion November 14, 2021. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year. What are Dental and Oral Conditions for VA rating purposes? See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. General considerations for evaluating visual impairment. The eCFR is displayed with paragraphs split and indented to follow Evaluation March 11, 1969; criterion February 7, 2021. 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage. 10, 2018]. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies: Displacement, causing severe anterior or posterior open bite, Displacement, causing moderate anterior or posterior open bite, Displacement, not causing anterior or posterior open bite. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. The severity of symptoms determines the range of ratings assigned by this code. 7914 Neoplasm, malignant, any specified part of the endocrine system. What is the Digestive System for VA rating purposes? ), (3) Immobilization by cast, without surgery, of one major joint or more. 7312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Generalized weakness, substantial weight loss, and persistent jaundice, or; with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis), History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks, History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss, Symptoms such as weakness, anorexia, abdominal pain, and malaise, Severe; frequent attacks of gall bladder colic, Moderate; gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundice. (Effective as to outpatient surgery March 1, 1989. Unable to communicate basic needs. Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. Record of consistent complaint of one or more of the cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, particularly lowered threshold of fatigue after average use, affecting the particular functions controlled by the injured muscles. Veterans Affairs 5318 Group XVIII Function: Outward rotation of thigh. 7627 Malignant neoplasms of gynecological system. Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. An authorized absence of 4 days or less which results in a total of more than 8 days of authorized absence during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the ninth day of authorized absence. 7617 Uterus and both ovaries, removal of, complete: 7618 Uterus, removal of, including corpus: Removal of one with or without partial removal of the other, 7621 Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy, Vaginal fecal leakage at least once a day requiring wearing of pad, Vaginal fecal leakage four or more times per week, but less than daily, requiring wearing of pad, Vaginal fecal leakage one to three times per week requiring wearing of pad, Vaginal fecal leakage less than once a week, Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than four times per day, Requiring the wearing of absorbent materials which must be changed two to four times per day, Requiring the wearing of absorbent materials which must be changed less than two times per day. 8714 Neuralgia, musculospiral nerve (radial). 5328 Muscle, neoplasm of, benign, postoperative. (a) Total ratings will be assigned under this section if treatment of a service-connected disability resulted in: (1) Surgery necessitating at least one month of convalescence (Effective as to outpatient surgery March 1, 1989. VA disabilities of the Skin include burns, scars, eczema, infections, and cancers, among others. As a 5219 Two digits of one hand, unfavorable ankylosis of: Index and long; index and ring; or index and little fingers, Long and ring; long and little; or ring and little fingers, 5220 Five digits of one hand, favorable ankylosis of. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. How to Get a 100 Percent VA Rating (if deserved)! The Skin is the largest of the bodys organs and its primary purpose is protection. Your military records are important. 8614 Neuritis, musculospiral (radial) nerve. Neuritis, musculocutaneous (superficial peroneal) nerve. There are three options you should know about: If youve been denied a shoulder pain VA rating, dont give up. Involving temporomandibular articulation. Group I Function: Upward rotation of scapula. 6331 Coxiella burnetii infection (Q Fever). The repercussion upon a current rating of service connection when change is made of a previously assigned diagnosis or etiology must be kept in mind. 7113 Arteriovenous fistula, traumatic. or existing codification. The schedule for rating for mental disorders is set forth as follows: 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders, 9301 Major or mild neurocognitive disorder due to HIV or other infections, 9304 Major or mild neurocognitive disorder due to traumatic brain injury, 9305 Major or mild vascular neurocognitive disorder, 9312 Major or mild neurocognitive disorder due to Alzheimer's disease, 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, 9403 Specific phobia; social anxiety disorder (social phobia), 9416 Dissociative amnesia; dissociative identity disorder, 9417 Depersonalization/Derealization disorder, 9422 Other specified somatic symptom and related disorder, 9423 Unspecified somatic symptom and related disorder, 9424 Conversion disorder (functional neurological symptom disorder), 9433 Persistent depressive disorder (dysthymia), General Rating Formula for Mental Disorders.
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