5166 Forefoot, proximal to metatarsal bones. The attention should be given to anatomical changes, as compared to normal, in the relationship of the foot and leg, particularly to the inward rotation of the superior portion of the os calcis, medial deviation of the insertion of the Achilles tendon, the medial tilting of the upper border of the astragalus. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. These parts all work together to keep the body in balance. The glomerular type of nephritis is usually preceded by or associated with severe infectious disease; the onset is sudden, and the course marked by red blood cells, salt retention, and edema; it may clear up entirely or progress to a chronic condition. (d) With advancement of lesions on successive examinations or while under treatment. 6604 Chronic obstructive pulmonary disease: 6701 Tuberculosis, pulmonary, chronic, far advanced, active, 6702 Tuberculosis, pulmonary, chronic, moderately advanced, active, 6703 Tuberculosis, pulmonary, chronic, minimal, active, 6704 Tuberculosis, pulmonary, chronic, active, advancement unspecified, 6721 Tuberculosis, pulmonary, chronic, far advanced, inactive, 6722 Tuberculosis, pulmonary, chronic, moderately advanced, inactive, 6723 Tuberculosis, pulmonary, chronic, minimal, inactive, 6724 Tuberculosis, pulmonary, chronic, inactive, advancement unspecified, General Rating Formula for Inactive Pulmonary Tuberculosis: For two years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter for four years, or in any event, to six years after date of inactivity, Thereafter, for five years, or to eleven years after date of inactivity, Following far advanced lesions diagnosed at any time while the disease process was active, minimum, Following moderately advanced lesions, provided there is continued disability, emphysema, dyspnea on exertion, impairment of health, etc, 6730 Tuberculosis, pulmonary, chronic, active. Following surgery: Evaluate under DC 7114 (peripheral arterial disease). CausesAnterior Hip Pain. Anterior hip pain affects the inside of your hip and groin area. Lateral Hip Pain. Lateral hip pain refers to pain on the side of the hip. Posterior Hip Pain. Posterior hip pain affects the outside of the hip or buttock area, usually due to a problem with the muscles, tendons, or ligaments that surround the hip 7124 Raynauds disease (primary Raynauds). Persistently altered state of consciousness, such as vegetative state, minimally responsive state, coma. The genitourinary system includesthe organs of the reproductive system and the urinary system. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. Scar 5 or more inches (13 or more cm.) Recurrent urinary tract infections secondary to obstruction. Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. In a given individual, symptoms may fluctuate in severity from day to day. 8517 Musculocutaneous nerve, paralysis. The exam aims to gather more information about your shoulder condition and how it affects your daily life. (4) To evaluate the impairment of visual acuity where a claimant has a reported visual acuity that is between two sequentially listed visual acuities, use the visual acuity which permits the higher evaluation. Added August 30, 2002; criterion August 13, 2018. What are eye disabilities for VA rating purposes? The lumbosacral and sacroiliac joints should be considered as one anatomical segment for rating purposes. Benign (First-Degree and Second-Degree, Type I): Non-Benign (Second-Degree, Type II and Third-Degree): Evaluate under DC 7018 (implantable cardiac pacemakers). 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. Criterion September 22, 1978; criterion August 30, 2002; criterion October 23, 2008; title, note 1, note 2 August 13, 2018. Brian is a Distinguished Graduate of Management from theUnited States Air Force Academy, Colorado Springs, CO and he holds an MBA from Oklahoma State Universitys Spears School of Business, Stillwater, OK, where he was a National Honor Scholar (Top 1% of Graduate School class). Following simple mastectomy or wide local excision with significant alteration of size or form: Following wide local excision without significant alteration of size or form: 7627 Malignant neoplasms of gynecological system, 7628 Benign neoplasms of gynecological system. 6845 Chronic pleural effusion or fibrosis. the hierarchy of the document. (b) Complete paralysis of the external popliteal nerve (common peroneal) and consequent, footdrop, accompanied by characteristic organic changes including trophic and circulatory disturbances and other concomitants confirmatory of complete paralysis of this nerve, will be taken as loss of use of the foot. 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. (E) Adaptive contraction of an opposing group of muscles. 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. Evaluation August 30, 1996; criterion, note August 11, 2019. 8529 External cutaneous nerve of thigh, paralysis. How to Get a 100 Percent VA Rating (if deserved)! Scar at least one-quarter inch (0.6 cm.) (b) It is the established policy of the Department of Veterans Affairs that all veterans who are unable to secure and follow a substantially gainful occupation by reason of service-connected disabilities shall be rated totally disabled. Combine the evaluation for visual impairment of one eye with evaluations for other disabilities of the same eye that are not based on visual impairment (e.g., disfigurement under diagnostic code 7800). 5172 Toes, other than great, with removal of metatarsal head. Findings sufficiently characteristic to identify the disease and the disability therefrom, and above all, coordination of rating with impairment of function will, however, be expected in all instances. [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. 6036 Status post corneal transplant. 2 Also entitled to special monthly compensation. 7631 Benign neoplasms of the breast and other injuries of the breast. One or more neurobehavioral effects that occasionally interfere with workplace interaction, social interaction, or both but do not preclude them. Social interaction is routinely appropriate. Criterion July 6, 1950; criterion September 22, 1978. That numeral will then be elevated to the next higher Roman numeral. (b) Where unemployable, the veteran has other disabilities innocently acquired which meet the percentage requirements of 4.16 and 4.17 and would render, in the judgment of the rating agency, the average person unable to secure or follow a substantially gainful occupation. Rate any residual disability of infection within the appropriate body system. Sciatic neuritis is not uncommonly caused by arthritis of the spine. information or personal data. 4.96 Special provisions regarding evaluation of respiratory conditions. 9412 Panic disorder and/or agoraphobia. The Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. A temporary release which is approved by an attending Department of Veterans Affairs physician as part of the treatment plan will not be considered an absence. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. (a) Extremely unfavorable complete ankylosis of the knee, or complete ankylosis of 2 major joints of an extremity, or shortening of the lower extremity of 312 inches (8.9 cms.) The termination of these total ratings will not be subject to 3.105(e) of this chapter. Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section and, if present, evidence of inability to keep up with work requirements. The VA uses 38 CFR 4.71 to rate your musculoskeletal system and 38 CFR 4.73 to rate muscle injuries. (3) In any case where the examiner reports that there is a difference equal to two or more scheduled steps between near and distance corrected vision, with the near vision being worse, the examination report must include at least two recordings of near and distance corrected vision and an explanation of the reason for the difference. Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. Traumatism is a rare cause of disability in this connection, except when superimposed upon congenital defect or upon an existent arthritis; to permit assumption of pure traumatic origin, objective evidence of damage to the joint, and history of trauma sufficiently severe to injure this extremely strong and practically immovable joint is required. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. 7124 Raynaud's disease (also known as primary Raynaud's): Characteristic attacks associated with trophic change(s), such as tight, shiny skin, Characteristic attacks without trophic change(s). 7540 Disseminated intravascular coagulation. This is commonly rated from 10% to 40%. 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders. Evaluation February 17, 1994; criterion November 14, 2021. Web1. Moderately severely impaired judgment. Criterion August 30, 1996; title, criterion, note August 11, 2019. This contact form is only for website help or website suggestions. Objective evidence on testing of mild impairment of memory, attention, concentration, or executive functions resulting in mild functional impairment. 5056 Ankle replacement (prosthesis). If you are the surviving spouse of a disabled veteran who has passed away, youre eligible 1. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. (b) When evaluating the level of disability from a mental disorder, the rating agency will consider the extent of social impairment, but shall not assign an evaluation solely on the basis of social impairment. Answer a few questions to check your eligibility. For 2 years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter, for 4 years, or in any event, to 6 years after date of inactivity, Thereafter, for 5 years, or to 11 years after date of inactivity, Thereafter, in the absence of a schedular compensable permanent residual. You have a very severe disability or loss of limb, or You have a spouse, child, or dependent parent and your combined disability rating is 30% or greater, or You have a Executive functions are goal setting, speed of information processing, planning, organizing, prioritizing, self-monitoring, problem solving, judgment, decision making, spontaneity, and flexibility in changing actions when they are not productive. Evaluation October 23, 1995; note December 9, 2018; criterion October 23, 1995. (4) Evaluation of ankylosis of the thumb: (i) If both the carpometacarpal and interphalangeal joints are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation at metacarpophalangeal joint or through proximal phalanx, (ii) If both the carpometacarpal and interphalangeal joints are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) (b) Amputation through middle phalanges will be rated as prescribed for unfavorable ankylosis of the fingers. Evaluation October 23, 1995; evaluation December 9, 2018. Neoplasm, hard and soft tissue, malignant. VA Rating Criteria for GERD: 10 percent a veteran is rated at 10% if they have two or more of the common signs of GERD from the 30% schedule but not severe enough to justify the full 30% rating. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! 8717 Neuralgia, musculocutaneous nerve. result, it may not include the most recent changes applied to the CFR. (a) An open comminuted fracture with muscle or tendon damage will be rated as a severe injury of the muscle group involved unless, for locations such as in the wrist or over the tibia, evidence establishes that the muscle damage is minimal. Purely subjective complaints such as headache, dizziness, tinnitus, insomnia and irritability, recognized as symptomatic of a properly diagnosed cerebral arteriosclerosis, will be rated 10 percent and no more under diagnostic code 9305. Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded 5002-5240. In this way, the exact source of each rating can be easily identified. The horizontal rows represent the ear having the better hearing and the vertical columns the ear having the poorer hearing. Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. 9433 Persistent depressive disorder (dysthymia). 11, 1969. Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. Criterion August 30, 1996; title, criterion, and note August 11, 2019. 7900 Hyperthyroidism, including, but not limited to, Graves disease. Prestabilization ratings are for assignment in the immediate postdischarge period. 7011 Ventricular arrhythmias(sustained). Note: Evaluate automatic implantable cardioverter-defibrillators (AICDs) under DC 7011. 8521 External popliteal nerve (common peroneal), paralysis. Major or mild neurocognitive disorder due to HIV or other infections. Determine the average concentric contraction of the visual field of each eye by measuring the remaining visual field (in degrees) at each of eight principal meridians 45 degrees apart, adding them, and dividing the sum by eight. Added February 17, 1994; title, criterion, and note November 14, 2021. They are grouped together because of their proximity to one other as well as their common embryological origin and the use of common pathways, such as the male reproductive system. Group III Function: Elevation and abduction of arm. You still have options. 6826 Desquamative interstitial pneumonitis. Learn more about the eCFR, its status, and the editorial process. 8523 Anterior tibial nerve (deep peroneal), paralysis. 8710 Neuralgia, upper radicular group. This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). Added February 17, 1994; title and criterion November 14, 2021. Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. The determination will be made on the basis of the actual remaining function of the hand or foot, whether the acts of grasping, manipulation, etc., in the case of the hand, or of balance and propulsion, etc., in the case of the foot, could be accomplished equally well by an amputation stump with prosthesis. Mental disorders due to traumatic stress. 7807 Leishmaniasis, American (New World). General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. Schedule of ratings - cardiovascular system. Marginal employment may also be held to exist, on a facts found basis (includes but is not limited to employment in a protected environment such as a family business or sheltered workshop), when earned annual income exceeds the poverty threshold. How the VA Will Assign you a Shoulder Pain VA Rating. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. Criterion September 8, 1994; title, criterion, note November 14, 2021.