Over a period of many years, a veteran's disability claim may require reratings in accordance with changes in laws, medical knowledge and his or her physical or mental condition. Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. When the evidence is inadequate to assign a schedular evaluation, a physical examination will be scheduled and considered prior to the termination of a total rating under this section. Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. 1 Review for entitlement to special monthly compensation under 38 CFR 3.350. 8719 Neuralgia, long thoracic nerve. Healing with good functional results. Examples of findings that might be seen at this level of impairment are: marked fatigability, blurred or double vision, headaches requiring rest periods during most days. Without cardiac involvement but with chronic edema, stasis dermatitis, and either ulceration or cellulitis: Without cardiac involvement but with chronic edema or stasis dermatitis: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg, At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg, At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg, At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg, Note (1): The ankle/brachial index (ABI) is the ratio of the systolic blood pressure at the ankle divided by the simultaneous brachial artery systolic blood pressure. Mandible loss of, including ramus, unilaterally or bilaterally. Anatomical loss of one hand and one foot. This combined value will be converted to the nearest degree divisible by 10 which is 80 percent. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. 8407 Neuralgia, seventh cranial nerve. This article discusses four things you need to know about shoulder pain and VA disability. (d) When a single disability has been diagnosed both as a physical condition and as a mental disorder, the rating agency shall evaluate it using a diagnostic code which represents the dominant (more disabling) aspect of the condition (see 4.14). 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. Evaluate based on disfigurement (diagnostic code 7800). Criterion March 10, 1976; removed December 17, 1987. Criterion September 22, 1978; criterion February 17, 1994; title September 10, 2017. 8617 Neuritis, musculocutaneous nerve. Added July 6, 1950; title February 7, 2021. Automatic states or automatisms are characterized by episodes of irrational, irrelevant, disjointed, unconventional, asocial, purposeless though seemingly coordinated and purposeful, confused or inappropriate activity of one to several minutes (or, infrequently, hours) duration with subsequent amnesia for the seizure. 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). If youre a veteran dealing with shoulder pain, you may be wondering how to get a shoulder pain VA rating. 5016 Osteitis deformans (Pagets disease). VA disabilities of the Skin include burns, scars, eczema, infections, and cancers, among others. Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. Note following July 6, 1950; evaluation January 12, 1998; criterion November 14, 2021. The importance of complete medical examination of injury cases at the time of first medical examination by the Department of Veterans Affairs cannot be overemphasized. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. [34 FR 5062, Mar. Criterion September 22, 1978; criterion October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. Department of Veterans Affairs: medical research in relation to the Statement of Principles concerning Chronic Achilles Tendonitis or Achilles Bursitis, which cites the following as references: Plattner P and Mann R (1993) Disorders of Tendons. If no facet is evaluated as total, assign the overall percentage evaluation based on the level of the highest facet as follows: 0 = 0 percent; 1 = 10 percent; 2 = 40 percent; and 3 = 70 percent. Copyright 2023 VA Claims Insider, LLC. 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. (7) If the FEV-1 and the FVC are both greater than 100 percent, do not assign a compensable evaluation based on a decreased FEV-1/FVC ratio. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. Uroflowmetry; markedly diminished peak flow rate (less than 10 cc/sec). Always oriented to person, time, place, and situation. Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. Prestabilization ratings are for assignment in the immediate postdischarge period. The termination of these total ratings will not be subject to 3.105(e) of this chapter. 7115 Thrombo-angiitis obliterans (Buerger's Disease): Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses, Persistent coldness of the extremity, trophic changes with pains in the hands during physical activity, and diminished upper extremity pulses, Trophic changes with numbness and paresthesia at the tips of the fingers, and diminished upper extremity pulses, Note (1): These evaluations involve a single extremity. We recommend you directly contact the agency responsible for the content in question. Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. 7911 Addison's disease (adrenocortical insufficiency): Three crises during the past year, or; five or more episodes during the past year, One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. 5328 Muscle, neoplasm of, benign, postoperative. 8624 Neuritis, internal popliteal (tibial) nerve. 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. Where there is lung or pleural involvement, ratings under diagnostic codes 6819 and 6820 will not be combined with each other or with diagnostic codes 6600 through 6817 or 6822 through 6847. General Rating Formula For The Skin For DCs 7806, 7809, 7813-7816, 7820-7822, and 7824: Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or, Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period, Characteristic lesions involving 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected; or Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period, Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or, At least 5 percent, but less than 20 percent, of exposed areas affected; or, Intermittent systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of less than 6 weeks over the past 12-month period, No more than topical therapy required over the past 12-month period and at least one of the following, Characteristic lesions involving less than 5 percent of the entire body affected; or, Characteristic lesions involving less than 5 percent of exposed areas affected, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability. but less than 72 square inches (465 sq. cm.) Ratings of the genitourinary system - dysfunctions. Where there is a question as to which of two evaluations shall be applied, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria required for that rating. Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. Criterion September 9, 1975; evaluation January 12, 1998; note, criterion November 14, 2021. It is essential that the examination on which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. 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 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. What are ear disabilities for VA rating purposes? Infectious Diseases, Immune Disorders and Nutritional Deficiencies. These ratings were based on Range of Motion for each joint. 8627 Neuritis, internal saphenous nerve. If you have comments or suggestions on how to improve the www.ecfr.gov website or have questions about using www.ecfr.gov, please choose the 'Website Feedback' button below. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. A clear statement will be made of the point or points upon which information is desired, and the complete case file will be simultaneously forwarded to Central Office. (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. 7614 Fallopian tube, disease or injury(including pelvic inflammatory disease (PID)). Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Skin indurated and inflexible in an area exceeding six square inches (39 sq. For the application of this schedule, accurate and fully descriptive medical examinations are required, with emphasis upon the limitation of activity imposed by the disabling condition. 6023 Loss of eyebrows, complete, unilateral or bilateral, 6024 Loss of eyelashes, complete, unilateral or bilateral. 5000 Osteomyelitis, acute, subacute, or chronic. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. 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. Criterion February 17, 1994; criterion, footnote November 14, 2021. (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.) 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation, Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. 8712 Neuralgia, lower radicular group. 8713 Neuralgia, all radicular groups. Rate as for disfigurement and impairment of function of mastication. Criterion September 8, 1994; title, criterion, note November 14, 2021. What is the Genitourinary System for VA rating purposes? ), Area or areas of at least 12 square inches (77 sq. [62 FR 30239, June 3, 1997, as amemded 85 FR 76464, Nov. 30, 2020]. Conjectural analogies will be avoided, as will the use of analogous ratings for conditions of doubtful diagnosis, or for those not fully supported by clinical and laboratory findings. Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. Note (1): Evaluate symptoms of hyperthyroidism under DC 7900, hyperthyroidism, including, but not limited to, Graves' disease. Narcolepsy VA Rating Complete Guide If you're a veteran who suffers from narcolepsy, you know how debilitating the condition can be. Added February 17, 1994; title, criterion, and note November 14, 2021. 8211 Eleventh (spinal accessory, external branch), paralysis. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002; 83 FR 15071, Apr. Hemorrhagic fevers, including dengue, yellow fever, and others. (e) Without retrogression of lesions or other evidence of material improvement at the end of six months hospitalization or without change of diagnosis from active at the end of 12 months hospitalization. Motor activity severely decreased due to apraxia. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations.
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