(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. 8524 Internal popliteal nerve (tibial), paralysis. With chronic residuals consisting of severe painful motion or weakness. information or personal data. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. 6845 Chronic pleural effusion or fibrosis. Evaluation August 30, 2002; title, criterion, note August 13, 2018. 7811 Tuberculosis luposa (lupus vulgaris)active or inactive. switch to drafting.ecfr.gov. Criterion March 10, 1976; criterion July 2, 2001. What are disabilities of the Endocrine System for VA rating purposes? Renal involvement in diabetes mellitus type I or II. VA Form 21-686c, also known as the VA form to add dependents or the Declaration of Status of Dependents, is a form for you to provide information to the VA about your dependents. [71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021], [Unless otherwise directed, use this general rating formula to evaluate diseases of the heart. [41 FR 11293, Mar. Note July 6, 1950; evaluation February 17, 1994; evaluation September 8, 1994; note November 14, 2021. 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. (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. Any of these effects may range from slight to severe, although verbal and physical aggression are likely to have a more serious impact on workplace interaction and social interaction than some of the other effects. (2) disabilities resulting from common etiology or a single accident. Able to communicate basic needs. Thousands of other Veterans in our Community are here for you. Metatarsalgia, anterior (Morton's disease). Evaluation February 17, 1994; removed November 14, 2021. Ratings of the genitourinary system - dysfunctions. 7627 Malignant neoplasms of gynecological system. Without other injury to the muscle - 10, 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma) - 100. 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. 5251 Thigh, limitation of extension. (5) When evaluating based on PFT's, use post-bronchodilator results in applying the evaluation criteria in the rating schedule unless the post-bronchodilator results were poorer than the pre-bronchodilator results. 6724 Inactive, advancement unspecified. I was granted 40% loss of extension on the knee and 10% for bursitis of the shoulder. Criterion August 30, 2002; title, criterion August 13, 2018. Constant inability to communicate by speech, Constant inability to speak above a whisper. This content is from the eCFR and is authoritative but unofficial. Evaluation January 12, 1998; title, criterion November 14, 2021. Note (2): Separately evaluate eye involvement occurring as a manifestation of Graves' Disease as diplopia (DC 6090); impairment of central visual acuity (DCs 6061-6066); or under the most appropriate DCs in. With remaining field of 16 to 30 degrees: Or evaluate each affected eye as 20/100 (6/30). 7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc. [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. Web1. This imposes upon the medical examiner the responsibility of furnishing, in addition to the etiological, anatomical, pathological, laboratory and prognostic data required for ordinary medical classification, full description of the effects of disability upon the person's ordinary activity. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. Muscle spasm will greatly assist the identification. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation. (3) The assent of the claimant should first be obtained for permission to conduct this economic and social survey. Replaces 5285-5295 September 26, 2003; Title February 7, 2021. Shoulders are incredibly complex, composed of bones, muscles, tendons, and ligaments. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! Evaluate under the General Rating Formula for Diseases of the Eye, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings, and combine in accordance with, Evaluate under the General Rating Formula for Diseases of the Eye. 7354 Hepatitis C (or non-A, non-B hepatitis): With serologic evidence of hepatitis C infection and the following signs and symptoms due to hepatitis C infection: Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m, Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m, Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m, Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m. Note: GFR, estimated GFR (eGFR), and creatinine-based approximations of GFR will be accepted for evaluation purposes under this section when determined to be appropriate and calculated by a medical professional. 7520 Penis, removal of half or more. 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. 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. 8410 Neuralgia, tenth cranial nerve. The Skin is the largest of the bodys organs and its primary purpose is protection. 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. [34 FR 5062, Mar. (3) When diplopia exists in two separate areas of the same eye, increase the equivalent visual acuity under diagnostic code 6090 to the next poorer level of visual acuity, not to exceed 5/200. Disability in this field is ordinarily to be rated in proportion to the impairment of motor, sensory or mental function. No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. Can communicate complex ideas. These ratings are applicable only to veterans with nonpulmonary tuberculosis active on or after October 10, 1949. Depending on the specific residuals, separately evaluate as adhesions of peritoneum (diagnostic code 7301), cirrhosis of liver (diagnostic code 7312), and chronic liver disease without cirrhosis (diagnostic code 7345). Your military records are important. Consistently disoriented to two or more of the four aspects (person, time, place, situation) of orientation. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. Ragged, depressed and adherent scars indicating wide damage to muscle groups in missile track. It is not an official legal edition of the CFR. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimant's condition. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978; 67 FR 48785, July 26, 2002]. 5305 Group V Function: Elbow supination. My hip and thigh conditions have worsened. 10, 2018; 83 FR 32600, July 13, 2018; 83 FR 54257, Oct. 29, 2018; 84 FR 28233, June 18, 2019; 85 FR 76464, Nov. 30, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54087, 54096, Sept. 30, 2021], [72 FR 12990, Mar. ], [62 FR 65219, Dec. 11, 1997, as amended at 63 FR 37779, July 14, 1998; 71 FR 52460, Sept. 6, 2006; 79 FR 2100, Jan. 13, 2014; 82 FR 50804, Nov. 2, 2017; 86 FR 54093, Sept. 30, 2021; 86 FR 62095, Nov. 9, 2021]. These evaluations are for Raynaud's syndrome as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. 7016 Heart valve replacement(prosthesis). Mere congenital or developmental defects, absent, displaced or supernumerary parts, refractive error of the eye, personality disorder and mental deficiency are not diseases or injuries in the meaning of applicable legislation for disability compensation purposes. In cases involving aggravation by active service, the rating will reflect only the degree of disability over and above the degree existing at the time of entrance into the active service, whether the particular condition was noted at the time of entrance into the active service, or it is determined upon the evidence of record to have existed at that time. (d) Under diagnostic codes 5301 through 5323, disabilities resulting from muscle injuries shall be classified as slight, moderate, moderately severe or severe as follows: (i) Type of injury. 6844 Post-surgical residual(lobectomy, pneumonectomy, etc.). The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. Criterion February 3, 1988; criterion November 7, 1996; Removed August 4, 2014. 6208 Malignant neoplasm(other than skin only). If antineoplastic therapy is required, evaluate as a malignant neoplasm under DC 7914. Kyphoscoliosis, pectus excavatum/carinatum. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Recurrent dislocation of at scapulohumeral joint: With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). 8711 Neuralgia, middle radicular group. Criterion March 10, 1976; criterion May 22, 1995; title, note May 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). 9305 Major or mild vascular neurocognitive disorder(Dementia). 6312 Nontuberculosis mycobacterium infection. 8629 Neuritis, external cutaneous nerve of thigh. In the acquired condition, it is to be remembered that depression of the longitudinal arch, or the degree of depression, is not the essential feature. (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. With dietary restrictions to full liquid and pureed foods, With dietary restrictions to soft and semi-solid foods. 7529 Benign neoplasms of the genitourinary system: Rate as voiding dysfunction or renal dysfunction, whichever is predominant. Criterion March 10, 1976; criterion October 7, 1996. Title May 13, 2018. Involving temporomandibular articulation. It is thus essential, both in the examination and in the evaluation of disability, that each disability be viewed in relation to its history. Anatomical loss of one hand and one foot. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, With a gap of less than one inch (2.5 cm.) Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). Added November 7, 1996; removed August 4, 2014. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. Criterion February 17, 1994; evaluation September 10, 2017; title September 10, 2017. What are eye disabilities for VA rating purposes? VA Form 21-686c: A Quick 8-Step Guide For Veterans. You will probably only receive one rating for your condition per shoulder. 8519 Long thoracic nerve, paralysis. 4.124 Neuralgia, cranial or peripheral. Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person. Severely impaired. Neuritis, anterior crural (femoral) nerve. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). 7718 Essential thrombocythemia and primary myelofibrosis: Requiring either continuous myelosuppressive therapy, or, for six months following hospital admission for any of the following treatments: peripheral blood or bone marrow stem cell transplant, or chemotherapy, or interferon treatment, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count <500 10, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count of 200,000-400,000, or white blood cell (WBC) count of 4,000-10,000. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. (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). Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system. 7900 Hyperthyroidism, including, but not limited to, Graves' disease: Thereafter, rate residuals of disease or complications of medical treatment within the appropriate diagnostic code(s) within the appropriate body system. Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. Added February 17, 1994; criterion September 10, 2017. Some loss of deep fascia or muscle substance or impairment of muscle tonus and loss of power or lowered threshold of fatigue when compared to the sound side. e. Evaluating Limitation of Motion Due to Pain When evaluating limitation of motion due to pain, keep in mind that the limitation must at least meet the level of a noncompensable evaluation for the affected joint to warrant an additional evaluation 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. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Copyright 2023 VA Claims Insider, LLC. 4.9 Congenital or developmental defects. Thousands of other Veterans in our Community are here for you. The percentage evaluation is located at the point where the row and column intersect. For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. 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. Total disability ratings for compensation based on unemployability of the individual. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. His eBook, the9 Secrets Strategies for Winning Your VA Disability Claimhas been downloaded more than 300,000 times in the past three years and is the #1 rated free VA disability claims guide for veterans. Added September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. Each ear will be evaluated separately. Inability to communicate either by spoken language, written language, or both, at least half of the time but not all of the time, or to comprehend spoken language, written language, or both, at least half of the time but not all of the time. Tenosynovitis, tendinitis, tendinosis or tendinopathy. The graduated ratings for nonpulmonary tuberculosis will not be combined with residuals of nonpulmonary tuberculosis unless the graduated rating and the rating for residual disability cover separate functional losses, e.g., graduated ratings for tuberculosis of the kidney and residuals of tuberculosis of the spine.
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