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Evaluation February 17, 1994; removed November 14, 2021. Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture). Displaying title 38, up to date as of 3/02/2023. (a) An examination for hearing impairment for VA purposes must be conducted by a state-licensed audiologist and must include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry test. Every element in any way affecting the probative value to be assigned to the evidence in each individual claim must be thoroughly and conscientiously studied by each member of the rating board in the light of the established policies of the Department of Veterans Affairs to the end that decisions will be equitable and just as contemplated by the requirements of the law. 5009 Other specified forms of arthropathy (excluding gout). However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. 8523 Anterior tibial nerve (deep peroneal), paralysis. Regulation Y One or more neurobehavioral effects that occasionally interfere with workplace interaction, social interaction, or both but do not preclude them. 6330 Campylobacter jejuni infection. 7123 Soft tissue sarcoma(of vascular origin). 5307 Group VII Function: Flexion of wrist and fingers. 6317 Rickettsial, ehrlichia, and anaplasma infections: 6320 Parasitic diseases otherwise not specified: 6325 Hyperinfection syndrome or disseminated strongyloidiasis: 6329 Hemorrhagic fevers, including dengue, yellow fever, and others: 6331 Coxiella burnetii infection (Q fever): 6350 Lupus erythematosus, systemic (disseminated): Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health, Exacerbations lasting a week or more, 2 or 3 times per year, Exacerbations once or twice a year or symptomatic during the past 2 years, AIDS with recurrent opportunistic infections (see Note 3) or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss, Refractory constitutional symptoms, diarrhea, and pathological weight loss; or minimum rating following development of AIDS-related opportunistic infection or neoplasm, Recurrent constitutional symptoms, intermittent diarrhea, and use of approved medication(s); or minimum rating with T4 cell count less than 200, Following development of HIV-related constitutional symptoms; T4 cell count between 200 and 500; use of approved medication(s); or with evidence of depression or memory loss with employment limitations, Asymptomatic, following initial diagnosis of HIV infection, with or without lymphadenopathy or decreased T4 cell count. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. Social interaction is occasionally inappropriate. With actual loss of use of the foot, rate at 40%. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. Criterion May 22, 1995; criterion March 18, 2002. WebReferences for Chronic Achilles Tendonitis or Achilles Bursitis. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. When an unlisted disease, injury, or residual condition is encountered, requiring rating by analogy, the diagnostic code number will be built-up as follows: The first 2 digits will be selected from that part of the schedule most closely identifying the part, or system, of the body involved; the last 2 digits will be 99 for all unlisted conditions. With any form of arthritis, painful motion is an important factor of disability, the facial expression, wincing, etc., on pressure or manipulation, should be carefully noted and definitely related to affected joints. 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. or more, will be taken as loss of use of the hand or foot involved. Erectile dysfunction, with or without penile deformity. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. The purpose of this survey is to secure all the relevant facts and data necessary to permit of a true judgment as to the reason for his or her unemployment and should include information as to: (b) Occupations prior and subsequent to service; (c) Places of employment and reasons for termination; (4) Upon completion of this survey and current examination, the case should have rating board consideration. (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. (b) If the diagnosis of a mental disorder is changed, the rating agency shall determine whether the new diagnosis represents progression of the prior diagnosis, correction of an error in the prior diagnosis, or development of a new and separate condition. General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment, Symptoms that require continuous treatment, Symptoms that do not require continuous treatment. Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. Criterion July 6, 1950; criterion September 22, 1978. This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting. Able to communicate by spoken and written language (expressive communication), and to comprehend spoken and written language. full text search results 7512 Cystitis, chronic, includes interstitial and all etiologies, infectious and non-infectious: 7515 Bladder, calculus in, with symptoms interfering with function: Rate as voiding dysfunction or urinary tract infection, whichever is predominant. VA Form 21-686c: A Quick 8-Step Guide For Veterans. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. 5236 Sacroiliac injury and weakness. Minimum, if there is pain, photophobia, and glare sensitivity. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. 7915 Neoplasm, benign, any specified part of the endocrine system: Rate as residuals of endocrine dysfunction. Thousands of other Veterans in our Community are here for you. 4.114 Schedule of ratings - digestive system. Underlying soft tissue missing in an area exceeding six square inches (39 sq. Rate on impairment of function, 5329 Sarcoma, soft tissue (of muscle, fat, or fibrous connective tissue) - 100, Rate each affected muscle group separately and combine in accordance with. 5053 Wrist replacement (prosthesis). Get up to $3,345 per month. 5322 Group XXII Function: Rotary and forward movements, head. 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.) 6731 Tuberculosis, pulmonary, chronic, inactive: Depending on the specific findings, rate residuals as interstitial lung disease, restrictive lung disease, or, when obstructive lung disease is the major residual, as chronic bronchitis (DC 6600). The digestive systme also includes the salivary glands, liver, gallbladder, and pancreas, which create digestive juices and enzymes that help the body digest various food and liquids. Navigate by entering citations or phrases 20, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 74 FR 18467, Apr. 8017 Amyotrophic lateral sclerosis(Lou Gherigs Disease). The use of the protective provisions of Pub. 9416 Dissociative amnesia; dissociative identity disorder. Evaluation August 13, 1981; criterion June 9, 1996; title December 10, 2017; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. If youre unhappy with the decision on your VA rating for shoulder pain, you have the right to file to overturn the VAs decision. The respiratory system isthe bodys network of organs and tissues that help you breathe. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. Unable to communicate basic needs. 8211 Eleventh (spinal accessory, external branch), paralysis. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. For complex or unfamiliar decisions, usually unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision, although has little difficulty with simple decisions. The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. 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). Residuals of traumatic brain injury (TBI). [41 FR 11292, Mar. 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. Criterion March 1, 1963; title, criteria February 7, 2021. 8713 Neuralgia, all radicular groups. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. cm.) After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s). (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. 7540 Disseminated intravascular coagulation. Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code (DC) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. Evaluate post-surgical residuals under the General Rating Formula. 5120 Complete amputation, upper extremity: Forequarter amputation (involving complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs), Disarticulation (involving complete removal of the humerus only), 5126 Five digits of one hand, amputation of. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. citations and headings General Rating Formula for Major and Minor Epileptic Seizures: Averaging at least 1 major seizure per month over the last year, Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly, Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week, At least 1 major seizure in the last 6 months or 2 in the last year; or averaging at least 5 to 8 minor seizures weekly, At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months, A confirmed diagnosis of epilepsy with a history of seizures. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. However, the total rating during the 1-year period for the pulmonary or for the nonpulmonary condition will be utilized, combined with evaluation for residuals of the condition not covered by the 1-year total evaluation, so as to allow any additional benefit provided during such period. Criterion October 23, 1995; criterion December 9, 2018. 8210 Tenth (pneumogastric, vagus), paralysis. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. 7339 Hernia, ventral, postoperative. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. The C&P examiner will then write a report about their findings and send it to the VA regional office. 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. Evaluate using an appropriate respiratory analogy. What is the Genitourinary System for VA rating purposes? Redesignated at 59 FR 60902, Nov. 29, 1994]. Tenth (pneumogastric, vagus) cranial nerve. Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. (b) Table VI, Numeric Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination, is used to determine a Roman numeral designation (I through XI) for hearing impairment based on a combination of the percent of speech discrimination (horizontal rows) and the puretone threshold average (vertical columns). Group XXII Function: Rotary and forward movements, head. Your skeleton is the foundational structure for your muscles and other soft tissues. will bring you to those results. 5278 Claw foot (pes cavus), acquired. You can file one of three options or file a new claim. Disability in this field is ordinarily to be rated in proportion to the impairment of motor, sensory or mental function. Unfavorable, at an angle of less than 50 or with complete loss of supination or pronation, Intermediate, at an angle of more than 90, or between 70 and 50, Favorable, at an angle between 90 and 70. Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. The forepart of the foot is abducted, and the foot everted. The Endocrine System is made up of the hypothalamus, thymus, pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pineal gland, reproductive glands (ovaries or testes), and the pancreas. About VA Disability Ratings | Veterans Affairs Note. Answer a few questions to check your eligibility. To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. This content is from the eCFR and is authoritative but unofficial. http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction, or both but do not preclude them. 18, 1976; 41 FR 34256, Aug. 13, 1976; 54 FR 4281, Jan. 30, 1989; 54 FR 34981, Aug. 23, 1989; 71 FR 28586, May 17, 2006; 79 FR 2100, Jan. 13, 2014]. Understanding Bursitus, tendinitis, and arthritis ratings - Veterans The rating agency shall assign an evaluation based on all the evidence of record that bears on occupational and social impairment rather than solely on the examiner's assessment of the level of disability at the moment of the examination. 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). 4.76a Computation of average concentric contraction of visual fields. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). eCFR VA Disability Ratings for Back Pain Explained (The Definitive Guide) Criterion July 6, 1950; criterion February 7, 2021.