Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. The same procedure will be employed when there are four or more disabilities. or existing codification. Schedule of ratings - gynecological conditions and disorders of the breast. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. With persistent bleeding and with secondary anemia, or with fissures, Large or thrombotic, irreducible, with excessive redundant tissue, evidencing frequent recurrences, Large, postoperative, recurrent, not well supported under ordinary conditions and not readily reducible, when considered inoperable, Small, postoperative recurrent, or unoperated irremediable, not well supported by truss, or not readily reducible, Postoperative recurrent, readily reducible and well supported by truss or belt, Small, reducible, or without true hernia protrusion, Massive, persistent, severe diastasis of recti muscles or extensive diffuse destruction or weakening of muscular and fascial support of abdominal wall so as to be inoperable, Large, not well supported by belt under ordinary conditions, Small, not well supported by belt under ordinary conditions, or healed ventral hernia or post-operative wounds with weakening of abdominal wall and indication for a supporting belt, Wounds, postoperative, healed, no disability, belt not indicated, 7343 Malignant neoplasms of the digestive system, exclusive of skin growths. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. Minimum, if interfering to any extent with mastication - 10, 5326 Muscle hernia, extensive. Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimant's condition. Ratings in excess of 10 percent for cerebral arteriosclerosis under diagnostic code 9305 are not assignable in the absence of a diagnosis of multi-infarct dementia with cerebral arteriosclerosis. If a mental disorder has been assigned a total evaluation due to a continuous period of hospitalization lasting six months or more, the rating agency shall continue the total evaluation indefinitely and schedule a mandatory examination six months after the veteran is discharged or released to nonbed care. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. 7820 Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases). Criterion March 10, 1976; criterion October 7, 1996. Baseline weight means the average weight for the two-year-period preceding onset of the disease. 5311 Group XI Function: Propulsion, plantar flexion of foot. 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. 5307 Group VII Function: Flexion of wrist and fingers. 7532 Renal tubular disorders (such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconi's syndrome, Bartter's syndrome, related disorders of Henle's loop and proximal or distal nephron function, etc. (b) Rating protected tuberculosis cases. 8726 Neuralgia, anterior crural nerve (femoral). Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. Normal TP is greater than or equal to 60 mm Hg. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established by report at hospital discharge (regular discharge or release to non-bed care) or outpatient release that entitlement is warranted under paragraph (a) (1), (2) or (3) of this section effective the date of hospital admission or outpatient treatment and continuing for a period of 1, 2, or 3 months from the first day of the month following such hospital discharge or outpatient release. A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required hospital treatment in a Department of Veterans Affairs or an approved hospital for a period in excess of 21 days or hospital observation at Department of Veterans Affairs expense for a service-connected disability for a period in excess of 21 days. L. Code L-1 h, i (38 CFR 3.350(b)). 4.75 General considerations for evaluating visual impairment. Evaluate post-surgical residuals under the General Rating Formula. Complete medical examination of injury cases. (3) When the PFT's are not consistent with clinical findings, evaluate based on the PFT's unless the examiner states why they are not a valid indication of respiratory functional impairment in a particular case. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. 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. Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. Following the total rating for the 1 year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis.
Bursitis 5009 Other specified forms of arthropathy (excluding gout). VA Disability Conditions List by Body System and VA Diagnostic Code (Official) In this Ultimate I also have 20% disability for instability of the knee (medical discharge) due to anterolateral rotary instability (in effect for 23 yrs). Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. Convalescence ratings following extended hospitalization. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. General considerations for evaluating visual impairment. For VA rating purposes, a muscle injury (strain) is an injury to a muscle or a tendon, which is the fibrous tissue that connects muscles to bones. 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. Psychomotor seizures will be rated as minor seizures under the general rating formula when characterized by brief transient episodes of random motor movements, hallucinations, perceptual illusions, abnormalities of thinking, memory or mood, or autonomic disturbances. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. Criterion March 10, 1976; removed December 17, 1987. 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. Not improvable by prosthesis controlled by natural knee action, Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss, Toe, other than great, with removal metatarsal head, Toes, three or more, without metatarsal involvement. 6844 Post-surgical residual (lobectomy, pneumonectomy, etc.). 7918 Pheochromocytoma(benign or malignant). user convenience only and is not intended to alter agency intent 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 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. Cognitive impairment is defined as decreased memory, concentration, attention, and executive functions of the brain. Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. Minimum evaluation if continuous medication is required. (iii) Objective findings. You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. (f) Extension of periods of 1, 2 or 3 months beyond the initial 3 months may be made upon approval of the Veterans Service Center Manager. At metacarpophalangeal joint or through proximal phalanx, At distal joint or through distal phalanx, With metacarpal resection (more than one-half the bone lost), Without metacarpal resection, at proximal interphalangeal joint or proximal thereto, Through middle phalanx or at distal joint. 8525 Posterior tibial nerve, paralysis. 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). (v) generalized muscle aches or weakness. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. Complete inability to communicate either by spoken language, written language, or both, or to comprehend spoken language, written language, or both. 6032 Loss of eyelids, partial or complete: Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. For the purposes of this diagnostic code, chronic urticaria is defined as continuous urticaria at least twice per week, off treatment, for a period of six weeks or more, Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments, Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control, Chronic urticaria that requires first line treatment (antihistamines) for control, Persistent documented vasculitis episodes refractory to continuous immunosuppressive therapy, Recurrent documented vasculitic episodes occurring four or more times over the past 12-month period; and, Requiring intermittent systemic immunosuppressive therapy for control, Recurrent documented vasculitic episodes occurring one to three times over the past 12-month period, and requiring intermittent systemic immunosuppressive therapy for control; or, Without recurrent documented vasculitic episodes but requiring continuous systemic medication for control, 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. Six months after discontinuance of such treatment, the appropriate disability rating will be determined by mandatory VA examination. For complex or unfamiliar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. All Rights Reserved. Has difficulty using assistive devices such as GPS (global positioning system). (Effective as to outpatient surgery March 1, 1989. Criterion March 10, 1976; criterion May 22, 1995; title, note May 13, 2018. Added March 11, 1969; removed September 22, 1978. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully-developed claim (FDC)so you can increase your rating FAST! Moderately severely impaired judgment.
eCFR 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. in length. Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. 3 Also entitled to special monthly compensation. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Disability is manifest from erector spinae spasm (not accounted for by other pathology), tenderness on deep palpation and percussion over these joints, loss of normal quickness of motion and resiliency, and postural defects often accompanied by limitation of flexion and extension of the hip.
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