Criterion September 9, 1975; removed October 7, 1996. Listed below are some of the most common conditions that go by other names. Motor activity severely decreased due to apraxia. 6006 Retinopathy or maculopathy not otherwise specified. There are five general classes of bradyarrhythmia: Sinus bradycardia, including sinoatrial block; atrioventricular (AV) junctional (nodal) escape rhythm; AV heart block (second or third degree) or AV dissociation; atrial fibrillation or flutter with a slow ventricular response; and, idioventricular escape rhythm. Social interaction is routinely appropriate. (iii) Objective findings. (ii) History and complaint. View the most recent official publication: These links go to the official, published CFR, which is updated annually. 29 FR 6718, May 22, 1964, unless otherwise noted. 6000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction, or both but do not preclude them. 8721 Neuralgia, external popliteal nerve (common peroneal). Thus, if there are three disabilities ratable at 60 percent, 40 percent, and 20 percent, respectively, the combined value for the first two will be found opposite 60 and under 40 and is 76 percent. Anterior tibial nerve (deep peroneal), paralysis. For complex or unfamiliar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. Rate as for disfigurement and impairment of function of mastication. 7018 Implantable cardiac pacemakers. Otherwise, the lower rating will be assigned. Subastragalar or tarsal joint, ankylosis. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. [34 FR 5062, Mar. Can communicate complex ideas. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). Anatomical loss of one foot and loss of use of one hand. Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. 6354 Chronic Fatigue Syndrome (CFS). Added September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. (d) With advancement of lesions on successive examinations or while under treatment. Criterion September 9, 1975; removed March 10, 1976. 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. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies: Displacement, causing severe anterior or posterior open bite, Displacement, causing moderate anterior or posterior open bite, Displacement, not causing anterior or posterior open bite. (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. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media). Group X Function: Movement of forefoot and toes. 1. 8000 Encephalitis, epidemic, chronic. Special provisions regarding evaluation of respiratory conditions. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 8514 Musculospiral nerve (radial), paralysis. Added June 9, 1952; evaluation January 12, 1998; note, criterion, evaluation November 14, 2021. (e) The total hospital rating if convalescence is required may be continued for periods of 1, 2, or 3 months in addition to the period provided in paragraph (a) of this section. Minimum, if there is pain, photophobia, and glare sensitivity. (eg: 5000 Osteomyelitis, acute, subacute, or chronic: Of the pelvis, vertebrae, or extending into major joints, or with multiple localization or with long history of intractability and debility, anemia, amyloid liver changes, or other continuous constitutional symptoms, Frequent episodes, with constitutional symptoms, With definite involucrum or sequestrum, with or without discharging sinus, With discharging sinus or other evidence of active infection within the past 5 years, Inactive, following repeated episodes, without evidence of active infection in past 5 years. 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). Following the total rating for the 2-year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. Note: Evaluate syphilitic aortic aneurysms under DC 7110 (Aortic aneurysm: Ascending, thoracic, abdominal). The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. The relevant principle enunciated in 4.125, entitled Diagnosis of mental disorders, should have careful attention in this connection. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). 6017 Conjunctivitis, trachomatous, chronic. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. 7005 Arteriosclerotic heart disease (coronary artery disease). Evaluation January 12, 1998; title, criterion November 14, 2021. Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. When present, those occurring during or immediately after eating and known as the dumping syndrome are characterized by gastrointestinal complaints and generalized symptoms simulating hypoglycemia; those occurring from 1 to 3 hours after eating usually present definite manifestations of hypoglycemia. Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. 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: Five or more scars that are unstable or painful, Three or four scars that are unstable or painful, One or two scars that are unstable or painful. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of: Rate as osteomyelitis, chronic under diagnostic code 5000. 8525 Posterior tibial nerve, paralysis. 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. The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. (ii) History and complaint. May rely on gestures or other alternative modes of communication. 4.56 Evaluation of muscle disabilities. Note (2): Evaluate each affected part (e.g., hand, foot, ear, nose) separately and combine the ratings in accordance with, 7123 Soft tissue sarcoma (of vascular origin). 6209 Benign neoplasm(other than skin only). 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. Motor activity moderately decreased due to apraxia. 7807 American (New World) leishmaniasis (mucocutaneous, espundia): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disability. (f) Pain on movement, swelling, deformity or atrophy of disuse. 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 ). The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. Constant inability to communicate by speech, Constant inability to speak above a whisper. 0 to 10 millimeters (mm) of maximum unassisted vertical opening. The resulting difference will be recorded on the rating sheet. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. 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. Table I, Combined Ratings Table, results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. The examination report must document the results of either the tangent screen or of the 30-degree threshold visual field with the Goldmann III stimulus size. Evaluation October 23, 1995; evaluation December 9, 2018. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. When a partial disability results from disease or injury of both arms, or of both legs, or of paired skeletal muscles, the ratings for the disabilities of the right and left sides will be combined as usual, and 10 percent of this value will be added (i.e., not combined) before proceeding with further combinations, or converting to degree of disability. We use your disability rating to determine Second note following December 1, 1949; criterion March 11, 1969; evaluation October 7, 1996. Each disability must be considered from the point of view of the veteran working or seeking work. (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned. Copyright 2023 VA Claims Insider, LLC. Schedule of ratings - hemic and lymphatic systems. Intellectual disability (intellectual developmental disorder) and personality disorders. 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: Area or areas of 144 square inches (929 sq. Evaluation February 17, 1994; criterion November 14, 2021. For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. Evaluation August 30, 1996; criterion, note August 11, 2019. Group XVIII Function: Outward rotation of thigh. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. (a) When the puretone threshold at each of the four specified frequencies (1000, 2000, 3000, and 4000 Hertz) is 55 decibels or more, the rating specialist will determine the Roman numeral designation for hearing impairment from either Table VI or Table VIa, whichever results in the higher numeral. Well cover the different types of shoulder injuries that can qualify for disability benefits, how the VA rates shoulder injuries, and what evidence is needed to support a claim. Mandible loss of, including ramus, unilaterally or bilaterally. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. The examiner will look for how your shoulder functions when you move your arm and how far you can move before you feel pain. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. [61 FR 46728, Sept. 5, 1996, as amended at 71 FR 28586, May 17, 2006]. Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. 9412 Panic disorder and/or agoraphobia. Motor activity (with intact motor and sensory system). 8726 Neuralgia, anterior crural nerve (femoral). WebA 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 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. Neuralgia, external cutaneous nerve of thigh. When the level of METs at which breathlessness, fatigue, angina, dizziness, or syncope develops is required for evaluation, and a laboratory determination of METs by exercise testing cannot be done for medical reasons, a medical examiner may estimate the level of activity (expressed in METs and supported by specific examples, such as slow stair climbing or shoveling snow) that results in those symptoms. All of these conditions can lead to chronic shoulder pain and disability. Amputation, or injury to an upper extremity, is not considered as a causative factor with subsequently developing arthritis, except in joints subject to direct strain or actually injured. (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. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. Veterans Benefits Administration (VBA) personnel utilize the Veterans Benefit Management System for Rating (VBMS-R) to process disability compensation claims that involve disability evaluations made under the VASRD. How to File a Claim on VA.gov (step-by-step)! Separately evaluate other disabilities diagnosed as the residual effects of cold injury, such as Raynaud's syndrome (which is otherwise known as secondary Raynaud's phenomenon), muscle atrophy, etc., unless they are used to support an evaluation under diagnostic code 7122. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. You DESERVE a HIGHER VA rating.WE CAN HELP. is available with paragraph structure matching the official CFR 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. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. The VA disability rating for shoulder impingement is usually rated either as an impairment of the clavicle or scapula OR limitation of motion of the arm.