Major or mild neurocognitive disorder due to HIV or other infections. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to cover disability at all sites of previously active infection with a future ending date in the case of the 20 percent rating. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. 6515 Laryngitis, tuberculous, active or inactive. Most of the time, youll receive a musculoskeletal rating based on your shoulder range of motion if you were to lift your arm away from the side of your body. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. 20, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 74 FR 18467, Apr. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. Six months after 6204 Peripheral vestibular disorders (Vertigo). 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. A plumb line dropped from the middle of the patella falls inside of the normal point. Hip, resurfacing or replacement (prosthesis). Minimum, if there is pain, photophobia, and glare sensitivity. This rating instruction does not apply to DC 7824, Evaluate under the General Rating Formula for the Skin. This adjusted level of corrected visual acuity, however, must not exceed a level of 5/200. Added May 22, 1995; title, criterion May 13, 2018. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. In this post, we reveal and explain the complete VA disability conditions list by body system and diagnostic code. Marginal employment may also be held to exist, on a facts found basis (includes but is not limited to employment in a protected environment such as a family business or sheltered workshop), when earned annual income exceeds the poverty threshold. 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. 6845 Chronic pleural effusion or fibrosis. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. 9416 Dissociative amnesia; dissociative identity disorder. In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. If a diagnosis is not supported by the findings on the examination report or if the report does not contain sufficient detail, it is incumbent upon the rating board to return the report as inadequate for evaluation purposes. Note following July 6, 1950; evaluation January 12, 1998; criterion November 14, 2021. The direction of angulation and extent of deformity should be carefully related to strain on the neighboring joints, especially those connected with weight-bearing. VA disabilities of the Skin include burns, scars, eczema, infections, and cancers, among others. WebRunners Knee (Patellofemoral pain syndrome) VA rating: Pain on the front of the knee and around the back of the kneecap. (a) For the purposes of this section, systemic therapy is treatment that is administered through any route (orally, injection, suppository, intranasally) other than the skin, and topical therapy is treatment that is administered through the skin. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). You still have options. VA Disability Rating for Rotator Cuff Repair and Shoulder Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Ratings for Impairment of Muscle Function. As to frequency, competent, consistent lay testimony emphasizing convulsive and immediate post-convulsive characteristics may be accepted. (a) Examination of muscle function. The conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability. If it is not clear from the available records what the change of diagnosis represents, the rating agency shall return the report to the examiner for a determination. http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. (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. Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of. 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. 7807 Leishmaniasis, American (New World). Youll also receive a higher rating if the injury impacts the arm of your dominant hand. (a) Examination of visual acuity. Added February 17, 1994; title, criterion, and note November 14, 2021. Special provisions regarding evaluation of respiratory conditions. 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. The same procedure will be employed when there are four or more disabilities. 1 Entitled to special monthly compensation. Of the five main senses, eyesight is used and relied upon the most. The resulting difference will be recorded on the rating sheet. Thrombo-angiitis obliterans (Buerger's Disease). Rickettsial, ehrlichia, and anaplasma infections. It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. You DESERVE a HIGHER VA rating.WE CAN HELP. (b) A chronic mental disorder is not uncommon as an interseizure manifestation of psychomotor epilepsy and may include psychiatric disturbances extending from minimal anxiety to severe personality disorder (as distinguished from developmental) or almost complete personality disintegration (psychosis). (e) Incoordination, impaired ability to execute skilled movements smoothly. Manifest differences in ulcers of the stomach or duodenum in comparison with those at an anastomotic stoma are sufficiently recognized as to warrant two separate graduated descriptions. 4.126 Evaluation of disability from mental disorders. Epilepsy and Unemployability: (1) Rating specialists must bear in mind that the epileptic, although his or her seizures are controlled, may find employment and rehabilitation difficult of attainment due to employer reluctance to the hiring of the epileptic. Mildly impaired judgment. It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome): Evaluate according to major manifestations to include, but not limited to, Type I diabetes mellitus, hyperthyroidism, hypothyroidism, hypoparathyroidism, or Addison's disease. 6333 Nontyphoid salmonella infections. You could also be eligible for a VA disability rating for arthritis in your shoulder if your range of motion limitation doesnt qualify you for a compensable rating. (2) Extensions of 1 or more months up to 6 months beyond the initial 6 months period may be made under paragraph (a) (2) or (3) of this section upon approval of the Veterans Service Center Manager. 6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination): 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media): 6205 Meniere's syndrome (endolymphatic hydrops): Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus, Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus, Hearing impairment with vertigo less than once a month, with or without tinnitus, Deformity of one, with loss of one-third or more of the substance, 6208 Malignant neoplasm of the ear (other than skin only). For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10's representing bilateral disabilities), the order of severity would be 60, 21 and 20. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. Pro Tip: In accordance with the Painful Motion principle, if you have pain upon flexion or abduction of your shoulder, the VA is required to award the minimum compensable rating for the condition, which is 10%. 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. This is often based on if you can rotate or extend your shoulder, using the criteria listed above. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. Hypothyroidism manifesting as myxedema (cold intolerance, muscular weakness, cardiovascular involvement (including, but not limited to hypotension, bradycardia, and pericardial effusion), and mental disturbance (including, but not limited to dementia, slowing of thought and depression)), Note (1): This evaluation shall continue for six months beyond the date that an examining physician has determined crisis stabilization. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. The seizure manifestations of psychomotor epilepsy vary from patient to patient and in the same patient from seizure to seizure. 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. 8527 Internal saphenous nerve, paralysis. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction: 7528 Malignant neoplasms of the genitourinary system. You can file one of three options or file a new claim. (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges. It is the responsibility of the rating specialist to interpret reports of examination in the light of the whole recorded history, reconciling the various reports into a consistent picture so that the current rating may accurately reflect the elements of disability present. 9917 Neoplasm, hard and soft tissue, benign. (c) Combination of visual field defect and decreased visual acuity. Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. 5303 Group III Function: Elevation and abduction of arm. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. Examination of visual acuity must include the central uncorrected and corrected visual acuity for distance and near vision using Snellen's test type or its equivalent. Rate as renal dysfunction or urinary tract infection, whichever is predominant. 8004 Paralysis agitans(Parkinsons Disease). ): Note: Cystic diseases of the kidneys include, but are not limited to, polycystic disease, uremic medullary cystic disease, medullary sponge kidney, and similar conditions such as Alport's syndrome, cystinosis, primary oxalosis, and Fabry's disease. Exceptional patterns of hearing impairment. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. (1) An authorized absence in excess of 4 days which begins during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the first day of such authorized absence. 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. 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. It includes your airways, lungs, and blood vessels. May rely on gestures or other alternative modes of communication. cm.). Heres the brutal truth about VA disability claims: You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, You have a medical diagnosis for your shoulder, and youre experiencing current symptoms, You experienced an event, injury, or illness while you were serving that caused or aggravated your shoulder pain (either directly or indirectly). Minimum evaluation if continuous medication is required. 8711 Neuralgia, middle radicular group. Mildly impaired. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45103, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. 6017 Conjunctivitis, trachomatous, chronic. Criterion September 9, 1975; evaluation January 12, 1998; note, criterion November 14, 2021. 7529 Benign neoplasms of the genitourinary system: Rate as voiding dysfunction or renal dysfunction, whichever is predominant. Sciatic neuritis is not uncommonly caused by arthritis of the spine. With actual loss of use of the foot, rate at 40%. or more, will be taken as loss of use of the hand or foot involved. Disability from lesions of peripheral portions of first, second, third, fourth, sixth, and eighth nerves will be rated under the Organs of Special Sense. The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis. 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). Toes, other than great, with removal of metatarsal head. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction, or both but do not preclude them. Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. For example, post concussive headaches are not listed in the general schedule, only migraine headaches. AtVA Claims Insider, we help fellow Veterans celebrateLIFE CHANGEby helping them get the VA disability rating and compensationYOU DESERVEby law. The most common shoulder injuries in veterans are rotator cuff tears, shoulder impingement, bursitis, and tendinitis. Confirmed by ECG, with five or more treatment interventions per year, Confirmed by ECG, with one to four treatment interventions per year; or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control. Criterion August 13, 1981; evaluation June 9, 1996; title December 10, 2017; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Infectious Diseases, Immune Disorders, and Nutritional Deficienciescan display a vast range of symptoms throughout the human body. ), (2) Surgery with severe postoperative residuals such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilization of one major joint or more, application of a body cast, or the necessity for house confinement, or the necessity for continued use of a wheelchair or crutches (regular weight-bearing prohibited). Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. (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. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. (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). Schedule of ratings - hemic and lymphatic systems. All Rights Reserved. Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy, Hoarseness, with inflammation of cords or mucous membrane. Conversion disorder (functional neurological symptom disorder). Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. Its based on the level of mobility limitation caused by bursitis. General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833): Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy, FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation, FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted, FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted. 7016 Heart valve replacement (prosthesis): For an indefinite period following date of hospital admission for valve replacement, Note: Six months following discharge from inpatient hospitalization, disability evaluation shall be conducted by mandatory VA examination using the General Rating Formula. General considerations for evaluating visual impairment. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. Military and private medical treatment records: Severe rated at 30% to 40% depending on dominant or non-dominant arm, Moderately severe rated at 20% to 30% depending on dominant or non-dominant arm, Moderate rated from 10% to 20% depending on shoulder function, File an Appeal with the Board of Veterans Appeals (BVA). It is also available for inspection at the Office of Regulation Policy and Management, Department of Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 20420. 4.42 Complete medical examination of injury cases. 6331 Coxiella burnetii infection (Q Fever). 7918 Pheochromocytoma(benign or malignant). 7312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Generalized weakness, substantial weight loss, and persistent jaundice, or; with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis), History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks, History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss, Symptoms such as weakness, anorexia, abdominal pain, and malaise, Severe; frequent attacks of gall bladder colic, Moderate; gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundice. Prestabilization rating from date of discharge from service. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. We use your disability rating to determine If you work for a Federal agency, use this drafting Major or mild neurocognitive disorder due to traumatic brain injury. Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. (2) In the case of an ankylosed shoulder, if muscle groups I and II are severely disabled, the evaluation of the shoulder joint under diagnostic code 5200 will be elevated to the level for unfavorable ankylosis, if not already assigned, but the muscle groups themselves will not be rated. Can generally communicate complex ideas. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978].
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