VA disability If present, the following are also signs of severe muscle disability: (A) X-ray evidence of minute multiple scattered foreign bodies indicating intermuscular trauma and explosive effect of the missile. Department of Veterans Affairs: medical research in relation to the Statement of Principles concerning Chronic Achilles Tendonitis or Achilles Bursitis, which cites the following as references: Plattner P and Mann R (1993) Disorders of Tendons. The rating board will include a full statement as to the veteran's service-connected disabilities, employment history, educational and vocational attainment and all other factors having a bearing on the issue. 5304 Group IV Function: Stabilization of shoulder. 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. Able to communicate by spoken and written language (expressive communication), and to comprehend spoken and written language. (iv) palpable or tender cervical or axillary lymph nodes. 5313 Group XIII Function: Extension of hip and flexion of knee. 4.114 Schedule of ratings - digestive system. 6845 Chronic pleural effusion or fibrosis. No complaints of impairment of memory, attention, concentration, or executive functions. 5310 Group X Function: Movement of forefoot and toes. Muscle atrophy must also be accurately measured and reported. 6208 Malignant neoplasm(other than skin only). Narcolepsy VA Rating Complete Guide If you're a veteran who suffers from narcolepsy, you know how debilitating the condition can be. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. (b) Two or more skin conditions may be combined in accordance with 4.25 only if separate areas of skin are involved. If inactive, these evaluations are not to be combined with the graduated ratings of 50 percent or 30 percent for non-pulmonary tuberculosis specified under. Note 2: Ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. Renal involvement in diabetes mellitus type I or II. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service-connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. Only joints in these positions are considered to be in favorable position. The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. What are ear disabilities for VA rating purposes? Note: Evaluate automatic implantable cardioverter-defibrillators (AICDs) under DC 7011. He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. (c) For VA rating purposes, the cardinal signs and symptoms of muscle disability are loss of power, weakness, lowered threshold of fatigue, fatigue-pain, impairment of coordination and uncertainty of movement. Or, you can get help from an expert veteran coach who can help you navigate the VA claims process. Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. Neuralgia, anterior tibial nerve (deep peroneal). Noncompensable complications are considered part of the diabetic process under DC 7913. (Effective as to outpatient surgery March 1, 1989. Added March 10, 1976; removed February 3, 1988; added November 7, 1996; Title August 4, 2014. 5314 Group XIV Function: Extension of knee. Intellectual disability (intellectual developmental disorder) and personality disorders. 4.2 Interpretation of examination reports. Usually gets lost in unfamiliar surroundings, has difficulty reading maps, following directions, and judging distance. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. 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 ). ): 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. Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 5213 Supination and pronation, impairment. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. Proceeding from this 40 percent efficiency, the effect of a further 30 percent disability is to leave only 70 percent of the efficiency remaining after consideration of the first disability, or 28 percent efficiency altogether. 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.) To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. Plates I and II provide a standardized description of ankylosis and joint motion measurement. guide. Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. (c) Service-connected visual impairment of only one eye. Testis, undescended, or congenitally undeveloped is not a ratable disability. Rate under the general rating formula for major seizures. WebReferences for Chronic Achilles Tendonitis or Achilles Bursitis. Evaluate as supraventricular tachycardia (DC 7010), ventricular arrhythmias (DC 7011), or atrioventricular block (DC 7015). All Rights Reserved. When the percentage requirements are met, and the disabilities involved are of a permanent nature, a rating of permanent and total disability will be assigned if the veteran is found to be unable to secure and follow substantially gainful employment by reason of such disability. This rating schedule is primarily a guide in the evaluation of disability resulting from all types of diseases and injuries encountered as a result of or incident to military service. Listed below are some of the most common conditions that go by other names. 5165 At a lower level, permitting prosthesis. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 7123 Soft tissue sarcoma(of vascular origin). Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. 6840 Diaphragm paralysis or paresis. Neuritis, anterior crural (femoral) nerve. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. 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. 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. The variability of residuals following these fractures necessitates rating on specific residuals, faulty posture, limitation of motion, muscle injury, painful motion of the lumbar spine, manifest by muscle spasm, mild to moderate sciatic neuritis, peripheral nerve injury, or limitation of hip motion. 7718 Essential thrombocythemia and primary myelofibrosis. 8729 Neuralgia, external cutaneous nerve of thigh. Where there is lung or pleural involvement, ratings under diagnostic codes 6819 and 6820 will not be combined with each other or with diagnostic codes 6600 through 6817 or 6822 through 6847. Evaluation September 22, 1978; criterion October 7, 1996. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. (ii) History and complaint. Note following July 6, 1950; evaluation January 12, 1998; criterion November 14, 2021. Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section and, if present, evidence of inability to keep up with work requirements. 9902 Mandible, loss of, including ramus, unilaterally or bilaterally: Not involving temporomandibular articulation. 8611 Neuritis, middle radicular group. will bring you directly to the content. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. 5307 Group VII Function: Flexion of wrist and fingers. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. How to File a Claim on VA.gov (step-by-step)! Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. Added June 9, 1952; evaluation January 12, 1998; title, criterion, note November 14, 2021. (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. 8710 Neuralgia, upper radicular group. A permanent and total disability rating under the provisions of 4.15, 4.16 and 4.17 will not be precluded by reason of the coexistence of misconduct disability when: (a) A veteran, regardless of employment status, also has innocently acquired 100 percent disability, or. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! 5273 Os calcis or astragalus, malunion. 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). between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. What are Infectious Diseases, Immune Disorders, and Nutritional Deficiencies for VA rating purposes? If youre a veteran dealing with shoulder pain, you may be wondering how to get a shoulder pain VA rating. Or, it could be something like shoulder impingement that was caused by repetitive motions you were doing during your service. Dissociative amnesia; dissociative identity disorder. These parts all work together to keep the body in balance. It is also available for inspection at the National Archives and Records Administration (NARA). 5172 Toes, other than great, with removal of metatarsal head. Rate under the general rating formula for minor seizures. Group XXII Function: Rotary and forward movements, head. (b) Examination for visual impairment. Specific phobia; social anxiety disorder (social phobia). (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. 8610 Neuritis, upper radicular group. WebSocial Security Disability or SSI For Bursitis If your bursitis is severe enough, you may meet the requirements of Social Security's disability listing for joint dysfunction. Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year. The combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. Distinct disabilities may be evaluated separately under this section, pursuant to 4.14, if the symptoms do not overlap. 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. Group XIII Function: Extension of hip and flexion of knee. Anatomical loss of one foot and loss of use of one hand. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). See nerve involved for diagnostic code number and rating. Table III - Normal Visual Field Extent at 8 Principal Meridians. Criterion May 22, 1995; evaluation May 13, 2018. 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. 9310 Unspecified neurocognitive disorder(Dementia). (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. 7101 Hypertensive vascular disease (hypertension and isolated systolic hypertension): Diastolic pressure predominantly 130 or more, Diastolic pressure predominantly 120 or more, Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more, Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation youre owed by law. The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of (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. You may also be eligible for secondary service connection if you cant prove a direct link. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. Added September 9, 1975; criterion February 17, 1994; criterion November 14, 2021. (f) Special monthly compensation. May be unable to touch or name own body parts when asked by the examiner, identify the relative position in space of two different objects, or find the way from one room to another in a familiar environment. Each of these areas of dysfunction may require evaluation. 7822 Papulosquamous disorders not listed elsewhere (including lichen planus, large or small plaque parapsoriasis, pityriasis lichenoides et varioliformis acuta (PLEVA), lymphomatoid papulosus, mycosis fungoides, and pityriasis rubra pilaris (PRP)). 7613 Uterus, disease, injury, or adhesions of. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). Note (1): Examples of supraventricular tachycardia include, but are not limited to: Atrial fibrillation, atrial flutter, sinus tachycardia, sinoatrial nodal reentrant tachycardia, atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia, atrial tachycardia, junctional tachycardia, and multifocal atrial tachycardia. 1 Review for entitlement to special monthly compensation under 3.350 of this chapter. The common cause of disability in this region is arthritis, to be identified in the usual manner. All correspondence relative to the interpretation of the schedule for rating disabilities, requests for advisory opinions, questions regarding lack of clarity or application to individual cases involving unusual difficulties, will be addressed to the Director, Compensation Service. WebAs reported in the VAs most recent Annual Benefits Report, musculoskeletal disabilities are the most commonly claimed condition in the VA disability benefits system, making up 36.9 percent of all disability claims. Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities, Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. (2) When diplopia extends beyond more than one quadrant or range of degrees, evaluate diplopia based on the quadrant and degree range that provides the highest evaluation. Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. 8719 Neuralgia, long thoracic nerve. Evaluate non-cardiovascular residuals of surgical correction according to organ systems affected. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. 9417 Depersonalization/derealization disorder. The percentage ratings represent as far as can practicably be determined the average impairment in earning capacity resulting from such diseases and injuries and their residual conditions in civil occupations. Scar 5 or more inches (13 or more cm.) or less between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as favorable ankylosis. Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. 7348 Vagotomy with pyloroplasty or gastroenterostomy: Followed by demonstrably confirmative postoperative complications of stricture or continuing gastric retention, With symptoms and confirmed diagnosis of alkaline gastritis, or of confirmed persisting diarrhea, For an indefinite period from the date of hospital admission for transplant surgery. [59 FR 2530, Jan. 18, 1994, as amended at 82 FR 36083, Aug. 3, 2017], [72 FR 12983, Mar. Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control. 7811 Tuberculosis luposa (lupus vulgaris), active or inactive: 7813 Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor). 7110 Aortic aneurysm: Ascending, thoracic, or abdominal: Evaluate at 100 percent if the aneurysm is any one of the following: Five centimeters or larger in diameter; symptomatic (e.g., precludes exertion); or requires surgery. Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. With marked interference with absorption and nutrition, manifested by severe impairment of health objectively supported by examination findings including material weight loss, With definite interference with absorption and nutrition, manifested by impairment of health objectively supported by examination findings including definite weight loss, Symptomatic with diarrhea, anemia and inability to gain weight, With severe symptoms, objectively supported by examination findings.