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5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). A change in evaluation based on that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. Neoplasm, hard and soft tissue, malignant. 7722 Pernicious anemia and Vitamin B12 deficiency anemia. Since the areas of dysfunction described below do not cover all symptoms resulting from genitourinary diseases, specific diagnoses may include a description of symptoms assigned to that diagnosis. I also have 20% disability for instability of the knee (medical discharge) due to anterolateral rotary instability (in effect for 23 yrs). 7307 Gastritis, hypertrophic (identified by gastroscope): Chronic; with severe hemorrhages, or large ulcerated or eroded areas, Chronic; with multiple small eroded or ulcerated areas, and symptoms, Chronic; with small nodular lesions, and symptoms. Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. Take advantage of a FREE VA Claim Discovery Call. Group XIX Function: Abdominal wall and lower thorax. (2) Where a case is encountered with a definite history of unemployment, full and complete development should be undertaken to ascertain whether the epilepsy is the determining factor in his or her inability to obtain employment. 5203 Clavicle or scapula, impairment. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. You're not alone. Persistent depressive disorder (dysthymia). The stronger the connection between your military It is also available for inspection at the National Archives and Records Administration (NARA). Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 6330 Campylobacter jejuni infection. Criterion March 10, 1976; title, note February 7, 2021. A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. 5173 Toes, three or more, without metatarsal involvement. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic states, generalized convulsions, random motor movements (chewing, lip smacking, fumbling), hallucinatory phenomena (involving taste, smell, sound, vision), perceptual illusions (deja vu, feelings of loneliness, strangeness, macropsia, micropsia, dreamy states), alterations in thinking (not open to reason), alterations in memory, abnormalities of mood or affect (fear, alarm, terror, anger, dread, well-being), and autonomic disturbances (sweating, pallor, flushing of the face, visceral phenomena such as nausea, vomiting, defecation, a rising feeling of warmth in the abdomen). 4.9 Congenital or developmental defects. 6209 Benign neoplasm(other than skin only). Examiners must use either Goldmann kinetic perimetry or automated perimetry using Humphrey Model 750, Octopus Model 101, or later versions of these perimetric devices with simulated kinetic Goldmann testing capability. Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. For the above purpose of one 60 percent disability, or one 40 percent disability in combination, the following will be considered as one disability: (1) Disabilities of one or both upper extremities, or of one or both lower extremities, including the bilateral factor, if applicable. Social interaction is frequently inappropriate. The same procedure will be employed when there are four or more disabilities. Neuritis, internal popliteal (tibial) nerve. (See table I). Computation of average concentric contraction of visual fields. [40 FR 42536, Sept. 15, 1975, as amended at 43 FR 45349, Oct. 2, 1978]. Each ear will be evaluated separately. This rating instruction does not apply to DC 7824, Evaluate under the General Rating Formula for the Skin. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. Severe; objective evidence of marked deformity (pronation, abduction, etc. Estimate your 2023 VA Rating & Compensation for FREE! Criterion May 22, 1995; title May 13, 2018. 8517 Musculocutaneous nerve, paralysis. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to 6000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. 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. (d) Maximum evaluation for visual impairment of one eye. Group VII Function: Flexion of wrist and fingers. With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5205 through 5208. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination. The genitourinary system includesthe organs of the reproductive system and the urinary system. 7124 Raynauds disease (primary Raynauds). Any of these structures can be injured, resulting in shoulder pain. Criterion May 22, 1995; note May 13, 2018. 6062 Blindness, both eyes, only light perception. If you have questions for the Agency that issued the current document please contact the agency directly. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. 5124 Below insertion of pronator teres. The forepart of the foot is abducted, and the foot everted. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. 5239 Spondylolisthesis or segmental instability. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. As a fellow disabled Veteran this is shameful and Im on a mission to change it. 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. 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). We use your disability rating to determine Criterion March 10, 1976; criterion February 3, 1988. 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. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. Criterion May 13, 2018. 4.75 General considerations for evaluating visual impairment. cm.). The repealed section, however, still applies to the case of any veteran who on August 19, 1968, was receiving or entitled to receive compensation for tuberculosis. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. (vi) fatigue lasting 24 hours or longer after exercise. (ii) History and complaint. 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. The most common is called direct service connection. VA DISABILITY FOR INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES. 8521 External popliteal nerve (common peroneal), paralysis. Copyright 2023 VA Claims Insider, LLC. Evaluation August 30, 2002; criterion, note August 13, 2018. 8725 Neuralgia, posterior tibial nerve. Age, as such, is a factor only in evaluations of disability not resulting from service, i.e., for the purposes of pension. Examples: A person of high social standing remained seated, muttered angrily, and rubbed the arms of his chair while the National Anthem was being played; an apparently normal person suddenly disrobed in public; a man traded an expensive automobile for an antiquated automobile in poor mechanical condition and after regaining conscious control, discovered that he had signed an agreement to pay an additional sum of money in the trade. 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. Three or more subjective symptoms that mildly interfere with work; instrumental activities of daily living; or work, family, or other close relationships. 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. Organization and Purpose 9425 Illness anxiety disorder(Hypochondriasis). 7312 Liver, cirrhosis, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis. 5053 Wrist replacement (prosthesis). 7815 Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda). 3 Entitled to special monthly compensation. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. Thousands of other Veterans in our Community are here for you. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. 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. The preceding list of types of physical dysfunction does not encompass all possible residuals of TBI. Added February 17, 1994; criterion November 14, 2021. 8209 Ninth (glossopharyngeal), paralysis. If antineoplastic therapy is required, evaluate as a malignant neoplasm under DC 7914. What is the Genitourinary System for VA rating purposes? Thereafter, use the General Rating Formula. (e) For compensable muscle group injuries which are in the same anatomical region but do not act on the same joint, the evaluation for the most severely injured muscle group will be increased by one level and used as the combined evaluation for the affected muscle groups. (Authority: 38 U.S.C. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). Examples of findings that might be seen at this level of impairment are: marked fatigability, blurred or double vision, headaches requiring rest periods during most days. Surface contour of scar elevated or depressed on palpation. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. 6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin)(Choroidal nevus). Plantar Fasciitis is a VA disability that is linked secondary to Knee Pain and can be rated at 10%, 20%, or 30%, depending upon unilateral (one foot) versus bilateral (both feet) and the severity of your symptoms. Shoulder issues can be extremely debilitating, making it difficult to perform even basic tasks. Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. Internal popliteal nerve (tibial), paralysis. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. 8513 All radicular groups, paralysis. Evaluation August 23, 1948; criterion October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. Mandible, nonunion of, confirmed by diagnostic imaging studies. Hemorrhagic fevers, including dengue, yellow fever, and others. 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. Has difficulty using assistive devices such as GPS (global positioning system). Assign a 100-percent evaluation if total is the level of evaluation for one or more facets. See nerve involved for diagnostic code number and rating. Evaluation July 6, 1950; criterion March 10, 1976. 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. 29 FR 6718, May 22, 1964, unless otherwise noted. A reduction in the total rating will not be subject to 3.105(e) of this chapter. 5009 Other specified forms of arthropathy (excluding gout). Added September 22, 1978; criterion October 7, 1996. 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. Criterion February 17, 1994; criterion, footnote November 14, 2021. 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. Added September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. Hip Conditions And VA Disability Benefits 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). Group VIII Function: Extension of wrist, fingers, thumb. 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. Evaluation January 12, 1998; title, criterion November 14, 2021. 7627 Malignant neoplasms of gynecological system. Thus with a compensable disability of the right thigh, for example, amputation, and one of the left foot, for example, pes planus, the bilateral factor applies, and similarly whenever there are compensable disabilities affecting use of paired extremities regardless of location or specified type of impairment. ), (3) Immobilization by cast, without surgery, of one major joint or more. VA Disability Conditions List by Body System and VA Diagnostic Code (Official) In this Ultimate This article discusses four things you need to know about shoulder pain and VA disability. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7.