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. 8409 Neuralgia, ninth cranial nerve. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. Also, in the event that chronic renal disease has progressed to the point where regular dialysis is required, any coexisting hypertension or heart disease will be separately rated. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. 8526 Anterior crural nerve (femoral), paralysis. 5317 Group XVII Function: Extension of hip. Measurement of ankylosis and joint motion. Addison's disease (adrenocortical insufficiency). formatting. 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. 4.100 Application of the general rating formula for diseases of the heart. With any form of arthritis, painful motion is an important factor of disability, the facial expression, wincing, etc., on pressure or manipulation, should be carefully noted and definitely related to affected joints. If you have comments or suggestions on how to improve the www.ecfr.gov website or have questions about using www.ecfr.gov, please choose the 'Website Feedback' button below. Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. 7900 Hyperthyroidism, including, but not limited to, Graves' disease: Thereafter, rate residuals of disease or complications of medical treatment within the appropriate diagnostic code(s) within the appropriate body system. For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. 9, 2018], [60 FR 49227, Sept. 22, 1995, as amended at 77 FR 6467, Feb. 8, 2012; 79 FR 2100, Jan. 13, 2014; 83 FR 54254, Oct. 29, 2018; 83 FR 54881, Nov. 1, 2018; 87 FR 61248, Oct. 11, 2022]. The use of the protective provisions of Pub. 7820 Infections of the skin(including bacterial, fungal, viral, treponemal, and parasitic diseases). If you have another service-connected disability that led to your shoulder condition, you may qualify for disability compensation via secondary service connection. Medial tibial stress syndrome (MTSS), or shin splints: Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, both lower extremities, Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, one lower extremity, Requiring treatment for no less than 12 consecutive months, and unresponsive to either shoe orthotics or other conservative treatment, one or both lower extremities, Treatment less than 12 consecutive months, one or both lower extremities, 5263 Genu recurvatum (acquired, traumatic, with weakness and insecurity in weight-bearing objectively demonstrated), In plantar flexion at more than 40, or in dorsiflexion at more than 10 or with abduction, adduction, inversion or eversion deformity, In plantar flexion, between 30 and 40, or in dorsiflexion, between 0 and 10, Marked (less than 5 degrees dorsiflexion or less than 10 degrees plantar flexion), Moderate (less than 15 degrees dorsiflexion or less than 30 degrees plantar flexion). between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, evaluate as unfavorable ankylosis, (iv) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of two inches (5.1 cm.) Minimum, if interfering to any extent with mastication - 10, 5326 Muscle hernia, extensive. How to File a Claim on VA.gov (step-by-step)! VA DISABILITIES OF THE CARDIOVASCULAR SYSTEM. 9917 Neoplasm, hard and soft tissue, benign: Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring. What are muscle injuries for VA rating purposes? 8727 Neuralgia, internal saphenous nerve. Social interaction is frequently inappropriate. Each measurement is rounded to the nearest five degrees. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. 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. 7900 Hyperthyroidism, including, but not limited to, Graves disease. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. 3 Entitled to special monthly compensation. This is often based on if you can rotate or extend your shoulder, using the criteria listed above. The most trusted name in education-based resources for Veterans. 6305 Lymphatic filariasis, to include elephantiasis: 6310 Syphilis, and other treponema infections: 6312 Nontuberculosis mycobacterium infection: Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia, With all of the symptoms listed below, plus mental symptoms and impaired bodily vigor, With stomatitis, diarrhea, and symmetrical dermatitis, With stomatitis, or achlorhydria, or diarrhea, Confirmed diagnosis with nonspecific symptoms such as: decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate and irritability, With congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome, With cardiomegaly, or; with peripheral neuropathy with footdrop or atrophy of thigh or calf muscles, With peripheral neuropathy with absent knee or ankle jerks and loss of sensation, or; with symptoms such as weakness, fatigue, anorexia, dizziness, heaviness and stiffness of legs, headache or sleep disturbance. Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235-5243 September 26, 2003. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic codes 5200 and 5203. (e) Without retrogression of lesions or other evidence of material improvement at the end of six months hospitalization or without change of diagnosis from active at the end of 12 months hospitalization. If rated under the cardiovascular schedule, however, the percentage rating which would otherwise be assigned will be elevated to the next higher evaluation. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. 7621 Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. Criterion August 13, 1981; evaluation June 9, 1996; title December 10, 2017; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. 8513 All radicular groups, paralysis. 6522 Allergic or vasomotor rhinitis. On 18 June 2019, the VA published a final rule effective 11 August 2019, to amend the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising ): Preoperative: Evaluate under the General Rating Formula for Diseases of the Eye, Postoperative: If a replacement lens is present (pseudophakia), evaluate under the General Rating Formula for Diseases of the Eye. Table III - Normal Visual Field Extent at 8 Principal Meridians. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. For information on the availability of this information at NARA, call 202-741-6030 or go to http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. Inability to communicate either by spoken language, written language, or both, more than occasionally but less than half of the time, or to comprehend spoken language, written language, or both, more than occasionally but less than half of the time. Added June 9, 1952; evaluation January 12, 1998; title, criterion, note November 14, 2021. The osseous abnormalities incident to trauma or disease, such as malunion with deformity throwing abnormal stress upon, and causing malalignment of joint surfaces, should be depicted from study and observation of all available data, beginning with inception of injury or disease, its nature, degree of prostration, treatment and duration of convalescence, and progress of recovery with development of permanent residuals. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. Criterion March 11, 1969; evaluation August 30, 2002. Added January 12, 1998; criterion November 14, 2021. We explain where you can find your military records in this article. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent. VA DISABILITY FOR NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS. Schedule of ratings - cardiovascular system. 5120 Complete amputation, upper extremity. 6317 Rickettsial, ehrlichia, and anaplasma infections: 6320 Parasitic diseases otherwise not specified: 6325 Hyperinfection syndrome or disseminated strongyloidiasis: 6329 Hemorrhagic fevers, including dengue, yellow fever, and others: 6331 Coxiella burnetii infection (Q fever): 6350 Lupus erythematosus, systemic (disseminated): Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health, Exacerbations lasting a week or more, 2 or 3 times per year, Exacerbations once or twice a year or symptomatic during the past 2 years, AIDS with recurrent opportunistic infections (see Note 3) or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss, Refractory constitutional symptoms, diarrhea, and pathological weight loss; or minimum rating following development of AIDS-related opportunistic infection or neoplasm, Recurrent constitutional symptoms, intermittent diarrhea, and use of approved medication(s); or minimum rating with T4 cell count less than 200, Following development of HIV-related constitutional symptoms; T4 cell count between 200 and 500; use of approved medication(s); or with evidence of depression or memory loss with employment limitations, Asymptomatic, following initial diagnosis of HIV infection, with or without lymphadenopathy or decreased T4 cell count. 7818 Malignant skin neoplasms(other than malignant melanoma). Motor activity moderately decreased due to apraxia. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. 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. X-ray changes from arthritis in this location are decrease or obliteration of the joint space, with the appearance of increased bone density of the sacrum and ilium and sharpening of the margins of the joint. A separate drafting site (a) To use table I, the disabilities will first be arranged in the exact order of their severity, beginning with the greatest disability and then combined with use of table I as hereinafter indicated. Evaluation; August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017. Criterion September 9, 1975; evaluation January 12, 1998; note, criterion November 14, 2021. A temporary release which is approved by an attending Department of Veterans Affairs physician as part of the treatment plan will not be considered an absence. 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. Note (1): An Addisonian crisis consists of the rapid onset of peripheral vascular collapse (with acute hypotension and shock), with findings that may include: anorexia; nausea; vomiting; dehydration; profound weakness; pain in abdomen, legs, and back; fever; apathy, and depressed mentation with possible progression to coma, renal shutdown, and death. 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). 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. Criterion July 6, 1950; criterion February 7, 2021. 7520 Penis, removal of half or more. (c) Special monthly compensation. 7630 Malignant neoplasms of the breast. Traumatism is a rare cause of disability in this connection, except when superimposed upon congenital defect or upon an existent arthritis; to permit assumption of pure traumatic origin, objective evidence of damage to the joint, and history of trauma sufficiently severe to injure this extremely strong and practically immovable joint is required. Essential thrombocythemia and primary myelofibrosis. 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. (b) Two or more skin conditions may be combined in accordance with 4.25 only if separate areas of skin are involved. 6211 Tympanic membrane, perforation of. Note 1: An incapacitating episode is a period during which bed rest and treatment by a physician are required. However, prestabilization ratings may be changed to a regular schedular total rating or one authorizing a greater benefit at any time. (b) When the puretone threshold is 30 decibels or less at 1000 Hertz, and 70 decibels or more at 2000 Hertz, 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. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. Infectious Diseases can spread through various means, and include bacterial, parasitic, and viral infections whereas Immune Disorders are conditions that attack the immune system and make the body more susceptible to infection. 6604 Chronic obstructive pulmonary disease. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. 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.. 7917 Hyperaldosteronism(benign or malignant). 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. It is essential that the examination on which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. 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. Consideration shall be given in all claims to the nature of the employment and the reason for termination. A complication of a number of diseases, including pernicious anemia. Muscle atrophy must also be accurately measured and reported. 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). 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. 7114 Peripheral arterial disease(Peripheral vascular disease). View the most recent official publication: These links go to the official, published CFR, which is updated annually. Evaluate post-surgical residuals under the General Rating Formula. 8209 Ninth (glossopharyngeal), paralysis. 4.17 Total disability ratings for pension based on unemployability and age of the individual. Introduction paragraph revised March 10, 1976. 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. Neuralgia, anterior tibial nerve (deep peroneal). To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. 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. Take advantage of a FREE VA Claim Discovery Call. (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. 6515 Laryngitis, tuberculous, active or inactive. 8510 Upper radicular group, paralysis. Added February 17, 1994; title, criterion, and note November 14, 2021. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. How old are you? 6006 Retinopathy or maculopathy not otherwise specified. 9412 Panic disorder and/or agoraphobia. (a) The use of the terms arms and legs is not intended to distinguish between the arm, forearm and hand, or the thigh, leg, and foot, but relates to the upper extremities and lower extremities as a whole. 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. In those cases, use the pre-bronchodilator values for rating purposes. Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand. The following section provides descriptions of various levels of disability in each of these symptom areas. See Table III for the normal extent (in degrees) of the visual fields at the 8 principal meridians (45 degrees apart). In the absence of trauma or other definite evidence of aggravation, service connection is not in order for pes cavus which is a typically congenital or juvenile disease. 8622 Neuritis, musculocutaneous (superficial peroneal) nerve. 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck: With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement. What to Expect At Your VA C&P Exam for Your Shoulder Pain. 8723 Neuralgia, anterior tibial nerve (deep peroneal). Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. 5104 Anatomical loss of one hand and loss of use of one foot, 5105 Anatomical loss of one foot and loss of use of one hand, 5108 Anatomical loss of one hand and one foot, 5111 Loss of use of one hand and one foot, Anatomical loss or loss of use below elbow, Anatomical loss or loss of use below knee, Anatomical loss or loss of use above elbow (preventing use of prosthesis), Anatomical loss or loss of use above knee (preventing use of prosthesis), Anatomical loss near shoulder (preventing use of prosthesis), Anatomical loss near hip (preventing use of prosthesis). Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. Your military records are important. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral). 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. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy. (a) Total disability ratings for compensation may be assigned, where the schedular rating is less than total, when the disabled person is, in the judgment of the rating agency, unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities: Provided That, if there is only one such disability, this disability shall be ratable at 60 percent or more, and that, if there are two or more disabilities, there shall be at least one disability ratable at 40 percent or more, and sufficient additional disability to bring the combined rating to 70 percent or more. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. (Effective as to outpatient treatment March 10, 1976.). The use of the protective provisions of Pub. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. (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. Malignant neoplasms of gynecological system. (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. Hip Labral Tear The labrum is a About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. 5309 Group IX Function: Forearm muscles. Criterion February 3, 1988; criterion November 7, 1996; Removed August 4, 2014. What is the musculoskeletal system for VA rating purposes? 7016 Heart valve replacement(prosthesis). 8104 Paramyoclonus multiplex (convulsive state, myoclonic type): Rate as Sydenham's chorea. (d) Under diagnostic codes 5301 through 5323, disabilities resulting from muscle injuries shall be classified as slight, moderate, moderately severe or severe as follows: (i) Type of injury.
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