Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. 9916 Maxilla, malunion or nonunion of. Chronic, or recurring, suppurative osteomyelitis, once clinically identified, including chronic inflammation of bone marrow, cortex, or periosteum, should be considered as a continuously disabling process, whether or not an actively discharging sinus or other obvious evidence of infection is manifest from time to time, and unless the focus is entirely removed by amputation will entitle to a permanent rating to be combined with other ratings for residual conditions, however, not exceeding amputation ratings at the site of election. 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. Criterion March 1, 1963; title, criteria February 7, 2021. A 10-percent increase under this paragraph precludes an evaluation under diagnostic code 7800 based on gross distortion or asymmetry of the eye but not an evaluation under diagnostic code 7800 based on other characteristics of disfigurement. Following the total rating for the 2-year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. formatting. 5283 Tarsal, or metatarsal bones, malunion of, or nonunion of: 5296 Skull, loss of part of, both inner and outer tables: Area larger than size of a 50-cent piece or 1.140 in, Area smaller than the size of a 25-cent piece or 0.716 in, One or resection of two or more ribs without regeneration, Partial or complete, with painful residuals, 5324 Diaphragm, rupture of, with herniation. 6820 Neoplasms, benign, any specified part of respiratory system. In those cases, use the pre-bronchodilator values for rating purposes. 8307 Neuritis, seventh cranial nerve. The genitourinary system includesthe organs of the reproductive system and the urinary system. Criterion August 30, 2002; removed October 23, 2008. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting. 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. Evaluate as supraventricular tachycardia (DC 7010), ventricular arrhythmias (DC 7011), or atrioventricular block (DC 7015). (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. 5309 Group IX Function: Forearm muscles. Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of six or more weeks total duration per year. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. (f) Special monthly compensation. 9901 Mandible, loss of, complete, between angles. (b) Rating protected tuberculosis cases. Shoulders are incredibly complex, composed of bones, muscles, tendons, and ligaments. All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. Palpation shows loss of deep fascia or muscle substance, or soft flabby muscles in wound area. The preceding list of types of physical dysfunction does not encompass all possible residuals of TBI. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. 29 FR 6718, May 22, 1964, unless otherwise noted. 7005 Arteriosclerotic heart disease (coronary artery disease). Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 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. 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. Schedule of ratings - gynecological conditions and disorders of the breast. Neuralgia, external popliteal nerve (common peroneal). VA DISABILITY FOR NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS. This is an examination that a VA-hired doctor conducts. Rating agencies must be thoroughly familiar with this manual to properly implement the directives in 4.125 through 4.129 and to apply the general rating formula for mental disorders in 4.130. Measurement of ankylosis and joint motion. - Need for aid attendance or permanently bedridden qualifies for subpar. The term incomplete paralysis, with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. Psychomotor seizures will be rated as major seizures under the general rating formula when characterized by automatic states and/or generalized convulsions with unconsciousness. Given the physicality required for many military occupations, this is not surprising. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. It is necessary therefore, in all cases of this character to deduct from the present degree of disability the degree, if ascertainable, of the disability existing at the time of entrance into active service, in terms of the rating schedule, except that if the disability is total (100 percent) no deduction will be made. Schedule of ratings - neurological conditions and convulsive disorders. 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). When after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding the degree of disability such doubt will be resolved in favor of the claimant. 8530 Ilio-inguinal nerve, paralysis. (a) Associated with active tuberculosis involving other than the respiratory system. Consider especially psychotic manifestations, complete or partial loss of use of one or more extremities, speech disturbances, impairment of vision, disturbances of gait, tremors, visceral manifestations, etc., referring to the appropriate bodily system of the schedule. When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. (iii) Objective findings. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. This content is from the eCFR and may include recent changes applied to the CFR. Papulosquamous disorders not listed elsewhere. Criterion March 10, 1976; title, note February 7, 2021. If more than one extremity is affected, evaluate each extremity separately and combine (under. 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. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626. If you have another service-connected disability that led to your shoulder condition, you may qualify for disability compensation via secondary service connection. 6845 Chronic pleural effusion or fibrosis. Benign neoplasms of the eye, orbit, and adnexa (excluding skin). 7123 Soft tissue sarcoma(of vascular origin). However, the total rating during the 1-year period for the pulmonary or for the nonpulmonary condition will be utilized, combined with evaluation for residuals of the condition not covered by the 1-year total evaluation, so as to allow any additional benefit provided during such period. If you work for a Federal agency, use this drafting 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. No other numbers than these listed or hereafter furnished are to be employed for rating purposes, with an exception as described in this section, as to unlisted conditions. This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. 10, 2018]. 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%. 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. (f) Pain on movement, swelling, deformity or atrophy of disuse. 18, 1976; 43 FR 45350, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 67 FR 48785, July 26, 2002; 67 FR 54349, Aug. 22, 2002; 68 FR 51456, Aug. 27, 2003; 69 FR 32450, June 10, 2004; 80 FR 42041, July 16, 2015; 85 FR 76460, Nov. 30, 2020, 85 FR 85523, Dec. 29, 2020, 86 FR 8142, Feb. 4, 2021]. 5306 Group VI Function: Extension of elbow. Rate under the appropriate cardiovascular diagnostic code, depending on particular findings. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. 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. Evaluation July 6, 1950; criterion and note February 7, 2021. Criterion May 22, 1995; criterion March 18, 2002. Thereafter, use the General Rating Formula. (4) Post-bronchodilator studies are required when PFT's are done for disability evaluation purposes except when the results of pre-bronchodilator pulmonary function tests are normal or when the examiner determines that post-bronchodilator studies should not be done and states why. 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. The total rating will be followed by an open rating reflecting the appropriate schedular evaluation; where the evidence is inadequate to assign the schedular evaluation, a physcial examination will be scheduled prior to the end of the total rating period. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, If symptomatic; or, for the period beginning on the date a physician recommends surgical correction and continuing for six months following discharge from inpatient hospital admission for surgical correction. The Roman numeral designation is located at the point where the percentage of speech discrimination and puretone threshold average intersect. Examinations will be conducted without the use of hearing aids. 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. 5172 Toes, other than great, with removal of metatarsal head. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). Evaluation September 22, 1978; criterion October 7, 1996. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time.
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