Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. (vi) fatigue lasting 24 hours or longer after exercise. Where there are existing pulmonary and nonpulmonary conditions, the graduated evaluation for the pulmonary, or for the nonpulmonary, condition will be utilized, combined with evaluations for residuals of the condition not covered by the graduated evaluation utilized, so as to provide the higher evaluation over such period. Involving temporomandibular articulation. will bring you directly to the content. Underlying soft tissue missing in an area exceeding six square inches (39 sq. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). 7540 Disseminated intravascular coagulation with renal cortical necrosis: 7541 Renal involvement in diabetes mellitus type I or II: 7544 Renal disease caused by viral infection such as human immunodeficiency virus (HIV), Hepatitis B, and Hepatitis C: 7610 Vulva or clitoris, disease or injury of (including vulvovaginitis). 7808 Old World leishmaniasis (cutaneous, Oriental sore): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's, 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disabililty. When an unlisted disease, injury, or residual condition is encountered, requiring rating by analogy, the diagnostic code number will be built-up as follows: The first 2 digits will be selected from that part of the schedule most closely identifying the part, or system, of the body involved; the last 2 digits will be 99 for all unlisted conditions. The severity of symptoms determines the range of ratings assigned by this code. Evaluation September 22, 1978; criterion October 7, 1996. 8307 Neuritis, seventh cranial nerve. Thrombo-angiitis obliterans (Buerger's Disease). [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. 6064 No more than light perception in one eye. Thereafter, the residual effects of hypothyroidism shall be rated under the appropriate diagnostic code(s) within the appropriate body system(s) (, Note (2): This evaluation shall continue for six months after initial diagnosis. For application in rating cases in which the protective provisions of Pub. Unspecified somatic symptom and related disorder. Neurological Conditions and Convulsive Disorders. 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed): Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy, Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine, Asymptomatic but with documented sleep disorder breathing. 7900 Hyperthyroidism, including, but not limited to, Graves disease. (4) Evaluation of ankylosis of the thumb: (i) If both the carpometacarpal and interphalangeal joints are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation at metacarpophalangeal joint or through proximal phalanx, (ii) If both the carpometacarpal and interphalangeal joints are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. VA DISABILITIES OF THE RESPIRATORY SYSTEM. Skin conditions for VA rating purposes can vary immensely in size and severity. 5230 Ring or little finger, limitation of motion: (For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes): With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or disease, Unfavorable ankylosis of the entire spine, Unfavorable ankylosis of the entire thoracolumbar spine, Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine, Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine, Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis, Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height, 5239 Spondylolisthesis or segmental instability, 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). WebInstability of the knee (if it dislocates regularly or has too much side to side motion) with ratings of 0%, 10%, 20%, or 30% Ankylosis (abnormal stiffening and immobility) with ratings of 30%, 40%, 50%, or 60% You can receive ratings for more than one aspect of your knee condition, if appropriate. Learn what youve been missing so you can FINALLY get the disability rating and compensation youve earned for your service. Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. Nonunion in lower half, with false movement: 5213 Supination and pronation, impairment of: The hand fixed in supination or hyperpronation, The hand fixed near the middle of the arc or moderate pronation, Motion lost beyond last quarter of arc, the hand does not approach full pronation, Unfavorable, in any degree of palmar flexion, or with ulnar or radial deviation, Palmar flexion limited in line with forearm, (1) For the index, long, ring, and little fingers (digits II, III, IV, and V), zero degrees of flexion represents the fingers fully extended, making a straight line with the rest of the hand. What are Infectious Diseases, Immune Disorders, and Nutritional Deficiencies for VA rating purposes? (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. 5124 Below insertion of pronator teres. (ii) History and complaint. Title, evaluation, note February 7, 2021. (a) Rating coexisting respiratory conditions. VA DISABILITIES OF THE CARDIOVASCULAR SYSTEM. 7911 Addisons disease (adrenocortical insufficiency). 8621 Neuritis, external popliteal (common peroneal) nerve. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. 6032 Loss of eyelids, partial or complete: Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 4.56 Evaluation of muscle disabilities. Minimal scar. 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. 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. 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. - Need for aid attendance or permanently bedridden qualifies for subpar. Major or mild neurocognitive disorder due to Alzheimer's disease. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies: Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. ratings 5327 Muscle, neoplasm of, malignant. Evaluate as supraventricular tachycardia (DC 7010), ventricular arrhythmias (DC 7011), or atrioventricular block (DC 7015). 4.42 Complete medical examination of injury cases. Thousands of other Veterans in our Community are here for you. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. How the VA Will Assign you a Shoulder Pain VA Rating, 4. Added August 30, 2002; criterion August 13, 2018. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. Dissociative amnesia; dissociative identity disorder. Liver disease, chronic, without cirrhosis. 29 FR 6718, May 22, 1964, unless otherwise noted. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. Application of the general rating formula for diseases of the heart. (b) Even if the requirement for a 10% (based on the need for continuous medication) or 30% (based on the presence of cardiac hypertrophy or dilatation) evaluation is met, METs testing is required in all cases except: (1) When there is a medical contraindication. 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. 8629 Neuritis, external cutaneous nerve of thigh. In view of the number of atypical instances it is not expected, especially with the more fully described grades of disabilities, that all cases will show all the findings specified. Evaluation March 10, 1976; criterion October 23, 1995; title December 9, 2018; criterion December 9, 2018. Eleventh (spinal accessory, external branch), paralysis. 7541 Renal involvement in diabetes mellitus type I or II. 11, 1969; 43 FR 45361, Oct. 2, 1978]. Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. Material improvement means lessening or absence of clinical symptoms, and X-ray findings of a stationary or retrogressive lesion. 5317 Group XVII Function: Extension of hip. In considering the residuals of injury, it is essential to trace the medical-industrial history of the disabled person from the original injury, considering the nature of the injury and the attendant circumstances, and the requirements for, and the effect of, treatment over past periods, and the course of the recovery to date. Added November 7, 1996; removed August 4, 2014. Heres the brutal truth about VA disability claims: CFR Title 38, Part 4, the Schedule for Rating Disabilities. 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. The Skin is the largest of the bodys organs and its primary purpose is protection. ), (3) Immobilization by cast, without surgery, of one major joint or more. Through and through or deep penetrating wound of short track from a single bullet, small shell or shrapnel fragment, without explosive effect of high velocity missile, residuals of debridement, or prolonged infection. 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. (a) Associated with active tuberculosis involving other than the respiratory system. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). Findings sufficiently characteristic to identify the disease and the disability therefrom, and above all, coordination of rating with impairment of function will, however, be expected in all instances. 24, 2018]. Added October 1, 1961; criterion September 9, 1975; criterion March 10, 1976. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. Added September 9, 1975; removed September 22, 1978. The examiner will also perform a physical examination of your shoulder. The Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. 5123 Above insertion of pronator teres. Specific phobia; social anxiety disorder (social phobia). 7615 Ovary, disease, injury, or adhesions of. Criterion March 10, 1976; removed October 7, 1996. 8004 Paralysis agitans(Parkinsons Disease). One or more neurobehavioral effects that interfere with or preclude workplace interaction, social interaction, or both on most days or that occasionally require supervision for safety of self or others. 5, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 77 FR 6467, Feb. 8, 2012; 79 FR 45101, Aug. 4, 2014; 80 FR 42042, July 16, 2015; 82 FR 36084, Aug. 3, 2017; 82 FR 50806, Nov. 2, 2017; 83 FR 15072, Apr. One or two painful flare-ups a year: 20% Rating. Note (1): For purposes of this section, characteristic attacks consist of intermittent and episodic color changes of the digits of one or more extremities, lasting minutes or longer, with occasional pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. 7631 Benign neoplasms of the breast and other injuries of the breast. For example, assign a 70 percent evaluation if 3 is the highest level of evaluation for any facet. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. 8719 Neuralgia, long thoracic nerve. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. (iv) palpable or tender cervical or axillary lymph nodes. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350(f) (3), (4) or (5). 2 Also entitled to special monthly compensation. Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). (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. 5243 Intervertebral disc syndrome: Assign this diagnostic code only when there is disc herniation with compression and/or irritation of the adjacent nerve root; assign diagnostic code 5242 for all other disc diagnoses. 6604 Chronic obstructive pulmonary disease: 6701 Tuberculosis, pulmonary, chronic, far advanced, active, 6702 Tuberculosis, pulmonary, chronic, moderately advanced, active, 6703 Tuberculosis, pulmonary, chronic, minimal, active, 6704 Tuberculosis, pulmonary, chronic, active, advancement unspecified, 6721 Tuberculosis, pulmonary, chronic, far advanced, inactive, 6722 Tuberculosis, pulmonary, chronic, moderately advanced, inactive, 6723 Tuberculosis, pulmonary, chronic, minimal, inactive, 6724 Tuberculosis, pulmonary, chronic, inactive, advancement unspecified, General Rating Formula for Inactive Pulmonary Tuberculosis: For two years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter for four years, or in any event, to six years after date of inactivity, Thereafter, for five years, or to eleven years after date of inactivity, Following far advanced lesions diagnosed at any time while the disease process was active, minimum, Following moderately advanced lesions, provided there is continued disability, emphysema, dyspnea on exertion, impairment of health, etc, 6730 Tuberculosis, pulmonary, chronic, active. Criterion March 10, 1976; criterion August 13, 1981; criterion June 9, 1996. 4.75 General considerations for evaluating visual impairment. Shoulder injuries are often caused by overuse, repetitive motions, or sudden trauma. Skin indurated and inflexible in an area exceeding six square inches (39 sq. 7306 Ulcer, marginal(gastrojejunal ulcer). When the evidence is inadequate to assign a schedular evaluation, a physical examination will be scheduled and considered prior to the termination of a total rating under this section. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. 18, 1976, as amended at 79 FR 2100, Jan. 13, 2014]. Our process takes the guesswork out of filing a VA disability claim and supports you every step of the way in building a fully-developed claim (FDC)so you can increase your rating FAST! Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. 9423 Unspecified somatic symptom and related disorder. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). VA Disability Conditions List by Body System and VA Diagnostic Code (Official) In this Ultimate 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804: Evaluate any disabling effect(s) not considered in a rating provided under diagnostic codes 7800-04 under an appropriate diagnostic code. Service department record of superficial wound with brief treatment and return to duty. Without cardiac involvement but with chronic edema, stasis dermatitis, and either ulceration or cellulitis: Without cardiac involvement but with chronic edema or stasis dermatitis: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg, At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg, At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg, At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg, Note (1): The ankle/brachial index (ABI) is the ratio of the systolic blood pressure at the ankle divided by the simultaneous brachial artery systolic blood pressure.
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