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. 5309 Group IX Function: Forearm muscles. 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. 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. 7354 Hepatitis C (or non-A, non-B hepatitis): With serologic evidence of hepatitis C infection and the following signs and symptoms due to hepatitis C infection: Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m, Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m, Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m, Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m. Note: GFR, estimated GFR (eGFR), and creatinine-based approximations of GFR will be accepted for evaluation purposes under this section when determined to be appropriate and calculated by a medical professional. e. Evaluating Limitation of Motion Due to Pain When evaluating limitation of motion due to pain, keep in mind that the limitation must at least meet the level of a noncompensable evaluation for the affected joint to warrant an additional evaluation will bring you to those results. Rate particular condition as urine leakage, frequency, or obstructed voiding. Evaluation February 17, 1994; criterion November 14, 2021. 552(a) and 1 CFR part 51. This means you do NOT currently have the VA disability rating and compensation YOU deserve, and you could be missing out on thousands of dollars of tax-free compensation and benefits each month. WebA total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required Your skeleton is the foundational structure for your muscles and other soft tissues. These parts all work together to keep the body in balance. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. It is also available for inspection at the National Archives and Records Administration (NARA). 7632 Female sexual arousal disorder (FSAD). I was granted 40% loss of extension on the knee and 10% for bursitis of the shoulder. 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. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. This is often based on if you can rotate or extend your shoulder, using the criteria listed above. Added September 9, 1975; removed September 22, 1978. The most trusted name in education-based resources for Veterans. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). Retinopathy or maculopathy not otherwise specified. 8622 Neuritis, musculocutaneous (superficial peroneal) nerve. So if youre rated based on your musculoskeletal system, dont expect a rating for a muscle injury unless its a different condition. 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). 6200-6260 revised and re-designated, March 23, 1956 removed, December 17, 1987; Table II revised Table V March 10, 1976; Table II revised to Table VII September 22, 1978; text from. 20, 2007, as amended at 73 FR 54708, 54711, Sept. 23, 2008; 74 FR 18467, Apr. 5213 Supination and pronation, impairment. Sciatic neuritis is not uncommonly caused by arthritis of the spine. 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. What are muscle injuries for VA rating purposes? 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), 6062 No more than light perception in both eyes. If there are 2 or more joints affected, each rating shall be combined in accordance with. As to frequency, competent, consistent lay testimony emphasizing convulsive and immediate post-convulsive characteristics may be accepted. 20, 2007; 72 FR 16728, Apr. 4.129 Mental disorders due to traumatic stress. Criterion May 22, 1995; title May 13, 2018. Anterior tibial nerve (deep peroneal), paralysis. Neuritis, anterior crural (femoral) nerve. No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. 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. There are various postgastrectomy symptoms which may occur following anastomotic operations of the stomach. will bring you directly to the content. 18, 1976, as amended at 79 FR 2100, Jan. 13, 2014]. Example of computation of concentric contraction under the schedule with abnormal findings taken from Figure 1. 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. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. Criterion May 22, 1995; note May 13, 2018. Toes, three or more, without metatarsal involvement. 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). WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. 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. If more than one extremity is affected, evaluate each extremity separately and combine (under. (a) When the puretone threshold at each of the four specified frequencies (1000, 2000, 3000, and 4000 Hertz) is 55 decibels or more, 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 conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability. If the report of examination is inadequate as a basis for the required consideration of service connection and evaluation, the rating agency may request a supplementary report from the examiner giving further details as to the limitations of the disabled person's ordinary activity imposed by the disease, injury, or residual condition, the prognosis for return to, or continuance of, useful work. Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. Note (3): This section is for evaluating Raynaud's disease (primary Raynaud's). The exam aims to gather more information about your shoulder condition and how it affects your daily life. 5024 Tenosynovitis, tendinitis, tendinosis or tendinopathy (De Quervains Disease). You still have options. 7807 Leishmaniasis, American (New World). 5319 Group XIX Function: Abdominal wall and lower thorax. Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person. 7532 Renal tubular disorders(such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconis syndrome, Bartters syndrome, related disorders of Henles loop and proximal or distal nephron function, etc.). The VA uses 38 CFR 4.71 to rate your musculoskeletal system and 38 CFR 4.73 to rate muscle injuries. The use of the protective provisions of Pub. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. Proving the link between your service and an in-service event or injury will be the most difficult part of getting the VA to award you a shoulder pain VA rating. Objective evidence on testing of severe impairment of memory, attention, concentration, or executive functions resulting in severe functional impairment. Note: Thereafter, if diabetes insipidus has subsided, rate residuals under the appropriate diagnostic code(s) within the appropriate body system. Apply the provisions of. Because of this, the VA focuses the disability rating system for conditions of the Ears primarily on hearing loss, with additional rating options to cover conditions affecting balance, infections, ringing in the ear, etc. 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. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 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. 6841 Spinal cord injury with respiratory insufficiency. Note (2): Where surgical intervention is indicated, this evaluation shall continue until the day of surgery, at which time the provisions pertaining to a 100-percent evaluation shall apply. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). Moderately impaired. Evaluation January 12, 1998; criterion November 14, 2021. For even routine and familiar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section. Listed below are some of the most common conditions that go by other names. Group XXII Function: Rotary and forward movements, head. 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. 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. 3. However, if you have post concussive headaches that are severe enough to be eligible for a VA rating, then they can be rated under Diagnostic Code 8100for migraine headaches, since that is the diagnostic code that is closest to your condition with similar symptoms. A reduction in the total rating will not be subject to 3.105(e) of this chapter. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) Plates I and II provide a standardized description of ankylosis and joint motion measurement. All these parts work together to support your body weight, maintain your posture, and help you move. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. The Complete Guide to Getting a Narcolepsy VA Rating, 6 Things Every Veteran Needs to Know About VA Disability for Medication Side Effects. Ragged, depressed and adherent scars indicating wide damage to muscle groups in missile track. Criterion September 9, 1975; evaluation August 30, 2002; criterion August 13, 2018. Schedule of ratings - hemic and lymphatic systems. (i) Type of injury. Apply the provisions of. (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control. Motor activity normal most of the time, but mildly slowed at times due to apraxia (inability to perform previously learned motor activities, despite normal motor function). Evaluate non-cardiovascular residuals of surgical correction according to organ systems affected. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. Criterion March 11, 1969; evaluation February 17, 1994; title and criterion November 14, 2021. Criterion May 13, 2018; criterion, note August 11, 2019. 5321 Group XXI Function: Respiration. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. 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. Table III - Normal Visual Field Extent at 8 Principal Meridians. 6515 Laryngitis, tuberculous, active or inactive. Web: A rating under DC 5257 for lateral knee instability. VA disabilities for Dental and Oral Conditions are those that affect the Mouth and Teeth to include the jaws, the jaw joint, the palates, and the teeth. Clear impairments to daily living and health diagnosed by a doctor or 3 or more incapacitating episodes a year: 40% Rating. 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. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. 4. 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 ). Conjectural analogies will be avoided, as will the use of analogous ratings for conditions of doubtful diagnosis, or for those not fully supported by clinical and laboratory findings. 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity: Where the lost masticatory surface cannot be restored by suitable prosthesis: All upper and lower posterior teeth missing, All upper and lower anterior teeth missing, All upper and lower teeth on one side missing, Where the loss of masticatory surface can be restored by suitable prosthesis, With displacement, causing severe anterior or posterior open bite, With displacement, causing moderate anterior or posterior open bite, With displacement, causing mild anterior or posterior open bite.