Rate particular condition as urine leakage, frequency, or obstructed voiding. 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. (a) Total ratings will be assigned under this section if treatment of a service-connected disability resulted in: (1) Surgery necessitating at least one month of convalescence (Effective as to outpatient surgery March 1, 1989. What are Mental Disorders for VA rating purposes? 7110 Aortic aneurysm: Ascending, thoracic, or abdominal: Evaluate at 100 percent if the aneurysm is any one of the following: Five centimeters or larger in diameter; symptomatic (e.g., precludes exertion); or requires surgery. Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. Rate as minor seizures, except in the presence of major and minor seizures, rate the predominating type. result, it may not include the most recent changes applied to the CFR. 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. The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. The table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified contains 10 important facets of TBI related to cognitive impairment and subjective symptoms. 6841 Spinal cord injury with respiratory insufficiency. The digestive system is made up of the mouth, throat, esophagus, stomach, small intestine, large intestine, rectum, and anus. 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. developer resources. Plates I and II provide a standardized description of ankylosis and joint motion measurement. 7815 Bullous disorders(including pemphigus vulgaris, pemphigus foliaceous, pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda, Bullous pemphigoid, Porphyri cutanea tarda). (a) If the diagnosis of a mental disorder does not conform to DSM-5 or is not supported by the findings on the examination report, the rating agency shall return the report to the examiner to substantiate the diagnosis. You can file one of three options or file a new claim. Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. The glomerular type of nephritis is usually preceded by or associated with severe infectious disease; the onset is sudden, and the course marked by red blood cells, salt retention, and edema; it may clear up entirely or progress to a chronic condition. 8019 Meningitis, cerebrospinal, epidemic. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. Thereafter: Rate residuals under the specific body system or systems affected. 8524 Internal popliteal nerve (tibial), paralysis. Added March 10, 1976; criterion February 3, 1988. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic code 5214. This VA dependents Today, Brian Reese the VA Claims Insider reveals the Top 8 VA Benefits for Surviving Spouse this year. If service connection for the disability under treatment is granted after hospital admission, the rating will be from the first day of hospitalization if otherwise in order. 5318 Group XVIII Function: Outward rotation of thigh. How to Service Connect Your Shoulder Pain, Direct Service Connection for a VA Rating for Shoulder Pain, Secondary Service Connection for a Shoulder Pain VA Rating, 3. 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, injury to the skull, etc. Simple wound of muscle without debridement or infection. The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. Anterior crural nerve (femoral), paralysis. Well cover the different types of shoulder injuries that can qualify for disability benefits, how the VA rates shoulder injuries, and what evidence is needed to support a claim. 8912 Jacksonian and focal motor or sensory. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. VA Rating for Knee Pain: VA Knee Rating Chart and - VA Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. 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. Not improvable by prosthesis controlled by natural knee action. Or rate on impairment of function of contiguous joint. - Need for aid attendance or permanently bedridden qualifies for subpar. Group VII Function: Flexion of wrist and fingers. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. 7617 Uterus and both ovaries, removal. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. 8211 Eleventh (spinal accessory, external branch), paralysis. cm.). (i) Type of injury. Tests of strength, endurance, or coordinated movements compared with the corresponding muscles of the uninjured side indicate severe impairment of function. 5210 Radius and ulna, nonunion of, with flail false joint. What is the Cardiovascular System for VA rating purposes? Note (2): Separately evaluate eye involvement occurring as a manifestation of Graves' Disease as diplopia (DC 6090); impairment of central visual acuity (DCs 6061-6066); or under the most appropriate DCs in. 8209 Ninth (glossopharyngeal), paralysis. If you have a disability rating awarded by the VA for a External popliteal nerve (common peroneal), paralysis. (a) When evaluating a mental disorder, the rating agency shall consider the frequency, severity, and duration of psychiatric symptoms, the length of remissions, and the veteran's capacity for adjustment during periods of remission. Criterion September 8, 1994; title, criterion, note November 14, 2021. Please do not provide confidential Added September 9, 1975; criterion October 7, 1996. Examples are: mild or occasional headaches, mild anxiety. 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). 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. Note (1): After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. Prosthetic replacement of the elbow joint: With chronic residuals consisting of severe painful motion or weakness in the affected extremity. 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. 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). Given the physicality required for many military occupations, this is not surprising. The genitourinary system includesthe organs of the reproductive system and the urinary system. 7820 Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases). 5317 Group XVII Function: Extension of hip. 8710 Neuralgia, upper radicular group. GENERAL RATING FORMULA FOR DISEASES OF THE HEART: Workload of 3.0 METs or less results in heart failure symptoms, Workload of 3.1-5.0 METs results in heart failure symptoms, Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging), Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control. 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. (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. The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. Criterion May 13, 2018. 7811 Tuberculosis luposa (lupus vulgaris), active or inactive: 7813 Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor). Testis, undescended, or congenitally undeveloped is not a ratable disability. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). (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. 8523 Anterior tibial nerve (deep peroneal), paralysis. 6842 Kyphoscoliosis, pectus excavatum, pectus carinatum. 3. (ii) History and complaint. Rate under the general rating formula for major seizures. 5111 Loss of use of one hand and one foot. 7710 Adenitis, tuberculous, active or inactive: Asymptomatic, smoldering, or monoclonal gammopathy of undetermined significance (MGUS), With at least 4 or more painful episodes per 12-month period, occurring in skin, joints, bones, or any major organs, caused by hemolysis and sickling of red blood cells, with anemia, thrombosis, and infarction, with residual symptoms precluding even light manual labor, With 3 painful episodes per 12-month period or with symptoms precluding other than light manual labor, With 1 or 2 painful episodes per 12-month period, Asymptomatic, established case in remission, but with identifiable organ impairment, When there is active disease, during treatment phase, or with indolent and non-contiguous phase of low grade NHL, Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring transfusion of platelets or red cells, on average, at least once every three months per 12-month period; or infections recurring, on average, at least once every three months per 12-month period; or using continuous therapy with immunosuppressive agent or newer platelet stimulating factors, Requiring transfusion of platelets or red cells, on average, at least once per 12-month period; or infections recurring, on average, at least once per 12-month period, 7717 AL amyloidosis (primary amyloidosis). (v) generalized muscle aches or weakness. Criterion August 23, 1948; criterion February 1, 1962. 18, 1976; 41 FR 34256, Aug. 13, 1976; 54 FR 4281, Jan. 30, 1989; 54 FR 34981, Aug. 23, 1989; 71 FR 28586, May 17, 2006; 79 FR 2100, Jan. 13, 2014]. 4.22 Rating of disabilities aggravated by active service. As a fellow disabled Veteran this is shameful and Im on a mission to change it. 8625 Neuritis, posterior tibial nerve. 7522 Erectile dysfunction, with or without penile deformity. 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. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. Record of consistent complaint of one or more of the cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, particularly lowered threshold of fatigue after average use, affecting the particular functions controlled by the injured muscles. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified): 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents): 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism: Note: This diagnostic code pertains to renal involvement secondary to all glomerulonephritis conditions, all vasculitis conditions and their derivatives, and other renal conditions caused by systemic diseases, such as Lupus erythematosus, systemic lupus erythematosus nephritis, Henoch-Schonlein syndrome, scleroderma, hemolytic uremic syndrome, polyarthritis, Wegener's granulomatosis, Goodpasture's syndrome, and sickle cell disease. 6830 Radiation-induced pulmonary pneumonitis and fibrosis. (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. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. Were here to help you receive the compensation and care you rightfully earned. Special monthly compensation should be assigned concurrently in these cases whenever records are adequate to establish entitlement. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. 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. 8723 Neuralgia, anterior tibial nerve (deep peroneal). For application in rating cases in which the protective provisions of Pub. but less than 72 square inches (465 sq. Healing with good functional results. The combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. These ratings were based on Range of Motion for each joint. (7) If the FEV-1 and the FVC are both greater than 100 percent, do not assign a compensable evaluation based on a decreased FEV-1/FVC ratio. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. Criterion March 11, 1969; evaluation February 17, 1994; title and criterion 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. 9908 Condyloid process, loss of, one or both sides, Loss of half or more, not replaceable by prosthesis, Loss of less than half, not replaceable by prosthesis, Loss of half or more, replaceable by prosthesis, Loss of less than half, replaceable by prosthesis. 5123 Above insertion of pronator teres. (ii) History and complaint. 8726 Neuralgia, anterior crural nerve (femoral). 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. 8307 Neuritis, seventh cranial nerve. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. 7825 Chronic urticaria. Added March 1, 1989; removed March 24, 1992. May rely on gestures or other alternative modes of communication. We explain where you can find your military records in this article. For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. If, however, absence of a kidney is the sole renal disability, even if removal was required because of nephritis, the absent kidney and any hypertension or heart disease will be separately rated. (d) The combined evaluation of muscle groups acting upon a single unankylosed joint must be lower than the evaluation for unfavorable ankylosis of that joint, except in the case of muscle groups I and II acting upon the shoulder. 1 Entitled to special monthly compensation. In this post, we reveal and explain the complete VA disability conditions list by body system and diagnostic code. [34 FR 5062, Mar. Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, worse than those shown for moderately severe muscle injuries, and, if present, evidence of inability to keep up with work requirements. (d) With advancement of lesions on successive examinations or while under treatment. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. 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. Added February 17, 1994; criterion November 14, 2021. This content is from the eCFR and is authoritative but unofficial. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome): Evaluate according to major manifestations to include, but not limited to, Type I diabetes mellitus, hyperthyroidism, hypothyroidism, hypoparathyroidism, or Addison's disease. The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. Six months after discontinuance of such treatment, the appropriate disability rating will be determined by mandatory VA examination. Rate as for irritable colon syndrome, peritoneal adhesions, or colitis, ulcerative, depending upon the predominant disability picture. 7911 Addison's disease (adrenocortical insufficiency): Three crises during the past year, or; five or more episodes during the past year, One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control. Purely subjective complaints such as headache, dizziness, tinnitus, insomnia and irritability, recognized as symptomatic of a properly diagnosed cerebral arteriosclerosis, will be rated 10 percent and no more under diagnostic code 9305. Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Shoulder issues can be extremely debilitating, making it difficult to perform even basic tasks. There are diseases of the digestive system, particularly within the abdomen, which, while differing in the site of pathology, produce a common disability picture characterized in the main by varying degrees of abdominal distress or pain, anemia and disturbances in nutrition. Any of these structures can be injured, resulting in shoulder pain. As a The purpose of this survey is to secure all the relevant facts and data necessary to permit of a true judgment as to the reason for his or her unemployment and should include information as to: (b) Occupations prior and subsequent to service; (c) Places of employment and reasons for termination; (4) Upon completion of this survey and current examination, the case should have rating board consideration. Residuals of traumatic brain injury (TBI). (1) An authorized absence in excess of 4 days which begins during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the first day of such authorized absence. 7613 Uterus, disease, injury, or adhesions of. 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). 7005 Arteriosclerotic heart disease (coronary artery disease). L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. One or more neurobehavioral effects that frequently interfere with workplace interaction, social interaction, or both but do not preclude them. 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. For example, assign a 70 percent evaluation if 3 is the highest level of evaluation for any facet. This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. Schedule for Rating Disabilities; Dental and Oral Conditions LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. Added September 9, 1975; removed September 22, 1978. Hip 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). Blindness, both eyes, only light perception. Hip Conditions And VA Disability Benefits
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