7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). Memory, attention, concentration, executive functions. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 6036 Status post corneal transplant. 5213 Supination and pronation, impairment. Stipulations are made for things like whether a dominant or non-dominant arm is affected or whether you have dependents who rely on you. Added January 12, 1998; criterion 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. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. Note (3): This section is for evaluating Raynaud's disease (primary Raynaud's). Scar 5 or more inches (13 or more cm.) 6019 Ptosis unilateral or bilateral. Subjective symptoms that do not interfere with work; instrumental activities of daily living; or work, family, or other close relationships. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. (Effective as to outpatient surgery March 1, 1989. For example, assign a 70 percent evaluation if 3 is the highest level of evaluation for any facet. Neuritis, anterior tibial (deep peroneal) nerve. 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. VA Disability Ratings for Shoulder and Arm Conditions Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. Ratings for service-connected disabilities requiring hospital treatment or observation. General considerations for evaluating visual impairment. Schedule of ratings - neurological conditions and convulsive disorders. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, and; extension is limited by no more than 30 degrees. Criterion September 9, 1975; removed March 10, 1976. The most trusted name in education-based resources for Veterans. 5328 Muscle, neoplasm of, benign, postoperative. Added March 10, 1976; criterion February 3, 1988. Evaluation March 11, 1969; criterion February 7, 2021. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Entrance and (if present) exit scars indicating track of missile through one or more muscle groups. Military and private medical treatment records: Severe rated at 30% to 40% depending on dominant or non-dominant arm, Moderately severe rated at 20% to 30% depending on dominant or non-dominant arm, Moderate rated from 10% to 20% depending on shoulder function, File an Appeal with the Board of Veterans Appeals (BVA). Note (1): For purposes of this section, characteristic attacks consist of sequential color changes of the digits of one or more extremities lasting minutes to hours, sometimes with pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. Evaluate non-cardiovascular residuals of surgical correction according to organ systems affected. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. Added June 9, 1952; evaluation January 12, 1998; note, criterion, evaluation November 14, 2021. FAR). 6017 Conjunctivitis, trachomatous, chronic. Following the total rating for the 1 year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. Rate thoracoplasty as removal of ribs under DC 5297. They are grouped together because of their proximity to one other as well as their common embryological origin and the use of common pathways, such as the male reproductive system. (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. 8723 Neuralgia, anterior tibial nerve (deep peroneal). (5) multiple disabilities incurred as a prisoner of war. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). 4.130 Schedule of ratings - Mental disorders. Criterion September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. Skin indurated and inflexible in an area exceeding six square inches (39 sq. With diseases, preference is to be given to the number assigned to the disease itself; if the rating is determined on the basis of residual conditions, the number appropriate to the residual condition will be added, preceded by a hyphen. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). This is commonly rated from 10% to 40%. 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. (Effective as to outpatient treatment March 10, 1976.). Distinct disabilities may be evaluated separately under this section, pursuant to 4.14, if the symptoms do not overlap. 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. Plates I and II provide a standardized description of ankylosis and joint motion measurement. All Rights Reserved. Six months after discontinuance of such treatment, the appropriate disability rating will be determined by mandatory VA examination. Each ear will be evaluated separately. (iii) Objective findings. 18, 1976, as amended at 70 FR 75399, Dec. 20, 2005]. For the purposes of this diagnostic code, chronic urticaria is defined as continuous urticaria at least twice per week, off treatment, for a period of six weeks or more. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies: Displacement, causing severe anterior or posterior open bite, Displacement, causing moderate anterior or posterior open bite, Displacement, not causing anterior or posterior open bite. About VA Disability Ratings | Veterans Affairs (c) For VA rating purposes, the cardinal signs and symptoms of muscle disability are loss of power, weakness, lowered threshold of fatigue, fatigue-pain, impairment of coordination and uncertainty of movement. (iii) Objective findings. Rating of disabilities aggravated by active service. Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture). Department of Veterans Affairs examination is not required prior to assignment of prestabilization ratings; however, the fact that examination was accomplished will not preclude assignment of these benefits. The VA disability rating for hip bursitis falls under 38 CFR 4.71a, 5019. Added May 22, 1995; title, criterion May 13, 2018. Only joints in these positions are considered to be in favorable position. Evaluate each condition separately, as long as the same signs and symptoms are not used to support more than one evaluation, and combine under, Consider the need for special monthly compensation for such problems as loss of use of an extremity, certain sensory impairments, erectile dysfunction, the need for aid and attendance (including for protection from hazards or dangers incident to the daily environment due to cognitive impairment), being housebound, etc. 7807 American (New World) leishmaniasis (mucocutaneous, espundia): 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 disability. Code O-2 (38 CFR 3.350(e)(2)). 6064 No more than light perception in one eye: 6066 Visual acuity in one eye 10/200 (3/60) or better: Or evaluate each affected eye as 20/70 (6/21), Or evaluate each affected eye as 20/50 (6/15), Or evaluate each affected eye as 5/200 (1.5/60), Or evaluate each affected eye as 20/200 (6/60). Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect to landmarks, should be insisted on. (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. Example of computation of concentric contraction under the schedule with abnormal findings taken from Figure 1. [29 FR 6718, May 22, 1964, as amended at 40 FR 42540, Sept. 15, 1975; 41 FR 11302, Mar. 7117 Raynauds syndrome (secondary Raynauds phenomenon, secondary Raynauds). The Roman numeral designation is located at the point where the percentage of speech discrimination and puretone threshold average intersect. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5270 or 5271 for the ankle, whichever results in the highest evaluation. 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. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. Inquiry will be directed to these considerations: (a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.). Convalescence ratings following extended hospitalization. Some shoulder injuries may require surgery. 5124 Below insertion of pronator teres. 4.28 Prestabilization rating from date of discharge from service. 8625 Neuritis, posterior tibial nerve. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. 5054 Hip, resurfacing or replacement (prosthesis) (Birmingham Hip Resurfacing). The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. 8409 Neuralgia, ninth cranial nerve. Anatomical loss of one foot and loss of use of one hand. The evaluation of the same disability under various diagnoses is to be avoided. The termination of these total ratings will not be subject to 3.105(e) of this chapter. Pressing enter in the search box Criterion May 22, 1995; criterion March 18, 2002. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. Some injuries might just overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears. Evaluation August 30, 2002; title, criterion, note August 13, 2018. Appendix A to Part 4 - Table of Amendments and Effective Dates Since 1946, Appendix B to Part 4 - Numerical Index of Disabilities, Appendix C to Part 4 - Alphabetical Index of Disabilities, Unstabilized condition with severe disability -, Substantially gainful employment is not feasible or advisable, Unhealed or incompletely healed wounds or injuries -, Material impairment of employability likely. 8511 Middle radicular group, paralysis. Severely impaired judgment. Simple wound of muscle without debridement or infection. Note (1): Examples of supraventricular tachycardia include, but are not limited to: Atrial fibrillation, atrial flutter, sinus tachycardia, sinoatrial nodal reentrant tachycardia, atrioventricular nodal reentrant tachycardia, atrioventricular reentrant tachycardia, atrial tachycardia, junctional tachycardia, and multifocal atrial tachycardia. 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). Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. After active disease has resolved, rate at 0 percent for infection. An evaluation of 20 percent is assigned for recurrent subluxation A clear statement will be made of the point or points upon which information is desired, and the complete case file will be simultaneously forwarded to Central Office. Disability is manifest from erector spinae spasm (not accounted for by other pathology), tenderness on deep palpation and percussion over these joints, loss of normal quickness of motion and resiliency, and postural defects often accompanied by limitation of flexion and extension of the hip. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimant's condition. Consequently, certain coexisting diseases in this area, as indicated in the instruction under the title Diseases of the Digestive System, do not lend themselves to distinct and separate disability evaluations without violating the fundamental principle relating to pyramiding as outlined in 4.14. 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. His eBook, the9 Secrets Strategies for Winning Your VA Disability Claimhas been downloaded more than 300,000 times in the past three years and is the #1 rated free VA disability claims guide for veterans. You can expect the C&P examiner to ask questions about your shoulder pain, how it started, what makes it worse, and what treatments youve tried. Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. 7312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Generalized weakness, substantial weight loss, and persistent jaundice, or; with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis), History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks, History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss, Symptoms such as weakness, anorexia, abdominal pain, and malaise, Severe; frequent attacks of gall bladder colic, Moderate; gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundice. 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. Criterion and evaluation October 23, 2008. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Rate any residual disability of infection within the appropriate body system. Combined Disability Rating. What is the musculoskeletal system for VA rating purposes? 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. Thus, with a 50 percent disability and a 30 percent disability, the combined value will be found to be 65 percent, but the 65 percent must be converted to 70 percent to represent the final degree of disability. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. 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 Regulation Y To determine the evaluation for visual impairment when both decreased visual acuity and visual field defect are present in one or both eyes and are service connected, separately evaluate the visual acuity and visual field defect (expressed as a level of visual acuity), and combine them under the provisions of 4.25. In this connection, it will be remembered that a person may be too disabled to engage in employment although he or she is up and about and fairly comfortable at home or upon limited activity. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. 7703 Leukemia (except for chronic myelogenous leukemia): When there is active disease or during a treatment phase, Otherwise rate residuals under the appropriate diagnostic code(s), Chronic lymphocytic leukemia or monoclonal B-cell lymphocytosis (MBL), asymptomatic, Rai Stage 0, Requiring peripheral blood or bone marrow stem-cell transplant or chemotherapy (including myelosuppressants) for the purpose of ameliorating the symptom burden, Requiring phlebotomy 6 or more times per 12-month period or molecularly targeted therapy for the purpose of controlling RBC count, Requiring phlebotomy 4-5 times per 12-month period, or if requiring continuous biologic therapy or myelosuppressive agents, to include interferon, to maintain platelets <200,000 or white blood cells (WBC) <12,000, Requiring phlebotomy 3 or fewer times per 12-month period or if requiring biologic therapy or interferon on an intermittent basis as needed to maintain all blood values at reference range levels, Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment, Requiring immunosuppressive therapy; or for a platelet count higher than 30,000 but not higher than 50,000, with history of hospitalization because of severe bleeding requiring intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions, Platelet count higher than 30,000 but not higher than 50,000, with either immune thrombocytopenia or mild mucous membrane bleeding which requires oral corticosteroid therapy or intravenous immune globulin, Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment, Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia in remission, With active disease or during a treatment phase. Submitting a claim for a VA rating for narcolepsy can be Thousands of veterans like you take medication to help improve their service-connected disabilities. 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.