8017 Amyotrophic lateral sclerosis(Lou Gherigs Disease). 7918 Pheochromocytoma(benign or malignant). 7324 Distomiasis, intestinal or hepatic. Combine the evaluation for visual impairment of one eye with evaluations for other disabilities of the same eye that are not based on visual impairment (e.g., disfigurement under diagnostic code 7800). 5200 Scapulohumeral articulation, ankylosis. Example of computation of concentric contraction under the schedule with abnormal findings taken from Figure 1. Table of Amendments and Effective Dates Since 1946, PART 4 - SCHEDULE FOR RATING DISABILITIES. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association (2013), is incorporated by reference into this section with the approval of the Director of the Federal Register under 5 U.S.C. Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. Added March 10, 1976; criterion October 15, 1991; criterion July 3, 1997. Infectious Diseases, Immune Disorders and Nutritional Deficiencies. No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. Skin conditions for VA rating purposes can vary immensely in size and severity. Rickettsial, ehrlichia, and anaplasma infections. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. 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). Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. In the absence of a diagnosis of non-psychotic organic psychiatric disturbance (psychotic, psychoneurotic or personality disorder) if diagnosed and shown to be secondary to or directly associated with epilepsy will be rated separately. WebSocial Security Disability or SSI For Bursitis If your bursitis is severe enough, you may meet the requirements of Social Security's disability listing for joint dysfunction. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! We use your disability rating to determine (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. - Pensions, Bonuses, and Veterans' Relief, https://www.ecfr.gov/current/title-38/chapter-I/part-4. Age, as such, is a factor only in evaluations of disability not resulting from service, i.e., for the purposes of pension. (e) Incoordination, impaired ability to execute skilled movements smoothly. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. 6000 Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978]. Features of the disability which must have persisted unchanged may be overlooked or a change for the better or worse may not be accurately appreciated or described. ), pain on manipulation and use accentuated, indication of swelling on use, characteristic callosities: Moderate; weight-bearing line over or medial to great toe, inward bowing of the tendo achillis, pain on manipulation and use of the feet, bilateral or unilateral, Mild; symptoms relieved by built-up shoe or arch support. Added February 17, 1994; title, criterion, and note November 14, 2021. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. (c) Service-connected visual impairment of only one eye. 8527 Internal saphenous nerve, paralysis. Severe; associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia, Moderate; less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss, Mild; infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestations. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 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. Criterion February 3, 1988; removed August 4, 2014. Subparagraph (1) following December 1, 1949; criterion March 11, 1969; criterion September 22, 1978. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. Experience has shown that the term peptic ulcer is not sufficiently specific for rating purposes. 7916 Hyperpituitarism(prolactin secreting pituitary dysfunction). It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. All correspondence relative to the interpretation of the schedule for rating disabilities, requests for advisory opinions, questions regarding lack of clarity or application to individual cases involving unusual difficulties, will be addressed to the Director, Compensation Service. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. 8724 Neuralgia, internal popliteal nerve (tibial). Note (2): Evaluate each affected part (e.g., hand, foot, ear, nose) separately and combine the ratings in accordance with, 7123 Soft tissue sarcoma (of vascular origin). 8526 Anterior crural nerve (femoral), paralysis. If there are more than two disabilities, the disabilities will also be arranged in the exact order of their severity and the combined value for the first two will be found as previously described for two disabilities. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. 5237 Lumbosacral or cervical strain. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. 6017 Conjunctivitis, trachomatous, chronic. Osteomyelitis, acute, subacute, or chronic. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994; 86 FR 54086, Sept. 30, 2021], [60 FR 19855, Apr. All veterans who are basically eligible and who are unable to secure and follow a substantially gainful occupation by reason of disabilities which are likely to be permanent shall be rated as permanently and totally disabled. 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. 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). 6064 No more than light perception in one eye. When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. Group VII Function: Flexion of wrist and fingers. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). Permitting passage of liquids only, with marked impairment of general health. To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. The ending dates of all graduated ratings of nonpulmonary tuberculosis will be controlled by the date of attainment of inactivity. 5105 Anatomical loss of one foot and loss of use of one hand. Introduction paragraph revised March 10, 1976. Criterion May 22, 1995; evaluation May 13, 2018. The prestabilization 50-percent rating is not to be used in any case in which a rating of 50 percent or more is immediately assignable under the regular provisions. We recommend you directly contact the agency responsible for the content in question. Weakness is as important as limitation of motion, and a part which becomes painful on use must be regarded as seriously disabled. Mere congenital or developmental defects, absent, displaced or supernumerary parts, refractive error of the eye, personality disorder and mental deficiency are not diseases or injuries in the meaning of applicable legislation for disability compensation purposes. Anatomical loss of one hand and one foot. Evaluation March 1, 1963; title, criteria, note February 7, 2021. Combined Disability Rating. There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and paralysis attributable to disease affecting the lumbar vertebrae and the intervertebral disc. 7825 Chronic urticaria. The lumbosacral and sacroiliac joints should be considered as one anatomical segment for rating purposes. 9412 Panic disorder and/or agoraphobia. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated, Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). Mildly impaired judgment. Note (4): These evaluations involve a single extremity. but less than 144 square inches (929 sq. Thereafter, use the General Rating Formula. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. 5313 Group XIII Function: Extension of hip and flexion of knee. (3) Moderately severe disability of muscles -. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used. 6019 Ptosis unilateral or bilateral. Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). 6844 Post-surgical residual (lobectomy, pneumonectomy, etc.). Dissociative amnesia; dissociative identity disorder. (b) Table VI, Numeric Designation of Hearing Impairment Based on Puretone Threshold Average and Speech Discrimination, is used to determine a Roman numeral designation (I through XI) for hearing impairment based on a combination of the percent of speech discrimination (horizontal rows) and the puretone threshold average (vertical columns). 4.56 Evaluation of muscle disabilities. The common cause of disability in this region is arthritis, to be identified in the usual manner. (b) Except as otherwise provided in this schedule, the disabilities arising from a single disease entity, e.g., arthritis, multiple sclerosis, cerebrovascular accident, etc., are to be rated separately as are all other disabiling conditions, if any. 6845 Chronic pleural effusion or fibrosis. (b) When evaluating the level of disability from a mental disorder, the rating agency will consider the extent of social impairment, but shall not assign an evaluation solely on the basis of social impairment. If you have comments or suggestions on how to improve the www.ecfr.gov website or have questions about using www.ecfr.gov, please choose the 'Website Feedback' button below. (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. Erectile dysfunction, with or without penile deformity. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. Measurement of ankylosis and joint motion. Note (1): Separately evaluate amputations of fingers or toes, and complications such as squamous cell carcinoma at the site of a cold injury scar or peripheral neuropathy, under other diagnostic codes. Marginal employment shall not be considered substantially gainful employment. You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. [41 FR 11293, Mar. 8912 Jacksonian and focal motor or sensory. Intellectual disability (intellectual developmental disorder) and personality disorders. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5250-5254 for the hip, whichever results in the highest evaluation. If youre suffering from shoulder pain, its important to get seen by a doctor to determine the underlying cause of the pain and get a diagnosis. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. What are muscle injuries for VA rating purposes? Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. No complaints of impairment of memory, attention, concentration, or executive functions. 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. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. You have a very severe disability or loss of limb, or You have a spouse, child, or dependent parent and your combined disability rating is 30% or greater, or You have a The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. 8410 Neuralgia, tenth cranial nerve. 5311 Group XI Function: Propulsion, plantar flexion of foot. Most of the time, youll receive a musculoskeletal rating based on your shoulder range of motion if you were to lift your arm away from the side of your body. Muscle atrophy must also be accurately measured and reported. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, evaluate as unfavorable ankylosis, (iv) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of two inches (5.1 cm.) 8510 Upper radicular group, paralysis. full text search results [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. Added September 22, 1978; title, criterion, and note February 7, 2021. 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. Diagnostic Code 8100for migraine headaches, You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, An honorable discharge (cant be dishonorable), A medical diagnosis of a disability condition, A nexus for service connection either directly related to military service, secondary to another condition, or a presumptive disability, and, Current symptoms of the condition that negatively affect your work, life, and/or social functioning, Better Business Bureau (BBB) Accredited Business. It is thus essential, both in the examination and in the evaluation of disability, that each disability be viewed in relation to its history. Comments or questions about document content can not be answered by OFR staff. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year. (e) The total hospital rating if convalescence is required may be continued for periods of 1, 2, or 3 months in addition to the period provided in paragraph (a) of this section. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. 5219 Two digits of one hand, unfavorable ankylosis of: Index and long; index and ring; or index and little fingers, Long and ring; long and little; or ring and little fingers, 5220 Five digits of one hand, favorable ankylosis of. (2) Provided that he or she customarily wears contact lenses, evaluate the visual acuity of any individual affected by a corneal disorder that results in severe irregular astigmatism that can be improved more by contact lenses than by eyeglass lenses, as corrected by contact lenses. (a) Examination of muscle function. Ratings of the genitourinary system - diagnoses. Evaluation August 30, 2002; title, criterion, note August 13, 2018. Mandible, nonunion of, confirmed by diagnostic imaging studies. Service department record of superficial wound with brief treatment and return to duty. The relevant principle enunciated in 4.125, entitled Diagnosis of mental disorders, should have careful attention in this connection. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Ready to Get the VA Rating and Compensation YOU Deserve? 6840 Diaphragm paralysis or paresis. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Has difficulty using assistive devices such as GPS (global positioning system). (3) When diplopia exists in two separate areas of the same eye, increase the equivalent visual acuity under diagnostic code 6090 to the next poorer level of visual acuity, not to exceed 5/200. Persistently altered state of consciousness, such as vegetative state, minimally responsive state, coma. Testis, undescended, or congenitally undeveloped is not a ratable disability. The VA Ratings Schedule for Rheumatoid Arthritis. Web: A rating under DC 5257 for lateral knee instability. The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. (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. Major or mild neurocognitive disorder due to Alzheimer's disease. 7319 Irritable colon syndrome (spastic colitis, mucous colitis, etc. They may test your range of motion and look for muscle weakness. 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)). 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). 7123 Soft tissue sarcoma(of vascular origin). 4.115a Ratings of the genitourinary system - dysfunctions. (d) Under diagnostic codes 5301 through 5323, disabilities resulting from muscle injuries shall be classified as slight, moderate, moderately severe or severe as follows: (i) Type of injury. 7617 Uterus and both ovaries, removal of, complete: 7618 Uterus, removal of, including corpus: Removal of one with or without partial removal of the other, 7621 Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy, Vaginal fecal leakage at least once a day requiring wearing of pad, Vaginal fecal leakage four or more times per week, but less than daily, requiring wearing of pad, Vaginal fecal leakage one to three times per week requiring wearing of pad, Vaginal fecal leakage less than once a week, Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than four times per day, Requiring the wearing of absorbent materials which must be changed two to four times per day, Requiring the wearing of absorbent materials which must be changed less than two times per day.