(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. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. The symptoms should be apparent without regard to exercise. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. 10, 2018; 83 FR 32600, July 13, 2018; 83 FR 54257, Oct. 29, 2018; 84 FR 28233, June 18, 2019; 85 FR 76464, Nov. 30, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54087, 54096, Sept. 30, 2021], [72 FR 12990, Mar. 6329 Hemorrhagic fevers, including dengue, yellow fever, and others. Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). What are Neurological Conditions and Convulsive Disorders for VA rating purposes? Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. At metacarpophalangeal joint or through proximal phalanx, At distal joint or through distal phalanx, With metacarpal resection (more than one-half the bone lost), Without metacarpal resection, at proximal interphalangeal joint or proximal thereto, Through middle phalanx or at distal joint. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. 7615 Ovary, disease, injury, or adhesions of. (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. 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. After active disease has resolved, rate at 0 percent for infection. How the VA Will Assign you a Shoulder Pain VA Rating. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Added October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. information or personal data. (a) The use of the terms arms and legs is not intended to distinguish between the arm, forearm and hand, or the thigh, leg, and foot, but relates to the upper extremities and lower extremities as a whole. 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. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! What are Infectious Diseases, Immune Disorders, and Nutritional Deficiencies for VA rating purposes? (ii) History and complaint. Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy, Hoarseness, with inflammation of cords or mucous membrane. However, prestabilization ratings may be changed to a regular schedular total rating or one authorizing a greater benefit at any time. 7115 Thrombo-angiitis obliterans (Buergers Disease). When you file for a VA disability rating for shoulder pain, you will most likely be scheduled for a Compensation & Pension (C&P) exam. Schedule of ratings - respiratory system. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. (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. 9, 2018], [60 FR 49227, Sept. 22, 1995, as amended at 77 FR 6467, Feb. 8, 2012; 79 FR 2100, Jan. 13, 2014; 83 FR 54254, Oct. 29, 2018; 83 FR 54881, Nov. 1, 2018; 87 FR 61248, Oct. 11, 2022]. Also, in the event that chronic renal disease has progressed to the point where regular dialysis is required, any coexisting hypertension or heart disease will be separately rated. 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. (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. What to Expect At Your VA C&P Exam for Your Shoulder Pain. If you are the surviving spouse of a disabled veteran who has passed away, youre eligible 1. It is necessary therefore, in all cases of this character to deduct from the present degree of disability the degree, if ascertainable, of the disability existing at the time of entrance into active service, in terms of the rating schedule, except that if the disability is total (100 percent) no deduction will be made. 6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis). Web1. With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: That are constant, or nearly so, and refractory to therapy, That are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time, That require continuous medication for control. Inability to communicate either by spoken language, written language, or both, at least half of the time but not all of the time, or to comprehend spoken language, written language, or both, at least half of the time but not all of the time. Evaluate functional impairment as seventh (facial) cranial nerve neuropathy (diagnostic code 8207), disfiguring scar (diagnostic code 7800), etc. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. Added March 11, 1969; removed September 22, 1978. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. 10, 2018; 83 FR 32600, July 13, 2018; 83 FR 54258, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76466, Nov. 30, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021], [72 FR 13003, Mar. (Authority: 38 U.S.C. Occasionally disoriented to two of the four aspects (person, time, place, situation) of orientation or often disoriented to one aspect of orientation. When the best interests of the service will be advanced by personal conference with the examiner, such conference may be arranged through channels. Objective evidence on testing of severe impairment of memory, attention, concentration, or executive functions resulting in severe functional impairment. 5123 Above insertion of pronator teres. Ratings in excess of 10 percent for cerebral arteriosclerosis under diagnostic code 9305 are not assignable in the absence of a diagnosis of multi-infarct dementia with cerebral arteriosclerosis. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. guide. 9425 Illness anxiety disorder(Hypochondriasis). Preceding paragraph criterion September 22, 1978. Intellectual disability (intellectual developmental disorder) and personality disorders are not diseases or injuries for compensation purposes, and, except as provided in 3.310(a) of this chapter, disability resulting from them may not be service-connected. Muscle atrophy must also be accurately measured and reported. A 10-percent increase under this paragraph precludes an evaluation under diagnostic code 7800 based on gross distortion or asymmetry of the eye but not an evaluation under diagnostic code 7800 based on other characteristics of disfigurement. 4.17 Total disability ratings for pension based on unemployability and age of the individual. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. The use of the protective provisions of Pub. [40 FR 42536, Sept. 15, 1975, as amended at 43 FR 45349, Oct. 2, 1978]. The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. (a) An examination for hearing impairment for VA purposes must be conducted by a state-licensed audiologist and must include a controlled speech discrimination test (Maryland CNC) and a puretone audiometry test. Note (2): Trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities). These ratings were based on Range of Motion for each joint. Criterion March 11, 1969; evaluation August 30, 2002. Prosthetic replacement of the elbow joint: With chronic residuals consisting of severe painful motion or weakness in the affected extremity. 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). Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. 5166 Forefoot, proximal to metatarsal bones. [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. All of these conditions can lead to chronic shoulder pain and disability. 5105 Anatomical loss of one foot and loss of use of one hand. Intellectual disability (intellectual developmental disorder) and personality disorders. (ii) History and complaint. The position of function of the hand is with the wrist dorsiflexed 20 to 30 degrees, the metacarpophalangeal and proximal interphalangeal joints flexed to 30 degrees, and the thumb (digit I) abducted and rotated so that the thumb pad faces the finger pads. Purely neurological disabilities, such as hemiplegia, cranial nerve paralysis, etc., due to cerebral arteriosclerosis will be rated under the diagnostic codes dealing with such specific disabilities, with citation of a hyphenated diagnostic code (e.g., 8046-8207). (3) Moderately severe disability of muscles -. (b) Two or more skin conditions may be combined in accordance with 4.25 only if separate areas of skin are involved. 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, Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments, Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control, Chronic urticaria that requires first line treatment (antihistamines) for control, Persistent documented vasculitis episodes refractory to continuous immunosuppressive therapy, Recurrent documented vasculitic episodes occurring four or more times over the past 12-month period; and, Requiring intermittent systemic immunosuppressive therapy for control, Recurrent documented vasculitic episodes occurring one to three times over the past 12-month period, and requiring intermittent systemic immunosuppressive therapy for control; or, Without recurrent documented vasculitic episodes but requiring continuous systemic medication for control, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability. Amputation, or injury to an upper extremity, is not considered as a causative factor with subsequently developing arthritis, except in joints subject to direct strain or actually injured. * If bilateral, see 3.350(a)(3) of this chapter to determine whether the veteran may be entitled to special monthly compensation. Evaluation August 30, 2002; title, criterion, note August 13, 2018. Dissociative amnesia; dissociative identity disorder. Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. 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. Criterion October 23, 1995; criterion December 9, 2018. 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. Unfavorable, at an angle of less than 50 or with complete loss of supination or pronation, Intermediate, at an angle of more than 90, or between 70 and 50, Favorable, at an angle between 90 and 70. Ratings of the genitourinary system - dysfunctions. At VA Claims Insider, we help you understand and take control of the claims process, so you can get the rating and compensation youre owed by law. 8627 Neuritis, internal saphenous nerve. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. Knee, resurfacing or replacement (prosthesis). 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. 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. 7818 Malignant skin neoplasms(other than malignant melanoma). Rate thoracoplasty as removal of ribs under DC 5297. Apply the provisions of. Minimal scar. (a) Associated with active tuberculosis involving other than the respiratory system. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. 5279 Metatarsalgia, anterior (Mortons disease). Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520). 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to 5270 or 5271. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. And, youll get to work with a Veteran Coach (VC) who will lead you to VA claim success. 5120 Complete amputation, upper extremity. 4.115a Ratings of the genitourinary system - dysfunctions. 5303 Group III Function: Elevation and abduction of arm. With intermediate degrees of residual weakness, pain or limitation of motion, rate by analogy to diagnostic codes 5200 and 5203. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. 18, 1976, as amended at 79 FR 2100, Jan. 13, 2014]. The muscles that power your lungs are also part of the respiratory system. 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. Objective evidence on testing of moderate impairment of memory, attention, concentration, or executive functions resulting in moderate functional impairment. It is the intention to recognize actually painful, unstable, or malaligned joints, due to healed injury, as entitled to at least the minimum compensable rating for the joint. Added March 10, 1976; criterion February 3, 1988; removed November 7, 1996. 6209 Benign neoplasm(other than skin only). Each disability must be considered from the point of view of the veteran working or seeking work. Evaluation August 13, 1981; criterion June 9, 1996; title December 10, 2017; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. The examiner will also perform a physical examination of your shoulder. (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. Answer a few questions to check your eligibility. site when drafting amendatory language for Federal regulations: Neuritis, external cutaneous nerve of thigh. 8510 Upper radicular group, paralysis. Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: 6704 Active, advancement unspecified. FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids, FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy. Always oriented to person, time, place, and situation. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. Group VIII Function: Extension of wrist, fingers, thumb. In the selection of code numbers, injuries will generally be represented by the number assigned to the residual condition on the basis of which the rating is determined. The combined value for the three disabilities will be found in the space where the column and row intersect, and if there are only three disabilities will be converted to the nearest degree divisible by 10, adjusting final 5's upward. The most trusted name in education-based resources for Veterans. Copyright 2023 VA Claims Insider, LLC. Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. One or two painful flare-ups a year: 20% Rating. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. Criterion August 30, 2002; removed October 23, 2008. Other specified and unspecified schizophrenia spectrum and other psychotic disorders. If you have questions or comments regarding a published document please The central nervous system consists of the brain, the spinal cord, and thecranialnerves. Prosthetic replacement of the head of the femur or of the acetabulum: Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches, Markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis, Moderately severe residuals of weakness, pain or limitation of motion, Minimum evaluation, total replacement only. 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).
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