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. Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). Added March 10, 1976; removed February 3, 1988; added November 7, 1996; Title August 4, 2014. VA Disability Rating for Rotator Cuff Repair and Shoulder 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.. The most trusted name in education-based resources for Veterans. (3) In any case where the examiner reports that there is a difference equal to two or more scheduled steps between near and distance corrected vision, with the near vision being worse, the examination report must include at least two recordings of near and distance corrected vision and an explanation of the reason for the difference. Not improvable by prosthesis controlled by natural knee action. 5209 Elbow, other impairment of flail joint. Rate under the general rating formula for minor seizures. Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. Total disability ratings for pension based on unemployability and age of the individual. 6831 Hypersensitivity pneumonitis (extrinsic allergic alveolitis). Convalescence ratings following extended hospitalization. Neuritis, musculocutaneous (superficial peroneal) nerve. 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. Criterion March 10, 1976; criterion February 17, 1994; criterion November 14, 2021. 2. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. For evaluation of Raynaud's disease (primary Raynaud's), see DC 7124. This contact form is only for website help or website suggestions. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. Neuralgia, anterior crural nerve (femoral). Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? Schedule of ratings - dental and oral conditions. 6018 Chronic conjunctivitis (nontrachomatous): Evaluate based on visual impairment or, in the absence of visual impairment, on disfigurement (diagnostic code 7800). You may be able to get VA disability benefits for conditions such as:Chronic (long-lasting) back pain resulting in a current diagnosed back disabilityBreathing problems resulting from a current lung condition or lung diseaseSevere hearing lossScar tissueLoss of range of motion (problems moving your body)UlcersCancers caused by contact with toxic chemicals or other dangers Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. 6317 Rickettsial, ehrlichia, and anaplasma infections: 6320 Parasitic diseases otherwise not specified: 6325 Hyperinfection syndrome or disseminated strongyloidiasis: 6329 Hemorrhagic fevers, including dengue, yellow fever, and others: 6331 Coxiella burnetii infection (Q fever): 6350 Lupus erythematosus, systemic (disseminated): Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health, Exacerbations lasting a week or more, 2 or 3 times per year, Exacerbations once or twice a year or symptomatic during the past 2 years, AIDS with recurrent opportunistic infections (see Note 3) or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss, Refractory constitutional symptoms, diarrhea, and pathological weight loss; or minimum rating following development of AIDS-related opportunistic infection or neoplasm, Recurrent constitutional symptoms, intermittent diarrhea, and use of approved medication(s); or minimum rating with T4 cell count less than 200, Following development of HIV-related constitutional symptoms; T4 cell count between 200 and 500; use of approved medication(s); or with evidence of depression or memory loss with employment limitations, Asymptomatic, following initial diagnosis of HIV infection, with or without lymphadenopathy or decreased T4 cell count. Marginal employment shall not be considered substantially gainful employment. Following surgery: Evaluate under DC 7114 (peripheral arterial disease). Table III - Normal Visual Field Extent at 8 Principal Meridians. 7520 Penis, removal of half or more. This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. 6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin): Active: Evaluate under the General Rating Formula for Diseases of the Eye, minimum rating, Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800). 8529 External cutaneous nerve of thigh, paralysis. The assistance may be rendered by the person's own hands or arms, and, in the matter of postural stability, by a special appliance. 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. Apply the provisions of, For three months following hospital admission for surgery. 7525 Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only: For tubercular infections: Rate in accordance with. You may also be eligible for secondary service connection if you cant prove a direct link. Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. For complex or unfamiliar decisions, usually unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision, although has little difficulty with simple decisions. Whether the upper or lower extremities, the back or abdominal wall, the eyes or ears, or the cardiovascular, digestive, or other system, or psyche are affected, evaluations are based upon lack of usefulness, of these parts or systems, especially in self-support. This is an automated process for Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. (a) Total disability ratings for compensation may be assigned, where the schedular rating is less than total, when the disabled person is, in the judgment of the rating agency, unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities: Provided That, if there is only one such disability, this disability shall be ratable at 60 percent or more, and that, if there are two or more disabilities, there shall be at least one disability ratable at 40 percent or more, and sufficient additional disability to bring the combined rating to 70 percent or more. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 5012 Bones, neoplasm, malignant, primary or secondary. One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). (6) When there is a disparity between the results of different PFT's (FEV-1 (Forced Expiratory Volume in one second), FVC (Forced Vital Capacity), etc. Each of these areas of dysfunction may require evaluation. (a) For the purposes of this section, systemic therapy is treatment that is administered through any route (orally, injection, suppository, intranasally) other than the skin, and topical therapy is treatment that is administered through the skin. Evaluate physical (including neurological) dysfunction based on the following list, under an appropriate diagnostic code: Motor and sensory dysfunction, including pain, of the extremities and face; visual impairment; hearing loss and tinnitus; loss of sense of smell and taste; seizures; gait, coordination, and balance problems; speech and other communication difficulties, including aphasia and related disorders, and dysarthria; neurogenic bladder; neurogenic bowel; cranial nerve dysfunctions; autonomic nerve dysfunctions; and endocrine dysfunctions. 7005 Arteriosclerotic heart disease (coronary artery disease). 5009 Other specified forms of arthropathy (excluding gout). 6023 Loss of eyebrows, complete, unilateral or bilateral, 6024 Loss of eyelashes, complete, unilateral or bilateral. 7115 Thrombo-angiitis obliterans (Buergers Disease). The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! Evaluation of Ankylosis or Limitation of Motion of Single or Multiple Digits of the Hand. The stronger the connection between your military 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. Some loss of deep fascia or muscle substance or impairment of muscle tonus and loss of power or lowered threshold of fatigue when compared to the sound side. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Rate under diagnostic code 7346, 5325 Muscle injury, facial muscles. When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted. Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). The muscles that power your lungs are also part of the respiratory system. Schedule of ratings - neurological conditions and convulsive disorders. (a) Visual impairment. 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. Malignant neoplasms of gynecological system. Following simple mastectomy or wide local excision with significant alteration of size or form: Following wide local excision without significant alteration of size or form: 7627 Malignant neoplasms of gynecological system, 7628 Benign neoplasms of gynecological system. Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. 6330 Campylobacter jejuni infection. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. Social interaction is frequently inappropriate. or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees, With a gap of less than one inch (2.5 cm.) Mandible, nonunion of, confirmed by diagnostic imaging studies. If there are 2 or more joints affected, each rating shall be combined in accordance with. View the most recent official publication: These links go to the official, published CFR, which is updated annually. 9301 Major or mild neurocognitive disorder due to HIV or other infections(Dementia). (iv) palpable or tender cervical or axillary lymph nodes. 7344 Benign neoplasms, exclusive of skin growths: Evaluate under an appropriate diagnostic code, depending on the predominant disability or the specific residuals after treatment. Conditions that are NOT in the general schedule can be rated analogously with acondition thatIS. Severe; objective evidence of marked deformity (pronation, abduction, etc. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. 8312 Neuritis, twelfth cranial nerve. The direction of angulation and extent of deformity should be carefully related to strain on the neighboring joints, especially those connected with weight-bearing. If youve filed your VA disability claim and have been denied or have received a low ratingor youre unsure how to get startedreach out to us! Evaluation February 17, 1994; removed November 14, 2021. 8511 Middle radicular group, paralysis. 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. Major or mild vascular neurocognitive disorder. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. Combined Disability Rating. Recurrent urinary tract infections secondary to obstruction. Thus with a compensable disability of the right thigh, for example, amputation, and one of the left foot, for example, pes planus, the bilateral factor applies, and similarly whenever there are compensable disabilities affecting use of paired extremities regardless of location or specified type of impairment. Internal popliteal nerve (tibial), paralysis. The peripheral nervous system is made up of all the nerves that travel from the spinal cord to the rest of the body. 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media). Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded 5002-5240. In this way, the exact source of each rating can be easily identified. Social interaction is routinely appropriate. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. Both the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation, and the evaluation of the same manifestation under different diagnoses are to be avoided. 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. 6830 Radiation-induced pulmonary pneumonitis and fibrosis. Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. Neuralgia, external cutaneous nerve of thigh. (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. Added September 22, 1978; title, criterion, and note February 7, 2021. Thousands of other Veterans in our Community are here for you. The percentage evaluation is located at the point where the row and column intersect. 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. Involving temporomandibular articulation. When complete examinations are not conducted covering all systems of the body affected by disease or injury, it is impossible to visualize the nature and extent of the service connected disability. When the claimant has anatomical loss of one eye and is unable to wear a prosthesis, increase the evaluation for visual acuity under diagnostic code 6063 by 10 percent, but the maximum evaluation for visual impairment of both eyes must not exceed 100 percent. VA Disability Conditions List by Body System and VA Diagnostic Code (Official) In this Ultimate For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. 5172 Toes, other than great, with removal of metatarsal head. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). (b) A through-and-through injury with muscle damage shall be evaluated as no less than a moderate injury for each group of muscles damaged. 7532 Renal tubular disorders(such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconis syndrome, Bartters syndrome, related disorders of Henles loop and proximal or distal nephron function, etc.). Motor activity (with intact motor and sensory system). The following section provides descriptions of various levels of disability in each of these symptom areas. This will generally require separate evaluation of the arthritis in the joints directly subject to strain. (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases. 7203 Esophagus, stricture(Achalasia). (Effective as to outpatient treatment March 10, 1976.). (iii) When there have been one or more episodes of acute respiratory failure. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. This VA dependents Today, Brian Reese the VA Claims Insider reveals the Top 8 VA Benefits for Surviving Spouse this year. Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. Knee, resurfacing or replacement (prosthesis). but less than 72 square inches (465 sq. Note (2): Where surgical intervention is indicated, this evaluation shall continue until the day of surgery, at which time the provisions pertaining to a 100-percent evaluation shall apply. 8000 Encephalitis, epidemic, chronic. 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. Note (3): This section is for evaluating Raynaud's disease (primary Raynaud's). 7824 Keratinization, diseases(including icthyoses, Dariers disease, palmoplantar keratoderma, Dyskeratosis follicularis and Ichthyoses). 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. Otherwise, the lower rating will be assigned. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. Automatic states or automatisms are characterized by episodes of irrational, irrelevant, disjointed, unconventional, asocial, purposeless though seemingly coordinated and purposeful, confused or inappropriate activity of one to several minutes (or, infrequently, hours) duration with subsequent amnesia for the seizure. For application in rating cases in which the protective provisions of Pub. 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.