The severity of symptoms determines the range of ratings assigned by this code. Organic Diseases of the Central Nervous System. Benign neoplasms of gynecological system. Organization and Purpose 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). This content is from the eCFR and is authoritative but unofficial. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. (ii) History and complaint. The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. 7811 Tuberculosis luposa (lupus vulgaris)active or inactive. 7614 Fallopian tube, disease or injury(including pelvic inflammatory disease (PID)). 7900 Hyperthyroidism, including, but not limited to, Graves' disease: Thereafter, rate residuals of disease or complications of medical treatment within the appropriate diagnostic code(s) within the appropriate body system. 6305 Lymphatic filariasis, to include elephantiasis. However, the total rating during the 1-year period for the pulmonary or for the nonpulmonary condition will be utilized, combined with evaluation for residuals of the condition not covered by the 1-year total evaluation, so as to allow any additional benefit provided during such period. VA DISABILITY FOR INFECTIOUS DISEASES, IMMUNE DISORDERS AND NUTRITIONAL DEFICIENCIES. (4) Evaluation of ankylosis of the thumb: (i) If both the carpometacarpal and interphalangeal joints are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation at metacarpophalangeal joint or through proximal phalanx, (ii) If both the carpometacarpal and interphalangeal joints are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the carpometacarpal or interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) 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. Added May 22, 1995; title, criterion May 13, 2018. 8724 Neuralgia, internal popliteal nerve (tibial). For phakic (normal) individuals, as well as for pseudophakic or aphakic individuals who are well adapted to intraocular lens implant or contact lens correction, visual field examinations must be conducted using a standard target size and luminance, which is Goldmann's equivalent III/4e. 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. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used. Understanding Bursitus, tendinitis, and arthritis ratings - Veterans The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. (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. The percentage evaluation is located at the point where the row and column intersect. will bring you directly to the content. (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. 5278 Claw foot (pes cavus), acquired. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. 6325 Hyperinfection syndrome or disseminated strongyloidiasis. (2) When a 100% evaluation can be assigned on another basis. 7354 Hepatitis C (or non-A, non-B hepatitis): With serologic evidence of hepatitis C infection and the following signs and symptoms due to hepatitis C infection: Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m, Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m, Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m, Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m. Note: GFR, estimated GFR (eGFR), and creatinine-based approximations of GFR will be accepted for evaluation purposes under this section when determined to be appropriate and calculated by a medical professional. 6830 Radiation-induced pulmonary pneumonitis and fibrosis. Criterion and evaluation October 23, 2008. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. Moderately severely impaired judgment. Regulation Y Brian is a Distinguished Graduate of Management from theUnited States Air Force Academy, Colorado Springs, CO and he holds an MBA from Oklahoma State Universitys Spears School of Business, Stillwater, OK, where he was a National Honor Scholar (Top 1% of Graduate School class). All of these conditions can lead to chronic shoulder pain and disability. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. 5303 Group III Function: Elevation and abduction of arm. External cutaneous nerve of thigh, paralysis. Evaluate post-surgical residuals under the General Rating Formula. 8412 Neuralgia, twelfth cranial nerve. Criterion August 30, 2002; title, criterion August 13, 2018. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. This is an unfavorable mechanical relationship of the parts. 8212 Twelfth (hypoglossal), paralysis. Occasionally disoriented to two of the four aspects (person, time, place, situation) of orientation or often disoriented to one aspect of orientation. Hip Conditions And VA Disability Benefits 3. Each ear will be evaluated separately. An authorized absence of 4 days or less which results in a total of more than 8 days of authorized absence during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the ninth day of authorized absence. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. 1/1.1 Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. 6515 Laryngitis, tuberculous, active or inactive. Thousands of other Veterans in our Community are here for you. 5318 Group XVIII Function: Outward rotation of thigh. How the VA Will Assign you a Shoulder Pain VA Rating. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. With chronic residuals consisting of severe painful motion or weakness. 5000 Osteomyelitis, acute, subacute, or chronic. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. Exceptional patterns of hearing impairment. 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. The following ratings may be assigned, in lieu of ratings prescribed elsewhere, under the conditions stated for disability from any disease or injury. Permitting passage of liquids only, with marked impairment of general health. 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. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. Depersonalization/derealization disorder. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 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. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. The digestive system is made up of the mouth, throat, esophagus, stomach, small intestine, large intestine, rectum, and anus. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. (eg: Retinopathy or maculopathy not otherwise specified. Special provisions regarding evaluation of respiratory conditions. 5312 Group XII Function: Dorsiflexion. Public Law 90-493 repealed section 356 of title 38, United States Code which had provided graduated ratings for inactive tuberculosis. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. Any of these effects may range from slight to severe, although verbal and physical aggression are likely to have a more serious impact on workplace interaction and social interaction than some of the other effects. 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. 6011 Retinal scars, atrophy, or irregularities: Localized scars, atrophy, or irregularities of the retina, unilateral or bilateral, that are centrally located and that result in an irregular, duplicated, enlarged, or diminished image, Alternatively, evaluate based on the General Rating Formula for Diseases of the Eye, if this would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye. 5010 Post-traumatic arthritis: Rate as limitation of motion, dislocation, or other specified instability under the affected joint. Evaluation October 23, 1995; note December 9, 2018; criterion October 23, 1995. It is also available for inspection at the National Archives and Records Administration (NARA). 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. The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. (b) With severe associated symptoms or with extensive cavity formation. 7000 Valvular heart disease (including rheumatic heart disease), During active infection with cardiac involvement and for three months following cessation of therapy for the active infection. Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: 6704 Active, advancement unspecified. Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). Intellectual disability (intellectual developmental disorder) and personality disorders. Criterion August 30, 2002; removed October 23, 2008. Neuralgia, external popliteal nerve (common peroneal). L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. 4.124 Neuralgia, cranial or peripheral. (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. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. It is thus essential, both in the examination and in the evaluation of disability, that each disability be viewed in relation to its history. Group XVIII Function: Outward rotation of thigh. [53 FR 30262, Aug. 11, 1988, as amended at 73 FR 66549, Nov. 10, 2008; 74 FR 7648, Feb. 19, 2009; 83 FR 15320, Apr. Get up to $3,345 per month. For the application of this schedule, accurate and fully descriptive medical examinations are required, with emphasis upon the limitation of activity imposed by the disabling condition. Is able to use assistive devices such as GPS (global positioning system). That numeral will then be elevated to the next higher Roman numeral. Ragged, depressed and adherent scars indicating wide damage to muscle groups in missile track. 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. 5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). cm.). Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. Mandible loss of, including ramus, unilaterally or bilaterally. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. 7628 Benign neoplasms of gynecological system. 9423 Unspecified somatic symptom and related disorder. For 2 years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter, for 4 years, or in any event, to 6 years after date of inactivity, Thereafter, for 5 years, or to 11 years after date of inactivity, Thereafter, in the absence of a schedular compensable permanent residual. (a) A muscle injury rating will not be combined with a peripheral nerve paralysis rating of the same body part, unless the injuries affect entirely different functions. 8004 Paralysis agitans(Parkinsons Disease). The cardiovascular system includes the heart, blood vessels, and blood. 8540 Soft-tissue sarcoma (Neurogenic origin). General Rating Formula for Major and Minor Epileptic Seizures: Averaging at least 1 major seizure per month over the last year, Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly, Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week, At least 1 major seizure in the last 6 months or 2 in the last year; or averaging at least 5 to 8 minor seizures weekly, At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months, A confirmed diagnosis of epilepsy with a history of seizures. 6036 Status post corneal transplant. After the excitement of finally having the rating you deserve wears off, you start asking questions. Evaluation March 10, 1976; revised and moved to 5235-5243 September 26, 2003. If there are 2 or more joints affected, each rating shall be combined in accordance with. When the percentage requirements are met, and the disabilities involved are of a permanent nature, a rating of permanent and total disability will be assigned if the veteran is found to be unable to secure and follow substantially gainful employment by reason of such disability. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination. 6032 Loss of eyelids, partial or complete: Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 7820 Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases). VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. 8711 Neuralgia, middle radicular group. 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). 6017 Conjunctivitis, trachomatous, chronic. 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. (b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as unfavorable ankylosis, (iv) If only the metacarpophalangeal or proximal interphalangeal joint is ankylosed, and there is a gap of two inches (5.1 cm.) 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. 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. Veterans Affairs Note July 6, 1950; evaluation February 17, 1994; evaluation September 8, 1994; note November 14, 2021. Title 38, Part 4 Schedule for Rating Disabilities Generalized involvement of the skin with systemic manifestations (such as fever, weight loss, or hypoproteinemia) AND one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA (psoralen with long-wave ultraviolet-A light), UVB (ultraviolet-B light) treatments, biologics, or electron beam therapy required over the past 12 month period; or, No current treatment due to a documented history of treatment failure with 2 or more treatment regimens, Generalized involvement of the skin without systemic manifestations and one of the following, Constant or near-constant systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy required over the past 12-month period; or, No current treatment due to a documented history of treatment failure with 1 treatment regimen, Any extent of involvement of the skin, and any of the following therapies required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and any of the following therapies required for a total duration of less than 6 weeks over the past 12-month period: systemic therapy such as therapeutic doses of corticosteroids, other immunosuppressive drugs, retinoids, PUVA, UVB treatments, biologics, or electron beam therapy, Any extent of involvement of the skin, and no more than topical therapy required over the past 12-month period. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. 5210 Radius and ulna, nonunion of, with flail false joint. 6023 Loss of eyebrows, complete, unilateral or bilateral, 6024 Loss of eyelashes, complete, unilateral or bilateral. Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. The rating agency shall assign an evaluation based on all the evidence of record that bears on occupational and social impairment rather than solely on the examiner's assessment of the level of disability at the moment of the examination. With marked interference with absorption and nutrition, manifested by severe impairment of health objectively supported by examination findings including material weight loss, With definite interference with absorption and nutrition, manifested by impairment of health objectively supported by examination findings including definite weight loss, Symptomatic with diarrhea, anemia and inability to gain weight, With severe symptoms, objectively supported by examination findings. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. The Ear is one of the most unique sensory organs in the human body. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral). In a given individual, symptoms may fluctuate in severity from day to day. In evaluating the ulcer, care should be taken that the findings adequately identify the particular location. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804: Evaluate any disabling effect(s) not considered in a rating provided under diagnostic codes 7800-04 under an appropriate diagnostic code. Malignant neoplasms of gynecological system. 6510 Sinusitis, pansinusitis, chronic(Rhinosinusitis). 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. All approved material is available from the American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901, 703-907-7300, http://www.dsm5.org. 8529 External cutaneous nerve of thigh, paralysis. The most trusted name in education-based resources for Veterans. 8729 Neuralgia, external cutaneous nerve of thigh. 6841 Spinal cord injury with respiratory insufficiency. 7306 Ulcer, marginal(gastrojejunal ulcer). (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned. 6018 Conjunctivitis, other, chronic (nontrachomatous)(keratoconjunctivitis). (See table I). 8017 Amyotrophic lateral sclerosis(Lou Gherigs Disease).