In these cases, evaluate based on corrected distance vision adjusted to one step poorer than measured. 8524 Internal popliteal nerve (tibial), paralysis. 8511 Middle radicular group, paralysis. Scar 5 or more inches (13 or more cm.) 9905 Temporomandibular disorder (TMD). In rating peripheral nerve injuries and their residuals, attention should be given to the site and character of the injury, the relative impairment in motor function, trophic changes, or sensory disturbances. Renal involvement in diabetes mellitus type I or II. 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.). The most common shoulder injuries in veterans are rotator cuff tears, shoulder impingement, bursitis, and tendinitis. Organization and Purpose While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Added March 1, 1989; removed March 24, 1992. (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. 2. wide at widest part. LIST OF VA ANALOGOUS CONDITIONS AND DIAGNOSTIC CODES. 8019 Meningitis, cerebrospinal, epidemic. How the VA Will Assign you a Shoulder Pain VA Rating, 4. L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. One or more neurobehavioral effects that do not interfere with workplace interaction or social interaction. However, consideration is to be given to the circumstances of employment in individual claims, and, if the employment was only occasional, intermittent, tryout or unsuccessful, or eventually terminated on account of the disability, present unemployability may be attributed to the static disability. (a) If the diagnosis of a mental disorder does not conform to DSM-5 or is not supported by the findings on the examination report, the rating agency shall return the report to the examiner to substantiate the diagnosis. 7818 Malignant skin neoplasms(other than malignant melanoma). Not all of these brain functions may be affected in a given individual with cognitive impairment, and some functions may be affected more severely than others. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. VA DISABILITY FOR DENTAL AND ORAL CONDITIONS. The 60 and 21 combine to 68 percent and the 68 and 20 to 74 percent, converted to 70 percent as the final degree of disability. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350(f) (3), (4) or (5). 7632 Female sexual arousal disorder (FSAD). In rating disability from the conditions in the preceding sentence refer to the appropriate schedule. Evaluation January 12, 1998; criterion December 10, 2017; evaluation November 14, 2021. This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. The most trusted name in education-based resources for Veterans. Entrance and (if present) exit scars indicating track of missile through one or more muscle groups. Unable to communicate basic needs. (b) A chronic mental disorder is not uncommon as an interseizure manifestation of psychomotor epilepsy and may include psychiatric disturbances extending from minimal anxiety to severe personality disorder (as distinguished from developmental) or almost complete personality disintegration (psychosis). Marked obstructive symptomatology (hesitancy, slow or weak stream, decreased force of stream) with any one or combination of the following: 1. 7630 Malignant neoplasms of the breast. 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.. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. Criterion February 17, 1994; criterion, footnote November 14, 2021. 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. 5303 Group III Function: Elevation and abduction of arm. 8723 Neuralgia, anterior tibial nerve (deep peroneal). Mental Disorders in Epilepsies: A nonpsychotic organic brain syndrome will be rated separately under the appropriate diagnostic code (e.g., 9304 or 9326). 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. Criterion March 11, 1969; evaluation August 30, 2002. If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. Criterion July 6, 1950; criterion February 7, 2021. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. user convenience only and is not intended to alter agency intent 7615 Ovary, disease, injury, or adhesions of. Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck: With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement. When any change in evaluation is to be made, the rating agency should assure itself that there has been an actual change in the conditions, for better or worse, and not merely a difference in thoroughness of the examination or in use of descriptive terms. Evaluate under the General Rating Formula. Criterion March 10, 1976; criterion September 22, 1978. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. Baseline weight means the average weight for the two-year-period preceding onset of the disease. Without cardiac involvement but with chronic edema, stasis dermatitis, and either ulceration or cellulitis: Without cardiac involvement but with chronic edema or stasis dermatitis: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg, At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg, At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg, At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg, Note (1): The ankle/brachial index (ABI) is the ratio of the systolic blood pressure at the ankle divided by the simultaneous brachial artery systolic blood pressure. A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment. Benign neoplasms of the eye, orbit, and adnexa (excluding skin). The combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. or greater, Area or areas of at least 72 square inches (465 sq. It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. Skin conditions for VA rating purposes can vary immensely in size and severity. 6331 Coxiella burnetii infection (Q Fever). Ratings for service-connected disabilities requiring hospital treatment or observation. 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018. What is the Genitourinary System for VA rating purposes? About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. [41 FR 34256, Aug. 13, 1976, as amended at 54 FR 4281, Jan. 30, 1989; 71 FR 28586, May 17, 2006]. Evaluate each condition separately, as long as the same signs and symptoms are not used to support more than one evaluation, and combine under, Consider the need for special monthly compensation for such problems as loss of use of an extremity, certain sensory impairments, erectile dysfunction, the need for aid and attendance (including for protection from hazards or dangers incident to the daily environment due to cognitive impairment), being housebound, etc. Rate as renal dysfunction or urinary tract infection, whichever is predominant. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. Enhanced content is provided to the user to provide additional context. Mildly impaired. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment, Symptoms that require continuous treatment, Symptoms that do not require continuous treatment. 6209 Benign neoplasm(other than skin only). 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.
Social Security Disability or SSI For Bursitis If more than one extremity is affected, evaluate each extremity separately and combine (under. 5011 Decompression illness: Rate manifestations under the appropriate diagnostic code within the affected body system, such as arthritis for musculoskeletal residuals; auditory system for vestibular residuals; respiratory system for pulmonary barotrauma residuals; and neurologic system for cerebrovascular accident residuals. Dont forget that to be eligible for VA disability compensation, you must first have: In this Ultimate Guide to the VA Disability Claims List, which is comprised of 834 disability conditions, youll discover each eligible condition arranged by body system and diagnostic code (lowest to highest) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. It is also available for inspection at the Office of Regulation Policy and Management, Department of Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 20420. The Code of Federal Regulations (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. 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. Examiners must use either Goldmann kinetic perimetry or automated perimetry using Humphrey Model 750, Octopus Model 101, or later versions of these perimetric devices with simulated kinetic Goldmann testing capability. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), 6062 No more than light perception in both eyes. Evaluation August 30, 2002; title, criterion, note August 13, 2018. 5012 Bones, neoplasm, malignant, primary or secondary. The Consciousness facet, for example, does not provide for an impairment level other than total, since any level of impaired consciousness would be totally disabling. 7824 Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma). 9902 Mandible loss of, including ramus, unilaterally or bilaterally. Added September 9, 1975; criterion October 7, 1996.
2023 VA Disability Conditions List by Body System (The Ultimate 8725 Neuralgia, posterior tibial nerve. Consideration shall be given in all claims to the nature of the employment and the reason for termination. 5104 Anatomical loss of one hand and loss of use of one foot, 5105 Anatomical loss of one foot and loss of use of one hand, 5108 Anatomical loss of one hand and one foot, 5111 Loss of use of one hand and one foot, Anatomical loss or loss of use below elbow, Anatomical loss or loss of use below knee, Anatomical loss or loss of use above elbow (preventing use of prosthesis), Anatomical loss or loss of use above knee (preventing use of prosthesis), Anatomical loss near shoulder (preventing use of prosthesis), Anatomical loss near hip (preventing use of prosthesis). The repealed section, however, still applies to the case of any veteran who on August 19, 1968, was receiving or entitled to receive compensation for tuberculosis. Table III - Normal Visual Field Extent at 8 Principal Meridians. 18, 1976, as amended at 79 FR 2100, Jan. 13, 2014]. 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. 7336 Hemorrhoids, external or internal. Thereafter: Rate residuals under the specific body system or systems affected. 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. 8714 Neuralgia, musculospiral nerve (radial). How to Get a 100 Percent VA Rating (if deserved)!
VA Disability Ratings for Back Pain Explained (The Definitive Guide) Total disability ratings for compensation based on unemployability of the individual. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. Purely subjective complaints such as headache, dizziness, tinnitus, insomnia and irritability, recognized as symptomatic of a properly diagnosed cerebral arteriosclerosis, will be rated 10 percent and no more under diagnostic code 9305. The glomerular type of nephritis is usually preceded by or associated with severe infectious disease; the onset is sudden, and the course marked by red blood cells, salt retention, and edema; it may clear up entirely or progress to a chronic condition. 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. This VA dependents Today, Brian Reese the VA Claims Insider reveals the Top 8 VA Benefits for Surviving Spouse this year. This article discusses four things you need to know about shoulder pain and VA disability. With chronic residuals consisting of severe painful motion or weakness. Evaluation August 30, 1996; criterion, note August 11, 2019. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder.