Added March 10, 1976; criterion February 3, 1988; Title August 4, 2014. Copyright 2023 VA Claims Insider, LLC. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. 7541 Renal involvement in diabetes mellitus type I or II. Evaluation January 12, 1998; criterion December 10, 2017; evaluation November 14, 2021. See nerve involved for diagnostic code number and rating. 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). 2 Also entitled to special monthly compensation. You still have options. 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. The digestive systme also includes the salivary glands, liver, gallbladder, and pancreas, which create digestive juices and enzymes that help the body digest various food and liquids. 9403 Specific phobia; social anxiety disorder (social phobia). 5327 Muscle, neoplasm of, malignant. Pro Tip: In accordance with the Painful Motion principle, if you have pain upon flexion or abduction of your shoulder, the VA is required to award the minimum compensable rating for the condition, which is 10%. Table II - Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR Citation. Criterion May 22, 1995; title May 13, 2018. There are diseases of the digestive system, particularly within the abdomen, which, while differing in the site of pathology, produce a common disability picture characterized in the main by varying degrees of abdominal distress or pain, anemia and disturbances in nutrition. 10, 2018; 83 FR 32601, July 13, 2018; 83 FR 54259, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76467, Nov. 30, 2020; 85 FR 85523, Dec. 29, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021]. 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. These parts all work together to keep the body in balance. The individual is thus 72 percent disabled, as shown in table I opposite 60 percent and under 30 percent. Quadriplegia: Rate separately under diagnostic codes 5109 and 5110 and combine evaluations in accordance with, With incapacitating episodes having a total duration of at least 6 weeks during the past 12 months, With incapacitating episodes having a total duration of at least 4 weeks but less than 6 weeks during the past 12 months, With incapacitating episodes having a total duration of at least 2 weeks but less than 4 weeks during the past 12 months, With incapacitating episodes having a total duration of at least one week but less than 2 weeks during the past 12 months, Unfavorable, extremely unfavorable ankylosis, the foot not reaching ground, crutches necessitated, Favorable, in flexion at an angle between 20 and 40, and slight adduction or abduction, Limitation of abduction of, motion lost beyond 10, Limitation of adduction of, cannot cross legs, Limitation of rotation of, cannot toe-out more than 15, affected leg, With nonunion, with loose motion (spiral or oblique fracture), With nonunion, without loose motion, weight bearing preserved with aid of brace, Fracture of surgical neck of, with false joint. 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are not associated with underlying soft tissue damage: Five or more scars that are unstable or painful, Three or four scars that are unstable or painful, One or two scars that are unstable or painful. 38 CFR 4.73 - Schedule of ratings - muscle injuries. Major or mild neurocognitive disorder due to traumatic brain injury. Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. 9435 Unspecified depressive disorder. 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. [29 FR 6718, May 22, 1964, as amended at 40 FR 42540, Sept. 15, 1975; 41 FR 11302, Mar. Conversion disorder (functional neurological symptom disorder). Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). (iii) Objective findings. Examples of findings that might be seen at this level of impairment are: marked fatigability, blurred or double vision, headaches requiring rest periods during most days. 6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis). 5160 Complete amputation, lower extremity. The plantar surface of the foot is painful and shows demonstrable tenderness, and manipulation of the foot produces spasm of the Achilles tendon, peroneal spasm due to adhesion about the peroneal sheaths, and other evidence of pain and limited motion. The respiratory system isthe bodys network of organs and tissues that help you breathe. Eleventh (spinal accessory, external branch) cranial nerve. Hypothyroidism manifesting as myxedema (cold intolerance, muscular weakness, cardiovascular involvement (including, but not limited to hypotension, bradycardia, and pericardial effusion), and mental disturbance (including, but not limited to dementia, slowing of thought and depression)), Note (1): This evaluation shall continue for six months beyond the date that an examining physician has determined crisis stabilization. Evaluate using an appropriate respiratory analogy. Code O-2 (38 CFR 3.350(e)(2)). 7807 Leishmaniasis, American (New World). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. ), (2) Surgery with severe postoperative residuals such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilization of one major joint or more, application of a body cast, or the necessity for house confinement, or the necessity for continued use of a wheelchair or crutches (regular weight-bearing prohibited). Transcutaneous oxygen tension (T. Note (3): Evaluate residuals of aortic and large arterial bypass surgery or arterial graft as peripheral arterial disease. Uroflowmetry; markedly diminished peak flow rate (less than 10 cc/sec). Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. When the level of METs at which breathlessness, fatigue, angina, dizziness, or syncope develops is required for evaluation, and a laboratory determination of METs by exercise testing cannot be done for medical reasons, a medical examiner may estimate the level of activity (expressed in METs and supported by specific examples, such as slow stair climbing or shoveling snow) that results in those symptoms. 8730 Neuralgia, ilio-inguinal nerve. Note: Not to be combined with claw foot ratings. The ability to overcome the handicap of disability varies widely among individuals. 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.) 5237 Lumbosacral or cervical strain. 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. 7124 Raynaud's disease (also known as primary Raynaud's): Characteristic attacks associated with trophic change(s), such as tight, shiny skin, Characteristic attacks without trophic change(s). 6200 Chronic suppurative otitis media, mastoiditis, or cholesteatoma (or any combination): 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media): 6205 Meniere's syndrome (endolymphatic hydrops): Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus, Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus, Hearing impairment with vertigo less than once a month, with or without tinnitus, Deformity of one, with loss of one-third or more of the substance, 6208 Malignant neoplasm of the ear (other than skin only). 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. developer resources. It is the responsibility of the rating specialist to interpret reports of examination in the light of the whole recorded history, reconciling the various reports into a consistent picture so that the current rating may accurately reflect the elements of disability present. Anatomical loss of one hand and loss of use of one foot. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. VA Rating for Knee Pain: VA Knee Rating Chart and - VA Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. 7710 Adenitis, tuberculous, active or inactive: Asymptomatic, smoldering, or monoclonal gammopathy of undetermined significance (MGUS), With at least 4 or more painful episodes per 12-month period, occurring in skin, joints, bones, or any major organs, caused by hemolysis and sickling of red blood cells, with anemia, thrombosis, and infarction, with residual symptoms precluding even light manual labor, With 3 painful episodes per 12-month period or with symptoms precluding other than light manual labor, With 1 or 2 painful episodes per 12-month period, Asymptomatic, established case in remission, but with identifiable organ impairment, When there is active disease, during treatment phase, or with indolent and non-contiguous phase of low grade NHL, Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring transfusion of platelets or red cells, on average, at least once every three months per 12-month period; or infections recurring, on average, at least once every three months per 12-month period; or using continuous therapy with immunosuppressive agent or newer platelet stimulating factors, Requiring transfusion of platelets or red cells, on average, at least once per 12-month period; or infections recurring, on average, at least once per 12-month period, 7717 AL amyloidosis (primary amyloidosis). You're not alone. 7319 Colon, irritable syndrome(spastic colitis, mucous colitis, irritable bowel syndrome , Mucous colitis etc.). Manifest differences in ulcers of the stomach or duodenum in comparison with those at an anastomotic stoma are sufficiently recognized as to warrant two separate graduated descriptions. The personality disorder will be rated as a dementia (e.g., diagnostic code 9304 or 9326). Prosthetic replacement of the shoulder joint: For 1 year following implantation of prosthesis, With chronic residuals consisting of severe, painful motion or weakness in the affected extremity. 5051 Shoulder replacement (prosthesis). Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Separate ratings are not to be assigned for disability from disease of the heart and any form of nephritis, on account of the close interrelationships of cardiovascular disabilities. While the main function of the Ear is to control hearing (frequencies, decibals, tones, etc), it also controls the bodys balance. Poor renal function: Rate as renal dysfunction. 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. 7011 Ventricular arrhythmias(sustained). After the excitement of finally having the rating you deserve wears off, you start asking questions. These evaluations are for Raynaud's syndrome as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. 7348 Vagotomy with pyloroplasty or gastroenterostomy: Followed by demonstrably confirmative postoperative complications of stricture or continuing gastric retention, With symptoms and confirmed diagnosis of alkaline gastritis, or of confirmed persisting diarrhea, For an indefinite period from the date of hospital admission for transplant surgery. Added January 12, 1998; note, criterion November 14, 2021. 5052 Elbow replacement (prosthesis). 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. Skin texture abnormal (irregular, atrophic, shiny, scaly, etc.) 5278 Claw foot (pes cavus), acquired. 4.17 Total disability ratings for pension based on unemployability and age of the individual. The rating, however, is based primarily upon the average impairment in earning capacity, that is, upon the economic or industrial handicap which must be overcome and not from individual success in overcoming it. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. Without other injury to the muscle - 10, 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma) - 100. For aphakic individuals not well adapted to contact lens correction or pseudophakic individuals not well adapted to intraocular lens implant, visual field examinations must be conducted using Goldmann's equivalent IV/4e. 6062 Blindness, both eyes, only light perception. 4.9 Congenital or developmental defects. When possible, this should include complete neurological and psychiatric examination, and other special examinations indicated by the physical condition, in addition to the required general and orthopedic or surgical examinations. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. 6325 Hyperinfection syndrome or disseminated strongyloidiasis. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. [41 FR 11292, Mar. here. Prestabilization rating from date of discharge from service. Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. By Lorraine 5003 Degenerative arthritis, other than post-traumatic. 2. Findings sufficiently characteristic to identify the disease and the disability therefrom, and above all, coordination of rating with impairment of function will, however, be expected in all instances. For complex or unfamiliar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. (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. 9918 Neoplasm, hard and soft tissue, malignant. Criterion March 11, 1969; evaluation February 17, 1994. (b) If the diagnosis of a mental disorder is changed, the rating agency shall determine whether the new diagnosis represents progression of the prior diagnosis, correction of an error in the prior diagnosis, or development of a new and separate condition. It is also available for inspection at the National Archives and Records Administration (NARA). 8409 Neuralgia, ninth cranial nerve. You are using an unsupported browser. 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. All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. Recurrent urinary tract infections secondary to obstruction. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. VA Form 21-686c: A Quick 8-Step Guide For Veterans. or existing codification. Combined Disability Rating. in length. This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. Schedule of ratings - other sense organs. 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. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. Added August 30, 2002; criterion August 13, 2018. Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. If the report of examination is inadequate as a basis for the required consideration of service connection and evaluation, the rating agency may request a supplementary report from the examiner giving further details as to the limitations of the disabled person's ordinary activity imposed by the disease, injury, or residual condition, the prognosis for return to, or continuance of, useful work. 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. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veteran's disabilities render him or her unemployable. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction: 7528 Malignant neoplasms of the genitourinary system. Examples are: mild or occasional headaches, mild anxiety. The VA uses 38 CFR 4.71 to rate your musculoskeletal system and 38 CFR 4.73 to rate muscle injuries. Constant inability to communicate by speech, Constant inability to speak above a whisper. Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 7205 Esophagus, diverticulum of, acquired. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control. Ratings of slight, moderate, moderately severe, or severe for diagnostic codes 5301 through 5323 will be determined based upon the criteria contained in 4.56. These ratings were based on Range of Motion for each joint. [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. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. Analogous means the condition that is closest to the ratable condition that best describes the primary symptoms. This 76 will be combined with 20 and the combined value for the three is 81 percent. Evaluate post-surgical residuals under the General Rating Formula. Neuritis, anterior crural (femoral) nerve. Underlying soft tissue missing in an area exceeding six square inches (39 sq. Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are not associated with underlying soft tissue damage. With chronic residuals consisting of severe painful motion or weakness. Rating of disabilities aggravated by active service. 9901 Mandible, loss of, complete, between angles. 8724 Neuralgia, internal popliteal nerve (tibial). Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. Added September 22, 1978; note February 7, 2021. cm.) 7544 Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Gynecological Conditions and Disorders of the Breasts include the organs that can only be found in a female body and are used for sexual and reproductive purposes. Shoulder issues can be extremely debilitating, making it difficult to perform even basic tasks. Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities, Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet. Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. Rating agencies must be thoroughly familiar with this manual to properly implement the directives in 4.125 through 4.129 and to apply the general rating formula for mental disorders in 4.130.