Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! The use of the protective provisions of Pub. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. (a) Examination of muscle function. Evaluation March 10, 1976; criterion October 23, 1995; title December 9, 2018; criterion December 9, 2018. Motor activity normal most of the time, but mildly slowed at times due to apraxia (inability to perform previously learned motor activities, despite normal motor function). About VA Disability Ratings | Veterans Affairs Neuritis, external popliteal (common peroneal) nerve. 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. Extremely unfavorable, in flexion at an angle of 45 or more, Favorable angle in full extension, or in slight flexion between 0 and 10, Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (, (a) Sprain, incomplete ligament tear, or repaired complete ligament tear causing persistent instability, and a medical provider prescribes a brace and/or assistive device (, (b) Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes either an assistive device (, Sprain, incomplete ligament tear, or complete ligament tear (repaired, unrepaired, or failed repair) causing persistent instability, without a prescription from a medical provider for an assistive device (, A diagnosed condition involving the patellofemoral complex with recurrent instability after surgical repair that requires a prescription by a medical provider for a brace and either a cane or a walker, A diagnosed condition involving the patellofemoral complex with recurrent instability after surgical repair that requires a prescription by a medical provider for one of the following: A brace, cane, or walker, A diagnosed condition involving the patellofemoral complex with recurrent instability (with or without history of surgical repair) that does not require a prescription from a medical provider for a brace, cane, or walker, 5258 Cartilage, semilunar, dislocated, with frequent episodes of locking, pain, and effusion into the joint, 5259 Cartilage, semilunar, removal of, symptomatic, Nonunion of, with loose motion, requiring brace. When the best interests of the service will be advanced by personal conference with the examiner, such conference may be arranged through channels. (ii) History and complaint. 6205 Menieres syndrome (endolymphatic hydrops). Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person. Blindness in 1 eye, only light perception: Lymphatic filariasis, to include elephantiasis. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. A permanent and total disability rating under the provisions of 4.15, 4.16 and 4.17 will not be precluded by reason of the coexistence of misconduct disability when: (a) A veteran, regardless of employment status, also has innocently acquired 100 percent disability, or. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Table of Amendments and Effective Dates Since 1946, PART 4 - SCHEDULE FOR RATING DISABILITIES. 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. However, when the lens required to correct distance vision in the poorer eye differs by more than three diopters from the lens required to correct distance vision in the better eye (and the difference is not due to congenital or developmental refractive error), and either the poorer eye or both eyes are service connected, evaluate the visual acuity of the poorer eye using either its uncorrected or corrected visual acuity, whichever results in better combined visual acuity. 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. (f) Pain on movement, swelling, deformity or atrophy of disuse. ): Severe; diarrhea, or alternating diarrhea and constipation, with more or less constant abdominal distress, Moderate; frequent episodes of bowel disturbance with abdominal distress, Mild; disturbances of bowel function with occasional episodes of abdominal distress, Mild gastrointestinal disturbances, lower abdominal cramps, nausea, gaseous distention, chronic constipation interrupted by diarrhea, Pronounced; resulting in marked malnutrition, anemia, and general debility, or with serious complication as liver abscess, Severe; with numerous attacks a year and malnutrition, the health only fair during remissions, Moderately severe; with frequent exacerbations. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. 3 Also entitled to special monthly compensation. I also have 20% disability for instability of the knee (medical discharge) due to anterolateral rotary instability (in effect for 23 yrs). 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. 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. This procedure will facilitate a close check of new and unlisted conditions, rated by analogy. 11, 1969. Get up to $3,345 per month. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. Evaluation July 6, 1950; evaluation September 22, 1978, evaluation January 12, 1998; criterion November 14, 2021. 5016 Osteitis deformans (Pagets disease). Criterion July 6, 1950; criterion September 22, 1978; criterion and evaluation October 23, 2008. 5051 Shoulder replacement (prosthesis). 6820 Neoplasms, benign, any specified part of respiratory system. (b) Examination for visual impairment. 8312 Neuritis, twelfth cranial nerve. VA disability Objective evidence on testing of moderate impairment of memory, attention, concentration, or executive functions resulting in moderate functional impairment. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. If there are more than two disabilities, the disabilities will also be arranged in the exact order of their severity and the combined value for the first two will be found as previously described for two disabilities. Its main function is to move nutrients and oxygenated blood to all parts of the human body and to carry deoxygenated blood back to the lungs. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic states, generalized convulsions, random motor movements (chewing, lip smacking, fumbling), hallucinatory phenomena (involving taste, smell, sound, vision), perceptual illusions (deja vu, feelings of loneliness, strangeness, macropsia, micropsia, dreamy states), alterations in thinking (not open to reason), alterations in memory, abnormalities of mood or affect (fear, alarm, terror, anger, dread, well-being), and autonomic disturbances (sweating, pallor, flushing of the face, visceral phenomena such as nausea, vomiting, defecation, a rising feeling of warmth in the abdomen). Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. Added March 1, 1989; removed March 24, 1992. You can expect the C&P examiner to ask questions about your shoulder pain, how it started, what makes it worse, and what treatments youve tried. 18, 1976, as amended at 54 FR 27161, June 28, 1989; 54 FR 36029, Aug. 31, 1989; 83 FR 17756, Apr. Criterion August 30, 2002; title, criterion August 13, 2018. 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. 5239 Spondylolisthesis or segmental instability. Evaluation October 23, 1995; note December 9, 2018; criterion October 23, 1995. 5317 Group XVII Function: Extension of hip. Principles of combined ratings for muscle injuries. 7718 Essential thrombocythemia and primary myelofibrosis: Requiring either continuous myelosuppressive therapy, or, for six months following hospital admission for any of the following treatments: peripheral blood or bone marrow stem cell transplant, or chemotherapy, or interferon treatment, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count <500 10, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count of 200,000-400,000, or white blood cell (WBC) count of 4,000-10,000. Moderately impaired. WebSocial Security Disability or SSI For Bursitis If your bursitis is severe enough, you may meet the requirements of Social Security's disability listing for joint dysfunction. 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 August 30, 2002; title, criterion, note August 13, 2018. 8511 Middle radicular group, paralysis. Replaces 5285-5295 September 26, 2003; Title February 7, 2021. Search & Navigation Therefore, rating boards should submit to the Director, Compensation Service, for extra-schedular consideration all cases of veterans who are unemployable by reason of service-connected disabilities, but who fail to meet the percentage standards set forth in paragraph (a) of this section. Heres the brutal truth about VA disability claims: You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, 9 Secrets Strategies for Winning Your VA Disability Claim, You have a medical diagnosis for your shoulder, and youre experiencing current symptoms, You experienced an event, injury, or illness while you were serving that caused or aggravated your shoulder pain (either directly or indirectly). 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. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! 5210 Radius and ulna, nonunion of, with flail false joint. Each measurement is rounded to the nearest five degrees. 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. 2. 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. 4.96 Special provisions regarding evaluation of respiratory conditions. 1/1.1 7005 Arteriosclerotic heart disease(coronary artery disease, Atherosclerotic heart disease, Ischemic heart disease). Added May 22, 1995; title, criterion May 13, 2018. Note (2): An Addisonian episode, for VA purposes, is a less acute and less severe event than an Addisonian crisis and may consist of anorexia, nausea, vomiting, diarrhea, dehydration, weakness, malaise, orthostatic hypotension, or hypoglycemia, but no peripheral vascular collapse. VA disabilities for Dental and Oral Conditions are those that affect the Mouth and Teeth to include the jaws, the jaw joint, the palates, and the teeth. Toes, three or more, without metatarsal involvement. (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. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. Criterion March 10, 1976; removed October 7, 1996. 6333 Nontyphoid salmonella infections. 8513 All radicular groups, paralysis. Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. 1 CFR 1.1 Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. Copyright 2023 VA Claims Insider, LLC. Liver disease, chronic, without cirrhosis. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. Baseline weight means the average weight for the two-year-period preceding onset of the disease. Nonunion in lower half, with false movement: 5213 Supination and pronation, impairment of: The hand fixed in supination or hyperpronation, The hand fixed near the middle of the arc or moderate pronation, Motion lost beyond last quarter of arc, the hand does not approach full pronation, Unfavorable, in any degree of palmar flexion, or with ulnar or radial deviation, Palmar flexion limited in line with forearm, (1) For the index, long, ring, and little fingers (digits II, III, IV, and V), zero degrees of flexion represents the fingers fully extended, making a straight line with the rest of the hand. The disability rating scale ranks conditions by severity, with ratings ranging from 10 percent to 100 percent disability. result, it may not include the most recent changes applied to the CFR. 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). Mandible loss of, including ramus, unilaterally or bilaterally. 6826 Desquamative interstitial pneumonitis. 9416 Dissociative amnesia; dissociative identity disorder. Australia. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. 7615 Ovary, disease, injury, or adhesions of. L. 90-493 apply, the former evaluations are retained in this section. Organic Diseases of the Central Nervous System. Complete; all shoulder and elbow movements lost or severely affected, hand and wrist movements not affected, Complete; adduction, abduction and rotation of arm, flexion of elbow, and extension of wrist lost or severely affected, Complete; all intrinsic muscles of hand, and some or all of flexors of wrist and fingers, paralyzed (substantial loss of use of hand), Complete; drop of hand and fingers, wrist and fingers perpetually flexed, the thumb adducted falling within the line of the outer border of the index finger; can not extend hand at wrist, extend proximal phalanges of fingers, extend thumb, or make lateral movement of wrist; supination of hand, extension and flexion of elbow weakened, the loss of synergic motion of extensors impairs the hand grip seriously; total paralysis of the triceps occurs only as the greatest rarity, Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances, Complete; the griffin claw deformity, due to flexor contraction of ring and little fingers, atrophy very marked in dorsal interspace and thenar and hypothenar eminences; loss of extension of ring and little fingers cannot spread the fingers (or reverse), cannot adduct the thumb; flexion of wrist weakened, Complete; weakness but not loss of flexion of elbow and supination of forearm, Complete; abduction of arm is impossible, outward rotation is weakened; muscles supplied are deltoid and teres minor, Complete; inability to raise arm above shoulder level, winged scapula deformity, Complete; the foot dangles and drops, no active movement possible of muscles below the knee, flexion of knee weakened or (very rarely) lost, Complete; foot drop and slight droop of first phalanges of all toes, cannot dorsiflex the foot, extension (dorsal flexion) of proximal phalanges of toes lost; abduction of foot lost, adduction weakened; anesthesia covers entire dorsum of foot and toes, Complete; plantar flexion lost, frank adduction of foot impossible, flexion and separation of toes abolished; no muscle in sole can move; in lesions of the nerve high in popliteal fossa, plantar flexion of foot is lost, Complete; paralysis of all muscles of sole of foot, frequently with painful paralysis of a causalgic nature; toes cannot be flexed; adduction is weakened; plantar flexion is impaired, Complete; paralysis of quadriceps extensor muscles, 8540 Soft-tissue sarcoma (of neurogenic origin). In those prestabilization ratings in which following examination reduction in evaluation is found to be warranted, the higher evaluation will be continued to the end of the 12th month following discharge or to the end of the period provided under 3.105(e) of this chapter, whichever is later. 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. When a claimant has both diplopia and decreased visual acuity or visual field defect, assign a level of corrected visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected) that is: one step poorer than it would otherwise warrant if the evaluation for diplopia under diagnostic code 6090 is 20/70 or 20/100; two steps poorer if the evaluation under diagnostic code 6090 is 20/200 or 15/200; or three steps poorer if the evaluation under diagnostic code 6090 is 5/200. As active, progressive disease, including areas of osteoporosis, hypertension, and proximal upper and lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms, Proximal upper or lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms, With striae, obesity, moon face, glucose intolerance, and vascular fragility. Thousands of other Veterans in our Community are here for you. This article discusses four things you need to know about shoulder pain and VA disability. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease. 11, 1969; 40 FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. The term incomplete paralysis, with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. Aortic aneurysm: ascending, thoracic, abdominal. - Need for aid attendance or permanently bedridden qualifies for subpar. Permitting passage of liquids only, with marked impairment of general health. 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. 4.22 Rating of disabilities aggravated by active service. For VA rating purposes, a muscle injury (strain) is an injury to a muscle or a tendon, which is the fibrous tissue that connects muscles to bones. 8712 Neuralgia, lower radicular group. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, Without heart failure but with enlarged heart, wide pulse pressure, and tachycardia. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. Schedule of ratings - cardiovascular system. 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. The severity of symptoms determines the range of ratings assigned by this code. The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. Criterion March 10, 1976; criterion September 22, 1978. 9918 Neoplasm, hard and soft tissue, malignant. 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. 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. The purpose of this survey is to secure all the relevant facts and data necessary to permit of a true judgment as to the reason for his or her unemployment and should include information as to: (b) Occupations prior and subsequent to service; (c) Places of employment and reasons for termination; (4) Upon completion of this survey and current examination, the case should have rating board consideration. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. Or rate on impairment of function of contiguous joint. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). Toes, other than great, with removal of metatarsal head. cm.). (a) Rating coexisting respiratory conditions. Blindness, both eyes, only light perception. Its based on the level of mobility limitation caused by bursitis. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626, 7632 Female sexual arousal disorder (FSAD), Requiring bone marrow transplant; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring intermittent myeloid growth factors (granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) or continuous immunosuppressive therapy such as cyclosporine to maintain absolute neutrophil count (ANC) greater than 500/microliter (l) but less than 1000/l; or infections recurring, on average, at least once every three months per 12-month period, Requiring intermittent myeloid growth factors to maintain ANC greater than 1000/l; or infections recurring, on average, at least once per 12-month period but less than once every three months per 12-month period, Requiring continuous medication (e.g., antibiotics) for control; or requiring intermittent use of a myeloid growth factor to maintain ANC greater than or equal to 1500/l.