180 8 = 2212 average concentric contraction. Rate as renal dysfunction or urinary tract infection, whichever is predominant. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 4.124 Neuralgia, cranial or peripheral. 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. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. Added September 9, 1975; criterion February 17, 1994; criterion November 14, 2021. (g) Meritorious claims of veterans who are discharged from the hospital with less than the required number of days but need post-hospital care and a prolonged period of convalescence will be referred to the Director, Compensation Service, under 3.321(b)(1) of this chapter. (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. 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. Age may not be considered as a factor in evaluating service-connected disability; and unemployability, in service-connected claims, associated with advancing age or intercurrent disability, may not be used as a basis for a total disability rating. 7345 Chronic liver disease without cirrhosis (including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C): Near-constant debilitating symptoms (such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain), Daily fatigue, malaise, and anorexia, with substantial weight loss (or other indication of malnutrition), and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least six weeks during the past 12-month period, but not occurring constantly, Daily fatigue, malaise, and anorexia, with minor weight loss and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least four weeks, but less than six weeks, during the past 12-month period, Daily fatigue, malaise, and anorexia (without weight loss or hepatomegaly), requiring dietary restriction or continuous medication, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least two weeks, but less than four weeks, during the past 12-month period, Intermittent fatigue, malaise, and anorexia, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least one week, but less than two weeks, during the past 12-month period, Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health, Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health, With two or more of the symptoms for the 30 percent evaluation of less severity, With frequently recurrent disabling attacks of abdominal pain with few pain free intermissions and with steatorrhea, malabsorption, diarrhea and severe malnutrition, With frequent attacks of abdominal pain, loss of normal body weight and other findings showing continuing pancreatic insufficiency between acute attacks, Moderately severe; with at least 4-7 typical attacks of abdominal pain per year with good remission between attacks, With at least one recurring attack of typical severe abdominal pain in the past year. This imposes upon the medical examiner the responsibility of furnishing, in addition to the etiological, anatomical, pathological, laboratory and prognostic data required for ordinary medical classification, full description of the effects of disability upon the person's ordinary activity. [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978]. (Authority: 38 U.S.C. Features of the disability which must have persisted unchanged may be overlooked or a change for the better or worse may not be accurately appreciated or described. Added October 1, 1961; evaluation September 9, 1975. 8540 Soft-tissue sarcoma (Neurogenic origin). 29 FR 6718, May 22, 1964, unless otherwise noted. 7205 Esophagus, diverticulum of, acquired. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. ), (3) Immobilization by cast, without surgery, of one major joint or more. You could also be eligible for a VA disability rating for arthritis in your shoulder if your range of motion limitation doesnt qualify you for a compensable rating. General Rating Formula for Restrictive Lung Disease (diagnostic codes 6840 through 6845): Cor pulmonale, or; cardiac involvement with congestive heart failure, or; progressive pulmonary disease with fever, night sweats, and weight loss despite treatment, Pulmonary involvement requiring systemic high dose (therapeutic) corticosteroids for control, Pulmonary involvement with persistent symptoms requiring chronic low dose (maintenance) or intermittent corticosteroids, Chronic hilar adenopathy or stable lung infiltrates without symptoms or physiologic impairment, Or rate active disease or residuals as chronic bronchitis (DC 6600) and extra-pulmonary involvement under specific body system involved. Note: When surgery is required, a 100-percent evaluation begins on the date a physician recommends surgical correction with a mandatory VA examination six months following hospital discharge. Thousands of other Veterans in our Community are here for you. 7018 Implantable cardiac pacemakers. General considerations for evaluating visual impairment. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. 8521 External popliteal nerve (common peroneal), paralysis. (E) Adaptive contraction of an opposing group of muscles. Note (2): Trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities). 7307 Gastritis, hypertrophic (identified by gastroscope): Chronic; with severe hemorrhages, or large ulcerated or eroded areas, Chronic; with multiple small eroded or ulcerated areas, and symptoms, Chronic; with small nodular lesions, and symptoms. Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder but without incapacitating episodes. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. 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. 6036 Status post corneal transplant. Added August 30, 2002; title, criterion August 13, 2018. 7345 Liver disease, chronic, without cirrhosis(including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C). 9901 Mandible, loss of, complete, between angles. 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. However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent. 9410 Other specified anxiety disorder. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. 6826 Desquamative interstitial pneumonitis. 8312 Neuritis, twelfth cranial nerve. 5318 Group XVIII Function: Outward rotation of thigh. Only joints in these positions are considered to be in favorable position. (a) When the puretone threshold at each of the four specified frequencies (1000, 2000, 3000, and 4000 Hertz) is 55 decibels or more, the rating specialist will determine the Roman numeral designation for hearing impairment from either Table VI or Table VIa, whichever results in the higher numeral. For example, unable to determine appropriate clothing for current weather conditions or judge when to avoid dangerous situations or activities. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. 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. Added March 1, 1989; removed March 24, 1992. Some shoulder injuries may require surgery. 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Rate under the general rating formula for major seizures. If you have another service-connected disability that led to your shoulder condition, you may qualify for disability compensation via secondary service connection. Criterion September 9, 1975; removed October 7, 1996. Department of Veterans Affairs: medical research in relation to the Statement of Principles concerning Chronic Achilles Tendonitis or Achilles Bursitis, which cites the following as references: Plattner P and Mann R (1993) Disorders of Tendons. Criterion September 8, 1994; title, criterion, note November 14, 2021. In 2022, flat feet VA disability ratings range from 0 percent to 50 percent, with interim breaks at 10 percent, 20 percent, and 30 percent. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. Recurrent symptomatic infection requiring drainage by stent or nephrostomy tube; or requiring greater than 2 hospitalizations per year; or requiring continuous intensive management, Recurrent symptomatic infection requiring 1-2 hospitalizations per year or suppressive drug therapy lasting six months or longer, Recurrent symptomatic infection not requiring hospitalization, but requiring suppressive drug therapy for less than 6 months. What are Mental Disorders for VA rating purposes? The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). For a minimum of one year from the date of hospital admission for cardiac transplantation, Note: One year following discharge from inpatient hospitalization, determine the appropriate disability rating by mandatory VA examination. The ankle pressure (AP) is the systolic blood pressure measured at the ankle. (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. A reduction in the total rating will not be subject to 3.105(e) of this chapter. 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). This contact form is only for website help or website suggestions. Benign (First-Degree and Second-Degree, Type I): Non-Benign (Second-Degree, Type II and Third-Degree): Evaluate under DC 7018 (implantable cardiac pacemakers). Recurrent urinary tract infections secondary to obstruction. 5053 Wrist replacement (prosthesis). [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. 8626 Neuritis, anterior crural (femoral) nerve. 5311 Group XI Function: Propulsion, plantar flexion of foot. 5207 Forearm, limitation of extension. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. Social interaction is frequently inappropriate. 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. Service department record of superficial wound with brief treatment and return to duty. Many Different Conditions Could Be Causing Your Shoulder Pain, 2. This rating schedule is primarily a guide in the evaluation of disability resulting from all types of diseases and injuries encountered as a result of or incident to military service. Motor activity mildly decreased or with moderate slowing due to apraxia. Top 5 VA Secondary Conditions to Knee Pain 6830 Radiation-induced, pneumonitis & fibrosis. 8722 Neuralgia, musculocutaneous nerve (superficial peroneal). 7520 Penis, removal of half or more. Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. 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. The VA disability rating for hip bursitis falls under 38 CFR 4.71a, 5019. 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. Evaluation October 23, 1995; title December 9, 2018; evaluation December 9, 2018; criterion December 9, 2018. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. Stipulations are made for things like whether a dominant or non-dominant arm is affected or whether you have dependents who rely on you. 6515 Laryngitis, tuberculous, active or inactive. The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. See nerve involved for diagnostic code number and rating. Rating Knee Pain Gets lost even in familiar surroundings, unable to use assistive devices such as GPS (global positioning system). For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5250-5254 for the hip, whichever results in the highest evaluation. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. What are muscle injuries for VA rating purposes? 6832 Pneumoconiosis (silicosis, anthracosis, etc.). Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). [41 FR 11293, Mar. What are Dental and Oral Conditions for VA rating purposes? 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. (7) If the FEV-1 and the FVC are both greater than 100 percent, do not assign a compensable evaluation based on a decreased FEV-1/FVC ratio. 9412 Panic disorder and/or agoraphobia. 4.75 General considerations for evaluating visual impairment. If rated under the cardiovascular schedule, however, the percentage rating which would otherwise be assigned will be elevated to the next higher evaluation. 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). Added September 9, 1975; criterion October 23, 1995; criterion December 9, 2018. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. 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).

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