The most trusted name in education-based resources for Veterans. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. Subastragalar or tarsal joint, ankylosis. Appendix A to Part 4 - Table of Amendments and Effective Dates Since 1946, Appendix B to Part 4 - Numerical Index of Disabilities, Appendix C to Part 4 - Alphabetical Index of Disabilities, Unstabilized condition with severe disability -, Substantially gainful employment is not feasible or advisable, Unhealed or incompletely healed wounds or injuries -, Material impairment of employability likely. 5051 Shoulder replacement (prosthesis). Last sentence of Note following July 6, 1950; evaluation January 12, 1998; criterion August 13, 1998; criterion November 14, 2021. 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. General Rating Formula for Diseases of the Heart November 14, 2021. 6845 Chronic pleural effusion or fibrosis. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. A plumb line dropped from the middle of the patella falls inside of the normal point. Prosthetic replacement of the head of the femur or of the acetabulum: Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches, Markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis, Moderately severe residuals of weakness, pain or limitation of motion, Minimum evaluation, total replacement only. 7815 Bullous disorders(including pemphigus vulgaris, pemphigus foliaceous, pemphigus vulgaris, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda, Bullous pemphigoid, Porphyri cutanea tarda). (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. How to Get a 100 Percent VA Rating (if deserved)! The evaluation of right knee instability is increased to 20 percent disabling effective June 26, 2010. Hoarseness, with thickening or nodules of cords, polyps, submucous infiltration, or pre-malignant changes on biopsy, Hoarseness, with inflammation of cords or mucous membrane. Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. 7115 Thrombo-angiitis obliterans (Buergers Disease). Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. 4.130 Schedule of ratings - Mental disorders. 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. (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. 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. Criterion March 11, 1969; removed February 17, 1994. Table III - Normal Visual Field Extent at 8 Principal Meridians. Note (4): These evaluations involve a single extremity. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations. 6842 Kyphoscoliosis, pectus excavatum/carinatum. Criterion May 22, 1995; evaluation May 13, 2018. Remaining field 500 minus 320 = 180. Evaluate functional impairment as seventh (facial) cranial nerve neuropathy (diagnostic code 8207), disfiguring scar (diagnostic code 7800), etc. 5010 Post-traumatic arthritis: Rate as limitation of motion, dislocation, or other specified instability under the affected joint. Psychomotor seizures will be rated as major seizures under the general rating formula when characterized by automatic states and/or generalized convulsions with unconsciousness. When the evidence is inadequate to assign a schedular evaluation, a physical examination will be scheduled and considered prior to the termination of a total rating under this section. 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. Renal involvement in diabetes mellitus type I or II. Criterion July 6, 1950; criterion February 7, 2021. Added September 9, 1975; criterion February 17, 1994; criterion November 14, 2021. 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. Through and through or deep penetrating wound due to high-velocity missile, or large or multiple low velocity missiles, or with shattering bone fracture or open comminuted fracture with extensive debridement, prolonged infection, or sloughing of soft parts, intermuscular binding and scarring. 7827 Erythema multiforme; Toxic epidermal necrolysis: Recurrent mucosal, palmar, or plantar involvement impairing mastication, use of hands, or ambulation occurring four or more times over the past 12-month period despite ongoing immunosuppressive therapy, Recurrent mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring four or more times over the past 12-month period; and requiring intermittent systemic therapy, One to three episodes of mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring over the past 12-month period AND requiring intermittent systemic therapy; or, Without recurrent episodes, but requiring continuous systemic medication for control, Deep acne (deep inflamed nodules and pus-filled cysts) affecting 40 percent or more of the face and neck, Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck, or deep acne other than on the face and neck, Superficial acne (comedones, papules, pustules) of any extent, Deep acne (deep inflamed nodules and pus-filled cysts) affecting the intertriginous areas (the axilla of the arm, the anogenital region, skin folds of the breasts, or between digits), Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck; or deep acne affecting non-intertriginous areas of the body (other than the face and neck), Affecting more than 40 percent of the scalp, Affecting less than 20 percent of the scalp, With loss of hair limited to scalp and face, Unable to handle paper or tools because of moisture, and unresponsive to therapy, Able to handle paper or tools after therapy, Rate as scars (DC's 7801, 7802, 7803, 7804, or 7805), disfigurement of the head, face, or neck (DC 7800), or impairment of function (under the appropriate body system). See nerve involved for diagnostic code number and rating. 8410 Neuralgia, tenth cranial nerve. 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. What is the Digestive System for VA rating purposes? 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. Code O-2 (38 CFR 3.350(e)(2)). For complex or unfamiliar decisions, usually unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision, although has little difficulty with simple decisions. If you file a Fully Developed Claim for your shoulder condition, you can expect to wait about 110 days for the VA to decide on your VA disability rating for shoulder pain (as of August 2022). Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. (a) Subject to the provisions of paragraphs (d), (e), and (f) of this section this increased rating will be effective the first day of continuous hospitalization and will be terminated effective the last day of the month of hospital discharge (regular discharge or release to non-bed care) or effective the last day of the month of termination of treatment or observation for the service-connected disability. Evaluate intervertebral disc syndrome (preoperatively or postoperatively) either under the General Rating Formula for Diseases and Injuries of the Spine or under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes, whichever method results in the higher evaluation when all disabilities are combined under. 8711 Neuralgia, middle radicular group. Diseases of the genitourinary system generally result in disabilities related to renal or voiding dysfunctions, infections, or a combination of these. 7011 Ventricular arrhythmias(sustained). (2) In the case of an ankylosed shoulder, if muscle groups I and II are severely disabled, the evaluation of the shoulder joint under diagnostic code 5200 will be elevated to the level for unfavorable ankylosis, if not already assigned, but the muscle groups themselves will not be rated. Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. 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. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders. 9433 Persistent depressive disorder (dysthymia). For example, if you have shoulder pain as a result of surgery for your service-connected back pain, you may be eligible for secondary service connection. 6317 Rickettsial, ehrlichia, and anaplasma infections: 6320 Parasitic diseases otherwise not specified: 6325 Hyperinfection syndrome or disseminated strongyloidiasis: 6329 Hemorrhagic fevers, including dengue, yellow fever, and others: 6331 Coxiella burnetii infection (Q fever): 6350 Lupus erythematosus, systemic (disseminated): Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health, Exacerbations lasting a week or more, 2 or 3 times per year, Exacerbations once or twice a year or symptomatic during the past 2 years, AIDS with recurrent opportunistic infections (see Note 3) or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss, Refractory constitutional symptoms, diarrhea, and pathological weight loss; or minimum rating following development of AIDS-related opportunistic infection or neoplasm, Recurrent constitutional symptoms, intermittent diarrhea, and use of approved medication(s); or minimum rating with T4 cell count less than 200, Following development of HIV-related constitutional symptoms; T4 cell count between 200 and 500; use of approved medication(s); or with evidence of depression or memory loss with employment limitations, Asymptomatic, following initial diagnosis of HIV infection, with or without lymphadenopathy or decreased T4 cell count. The examiner must use a Goldmann perimeter chart or the Tangent Screen method that identifies the four major quadrants (upward, downward, left, and right lateral) and the central field (20 degrees or less) (see Figure 2). It includes your airways, lungs, and blood vessels. (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section.