Internal popliteal nerve (tibial), paralysis. Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. Combined Disability Rating. The importance of complete medical examination of injury cases at the time of first medical examination by the Department of Veterans Affairs cannot be overemphasized. CausesAnterior Hip Pain. Anterior hip pain affects the inside of your hip and groin area. Lateral Hip Pain. Lateral hip pain refers to pain on the side of the hip. Posterior Hip Pain. Posterior hip pain affects the outside of the hip or buttock area, usually due to a problem with the muscles, tendons, or ligaments that surround the hip 4.124 Neuralgia, cranial or peripheral. As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. (c) The assignment of a total disability rating on the basis of hospital treatment or observation will not preclude the assignment of a total disability rating otherwise in order under other provisions of the rating schedule, and consideration will be given to the propriety of such a rating in all instances and to the propriety of its continuance after discharge. 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. 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia): Requiring peripheral blood or bone marrow stem cell transplant, or continuous myelosuppressive or immunosuppressive therapy treatment, Requiring intermittent myelosuppressive therapy, or molecularly targeted therapy with tyrosine kinase inhibitors, or interferon treatment when not in apparent remission, In apparent remission on continuous molecularly targeted therapy with tyrosine kinase inhibitors, Requiring intravenous iron infusions 4 or more times per 12-month period, Requiring intravenous iron infusions at least 1 time but less than 4 times per 12-month period, or requiring continuous treatment with oral supplementation, Asymptomatic or requiring treatment only by dietary modification, Requiring continuous treatment with high-dose oral supplementation, For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B, Requiring continuous treatment with Vitamin B, Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab), Requiring immunosuppressive medication 4 or more times per 12-month period, Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period, Requiring one course of immunosuppressive therapy per 12-month period, Solitary plasmacytoma, when there is active disease or during a treatment phase, Requiring peripheral blood or bone marrow stem cell transplant; or requiring chemotherapy, Requiring 4 or more blood or platelet transfusions per 12-month period; or infections requiring hospitalization 3 or more times per 12-month period, Requiring at least 1 but no more than 3 blood or platelet transfusions per 12-month period; infections requiring hospitalization at least 1 but no more than 2 times per 12-month period; or requiring biologic therapy on an ongoing basis or erythropoiesis stimulating agent (ESA) for 12 weeks or less per 12-month period. (c) Service-connected visual impairment of only one eye. General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833): Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy, FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation, FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted, FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted. Separately evaluate other disabilities diagnosed as the residual effects of cold injury, such as Raynaud's syndrome (which is otherwise known as secondary Raynaud's phenomenon), muscle atrophy, etc., unless they are used to support an evaluation under diagnostic code 7122. 7532 Renal tubular disorders (such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconi's syndrome, Bartter's syndrome, related disorders of Henle's loop and proximal or distal nephron function, etc. (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. The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. cm.) When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Neurological Conditions and Convulsive Disorders. 7614 Fallopian tube, disease or injury(including pelvic inflammatory disease (PID)). Note (1): An Addisonian crisis consists of the rapid onset of peripheral vascular collapse (with acute hypotension and shock), with findings that may include: anorexia; nausea; vomiting; dehydration; profound weakness; pain in abdomen, legs, and back; fever; apathy, and depressed mentation with possible progression to coma, renal shutdown, and death. 6604 Chronic obstructive pulmonary disease: 6701 Tuberculosis, pulmonary, chronic, far advanced, active, 6702 Tuberculosis, pulmonary, chronic, moderately advanced, active, 6703 Tuberculosis, pulmonary, chronic, minimal, active, 6704 Tuberculosis, pulmonary, chronic, active, advancement unspecified, 6721 Tuberculosis, pulmonary, chronic, far advanced, inactive, 6722 Tuberculosis, pulmonary, chronic, moderately advanced, inactive, 6723 Tuberculosis, pulmonary, chronic, minimal, inactive, 6724 Tuberculosis, pulmonary, chronic, inactive, advancement unspecified, General Rating Formula for Inactive Pulmonary Tuberculosis: For two years after date of inactivity, following active tuberculosis, which was clinically identified during service or subsequently, Thereafter for four years, or in any event, to six years after date of inactivity, Thereafter, for five years, or to eleven years after date of inactivity, Following far advanced lesions diagnosed at any time while the disease process was active, minimum, Following moderately advanced lesions, provided there is continued disability, emphysema, dyspnea on exertion, impairment of health, etc, 6730 Tuberculosis, pulmonary, chronic, active. A little used part of the musculoskeletal system may be expected to show evidence of disuse, either through atrophy, the condition of the skin, absence of normal callosity or the like. Minimum, if there is pain, photophobia, and glare sensitivity. An Equivalent VA disability is a general term for conditions that have multiple names. 8727 Neuralgia, internal saphenous nerve. 6209 Benign neoplasms of the ear (other than skin only): Swelling, dry and scaly or serous discharge, and itching requiring frequent and prolonged treatment. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. (Effective as to outpatient surgery March 1, 1989. 7115 Thrombo-angiitis obliterans (Buergers Disease). 7306 Ulcer, marginal(gastrojejunal ulcer). 4.129 Mental disorders due to traumatic stress. 6064 No more than light perception in one eye: 6066 Visual acuity in one eye 10/200 (3/60) or better: Or evaluate each affected eye as 20/70 (6/21), Or evaluate each affected eye as 20/50 (6/15), Or evaluate each affected eye as 5/200 (1.5/60), Or evaluate each affected eye as 20/200 (6/60). 5307 Group VII Function: Flexion of wrist and fingers. 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. Muscles swell and harden abnormally in contraction. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. Psychomotor seizures will be rated as major seizures under the general rating formula when characterized by automatic states and/or generalized convulsions with unconsciousness. The table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified contains 10 important facets of TBI related to cognitive impairment and subjective symptoms. 6847 Sleep Apnea Syndromes (Obstructive, Central, Mixed): Chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy, Requires use of breathing assistance device such as continuous airway pressure (CPAP) machine, Asymptomatic but with documented sleep disorder breathing. Added June 9, 1952; evaluation January 12, 1998; title, note November 14, 2021. Attacks without laryngeal involvement lasting one to seven days or longer and occurring more than eight times a year, or; attacks with laryngeal involvement of any duration occurring more than twice a year, Attacks without laryngeal involvement lasting one to seven days and occurring five to eight times a year, or; attacks with laryngeal involvement of any duration occurring once or twice a year, Attacks without laryngeal involvement lasting one to seven days and occurring two to four times a year, Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities, Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities, Characteristic attacks that occur daily or more often but that respond to treatment, Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment. 6006 Retinopathy or maculopathy not otherwise specified. Confirmed by ECG, with five or more treatment interventions per year, Confirmed by ECG, with one to four treatment interventions per year; or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control. 4.100 Application of the general rating formula for diseases of the heart. 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. Benign neoplasms of the breast and other injuries of the breast. 8513 All radicular groups, paralysis. Evaluation March 10, 1976; criterion October 23, 1995; title December 9, 2018; criterion December 9, 2018. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. You may be able to get VA disability benefits for conditions such as:Chronic (long-lasting) back pain resulting in a current diagnosed back disabilityBreathing problems resulting from a current lung condition or lung diseaseSevere hearing lossScar tissueLoss of range of motion (problems moving your body)UlcersCancers caused by contact with toxic chemicals or other dangers Anterior tibial nerve (deep peroneal), paralysis. 2023 VA Disability Conditions List by Body System (The Ultimate Flexion elicits such manifestations. 7615 Ovary, disease, injury, or adhesions of. 6832 Pneumoconiosis (silicosis, anthracosis, etc.). Able to communicate basic needs. (ii) History and complaint. 7203 Esophagus, stricture(Achalasia). 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. 6827 Pulmonary alveolar proteinosis. [73 FR 66550, Nov. 10, 2008, as amended at 83 FR 15321, Apr. A complication of a number of diseases, including pernicious anemia. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s). About VA Disability Ratings | Veterans Affairs Other specified somatic symptom and related disorder. 5120 Complete amputation, upper extremity: Forequarter amputation (involving complete removal of the humerus along with any portion of the scapula, clavicle, and/or ribs), Disarticulation (involving complete removal of the humerus only), 5126 Five digits of one hand, amputation of. All Rights Reserved. With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to 5270 or 5271. How the VA Will Assign you a Shoulder Pain VA Rating. Stipulations are made for things like whether a dominant or non-dominant arm is affected or whether you have dependents who rely on you. 1. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. [59 FR 2527, Jan. 18, 1994; 59 FR 10676, Mar. 5283 Tarsal, or metatarsal bones, malunion of, or nonunion of: 5296 Skull, loss of part of, both inner and outer tables: Area larger than size of a 50-cent piece or 1.140 in, Area smaller than the size of a 25-cent piece or 0.716 in, One or resection of two or more ribs without regeneration, Partial or complete, with painful residuals, 5324 Diaphragm, rupture of, with herniation. (d) Under diagnostic codes 5301 through 5323, disabilities resulting from muscle injuries shall be classified as slight, moderate, moderately severe or severe as follows: (i) Type of injury. 8912 Jacksonian and focal motor or sensory. The preceding list of types of physical dysfunction does not encompass all possible residuals of TBI. Evaluate physical (including neurological) dysfunction based on the following list, under an appropriate diagnostic code: Motor and sensory dysfunction, including pain, of the extremities and face; visual impairment; hearing loss and tinnitus; loss of sense of smell and taste; seizures; gait, coordination, and balance problems; speech and other communication difficulties, including aphasia and related disorders, and dysarthria; neurogenic bladder; neurogenic bowel; cranial nerve dysfunctions; autonomic nerve dysfunctions; and endocrine dysfunctions. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). VA Disability Ratings for Back Pain Explained (The Definitive Guide) Shoulders are incredibly complex, composed of bones, muscles, tendons, and ligaments. Thereafter: Rate residuals under the specific body system or systems affected. Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. 9424 Conversion disorder (functional neurological symptom disorder). 7123 Soft tissue sarcoma(of vascular origin). (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). 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. By Lorraine 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. Thereafter, rate residuals of disease or medical treatment under the most appropriate diagnostic code(s) under the appropriate body system (, Note (3): If eye involvement, such as exophthalmos, corneal ulcer, blurred vision, or diplopia, is also present due to thyroid disease, also separately evaluate under the appropriate diagnostic code(s) in, For six months from date of discharge following surgery. Prestabilization rating from date of discharge from service. Renal involvement in diabetes mellitus type I or II. However, many different conditions could be causing your shoulder pain, including: These conditions can make it difficult to perform everyday tasks such as reaching for items, combing your hair, or even putting on a shirt. In the absence of a diagnosis of non-psychotic organic psychiatric disturbance (psychotic, psychoneurotic or personality disorder) if diagnosed and shown to be secondary to or directly associated with epilepsy will be rated separately. An evaluation of 20 percent is assigned for recurrent subluxation Added June 9, 1952; evaluation January 12, 1998; title, criterion, note November 14, 2021. Severe; objective evidence of marked deformity (pronation, abduction, etc. This content is from the eCFR and is authoritative but unofficial. However, prestabilization ratings may be changed to a regular schedular total rating or one authorizing a greater benefit at any time. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. Note (1): After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. 2 Also entitled to special monthly compensation. The percentage ratings represent as far as can practicably be determined the average impairment in earning capacity resulting from such diseases and injuries and their residual conditions in civil occupations. Consequently, certain coexisting diseases in this area, as indicated in the instruction under the title Diseases of the Digestive System, do not lend themselves to distinct and separate disability evaluations without violating the fundamental principle relating to pyramiding as outlined in 4.14. 8411 Neuralgia, eleventh cranial nerve. All these parts work together to support your body weight, maintain your posture, and help you move. For complex or unfamiliar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. In this post, we reveal and explain the complete VA disability conditions list by body system and diagnostic code. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. Papulosquamous disorders not listed elsewhere. (B) Adhesion of scar to one of the long bones, scapula, pelvic bones, sacrum or vertebrae, with epithelial sealing over the bone rather than true skin covering in an area where bone is normally protected by muscle. 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. In making such determinations, the following guidelines will be used: (a) Marginal employment, for example, as a self-employed farmer or other person, while employed in his or her own business, or at odd jobs or while employed at less than half the usual remuneration will not be considered incompatible with a determination of unemployability, if the restriction, as to securing or retaining better employment, is due to disability. Please do not provide confidential 9918 Neoplasm, hard and soft tissue, malignant. 8612 Neuritis, lower radicular group. guide. 9, 2018; 83 FR 15323, Apr. 7613 Uterus, disease, injury, or adhesions of. A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease. 7632 Female sexual arousal disorder (FSAD). In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture). Rate chronic residuals to include scars, lymphedema, disfigurement, and/or other impairment of function under the appropriate diagnostic code(s) within the appropriate body system, Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms, Pelvic pain or heavy or irregular bleeding not controlled by treatment, Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control, 7631 Benign neoplasms of the breast and other injuries of the breast. Application of the general rating formula for diseases of the heart. Anatomical loss of one hand and loss of use of one foot. 8711 Neuralgia, middle radicular group. If, however, absence of a kidney is the sole renal disability, even if removal was required because of nephritis, the absent kidney and any hypertension or heart disease will be separately rated. In rating disability from the conditions in the preceding sentence refer to the appropriate schedule. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. Note: Manifesting as hyperthyroidism, evaluate as hyperthyroidism, including, but not limited to, Graves' disease (DC 7900); manifesting as hypothyroidism, evaluate as hypothyroidism (DC 7903). The ankle pressure (AP) is the systolic blood pressure measured at the ankle. 6205 Menieres syndrome (endolymphatic hydrops). If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. 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. 18, 1976, as amended at 70 FR 75399, Dec. 20, 2005]. When the best interests of the service will be advanced by personal conference with the examiner, such conference may be arranged through channels. VA disabilities of the Skin include burns, scars, eczema, infections, and cancers, among others. Group IV Function: Stabilization of shoulder. Rate as for disfigurement and impairment of function of mastication. Added October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. Social interaction is frequently inappropriate. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. (iii) Objective findings. Title 38 was last amended 3/02/2023. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease. Added August 30, 2002; title, criterion August 13, 2018. Infectious Diseases can spread through various means, and include bacterial, parasitic, and viral infections whereas Immune Disorders are conditions that attack the immune system and make the body more susceptible to infection. It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. The assistance may be rendered by the person's own hands or arms, and, in the matter of postural stability, by a special appliance. 24, 2018]. 6015 Benign neoplasms of the eye, orbit, and adnexa (excluding skin): Active: Evaluate under the General Rating Formula for Diseases of the Eye, minimum rating, Inactive: Evaluate based on residuals, such as visual impairment and disfigurement (diagnostic code 7800).
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