5173 Toes, three or more, without metatarsal involvement. Anatomical loss of one hand and one foot. Added February 17, 1994; title, criterion, and note November 14, 2021. cm. 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. 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. What is the Digestive System for VA rating purposes? If antineoplastic therapy is required, evaluate as a malignant neoplasm under DC 7914. Medial tibial stress syndrome (MTSS), or shin splints: Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, both lower extremities, Requiring treatment for no less than 12 consecutive months, and unresponsive to surgery and either shoe orthotics or other conservative treatment, one lower extremity, Requiring treatment for no less than 12 consecutive months, and unresponsive to either shoe orthotics or other conservative treatment, one or both lower extremities, Treatment less than 12 consecutive months, one or both lower extremities, 5263 Genu recurvatum (acquired, traumatic, with weakness and insecurity in weight-bearing objectively demonstrated), In plantar flexion at more than 40, or in dorsiflexion at more than 10 or with abduction, adduction, inversion or eversion deformity, In plantar flexion, between 30 and 40, or in dorsiflexion, between 0 and 10, Marked (less than 5 degrees dorsiflexion or less than 10 degrees plantar flexion), Moderate (less than 15 degrees dorsiflexion or less than 30 degrees plantar flexion). 7101 Hypertensive vascular disease(hypertension and isolated systolic hypertension). (a) The use of the terms arms and legs is not intended to distinguish between the arm, forearm and hand, or the thigh, leg, and foot, but relates to the upper extremities and lower extremities as a whole. Doctors treat less severe shoulder injuries with conservative measures such as physical therapy, rest, and ice. 5319 Group XIX Function: Abdominal wall and lower thorax. Malignant neoplasms of gynecological system. 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. 9424 Conversion disorder (functional neurological symptom disorder). Prestabilization ratings are for assignment in the immediate postdischarge period. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. Particular attention, with a view to proper rating under the rating schedule, is to be given to the claims of veterans discharged from hospital, regardless of length of hospitalization, with indications on the final summary of expected confinement to bed or house, or to inability to work with requirement of frequent care of physician or nurse at home. Rate the vascular conditions under Codes 8007 through 8009, for 6 months. 9901 Mandible, loss of, complete, between angles. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. The term inability to gain weight means that there has been substantial weight loss with inability to regain it despite appropriate therapy. With persistent bleeding and with secondary anemia, or with fissures, Large or thrombotic, irreducible, with excessive redundant tissue, evidencing frequent recurrences, Large, postoperative, recurrent, not well supported under ordinary conditions and not readily reducible, when considered inoperable, Small, postoperative recurrent, or unoperated irremediable, not well supported by truss, or not readily reducible, Postoperative recurrent, readily reducible and well supported by truss or belt, Small, reducible, or without true hernia protrusion, Massive, persistent, severe diastasis of recti muscles or extensive diffuse destruction or weakening of muscular and fascial support of abdominal wall so as to be inoperable, Large, not well supported by belt under ordinary conditions, Small, not well supported by belt under ordinary conditions, or healed ventral hernia or post-operative wounds with weakening of abdominal wall and indication for a supporting belt, Wounds, postoperative, healed, no disability, belt not indicated, 7343 Malignant neoplasms of the digestive system, exclusive of skin growths. Consistently disoriented to two or more of the four aspects (person, time, place, situation) of orientation. Motor activity moderately decreased due to apraxia. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. 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. 6826 Desquamative interstitial pneumonitis. 6317 Rickettsial, ehrlichia, and anaplasma infections. 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. Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. Thus, if there are three disabilities ratable at 60 percent, 40 percent, and 20 percent, respectively, the combined value for the first two will be found opposite 60 and under 40 and is 76 percent. 4.127 Intellectual disability (intellectual developmental disorder) and personality disorders. You will probably only receive one rating for your condition per shoulder. 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. 6211 Tympanic membrane, perforation of. Totally incapacitating, Severe; same as pronounced with less pronounced and less continuous symptoms with definite impairment of health, Moderately severe; intercurrent episodes of abdominal pain at least once a month partially or completely relieved by ulcer therapy, mild and transient episodes of vomiting or melena, Moderate; with episodes of recurring symptoms several times a year, Mild; with brief episodes of recurring symptoms once or twice yearly. The first option for obtaining a VA disability rating for knee pain is to establish a direct service connection. 8711 Neuralgia, middle radicular group. Constant inability to communicate by speech, Constant inability to speak above a whisper. 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. cm.). 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. 8627 Neuritis, internal saphenous nerve. 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. Introduction paragraph revised March 10, 1976. 8625 Neuritis, posterior tibial nerve. 8724 Neuralgia, internal popliteal nerve (tibial). Background and more details are available in the Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies: Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. or less between the fingertip(s) and the proximal transverse crease of the palm, with the finger(s) flexed to the extent possible, evaluate as favorable ankylosis. Group XVIII Function: Outward rotation of thigh. 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. 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. This document is available in the following developer friendly formats: Information and documentation can be found in our 6515 Laryngitis, tuberculous, active or inactive. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. 5054 Hip, resurfacing or replacement (prosthesis) (Birmingham Hip Resurfacing). In a given individual, symptoms may fluctuate in severity from day to day. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 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). This 40 percent rating may be further combined with evaluation for disabilities above the knee but not to exceed the above the knee amputation elective level. 4.16 Total disability ratings for compensation based on unemployability of the individual. (d) Amputation or resection of metacarpal bones (more than one-half the bone lost) in multiple fingers injuries will require a rating of 10 percent added to (not combined with) the ratings, multiple finger amputations, subject to the amputation rule applied to the forearm. Moderately impaired. (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. Criterion September 22, 1978; criterion August 26, 2002. There are three options you should know about: If youve been denied a shoulder pain VA rating, dont give up. 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. Youll also receive a higher rating if the injury impacts the arm of your dominant hand. A plumb line dropped from the middle of the patella falls inside of the normal point. L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. If no facet is evaluated as total, assign the overall percentage evaluation based on the level of the highest facet as follows: 0 = 0 percent; 1 = 10 percent; 2 = 40 percent; and 3 = 70 percent. Added November 7, 1996; Title August 4, 2014. For evaluation of Raynaud's disease (primary Raynaud's), see DC 7124. Criterion May 13, 2018; criterion, note August 11, 2019. WebThe VA uses a chart that, when properly used, results in a combined disability rating. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), American Psychiatric Association (2013), is incorporated by reference into this section with the approval of the Director of the Federal Register under 5 U.S.C.
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