(2) If the DLCO (SB) (Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method) test is not of record, evaluate based on alternative criteria as long as the examiner states why the test would not be useful or valid in a particular case. 5251 Thigh, limitation of extension. 6825 Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis). 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. Examinations of visual fields or muscle function will be conducted only when there is a medical indication of disease or injury that may be associated with visual field defect or impaired muscle function. Added February 17, 1994; note and criterion November 14, 2021. Age, as such, is a factor only in evaluations of disability not resulting from service, i.e., for the purposes of pension. The frequency of seizures should be ascertained under the ordinary conditions of life (while not hospitalized). Has difficulty using assistive devices such as GPS (global positioning system). Disability is manifest from erector spinae spasm (not accounted for by other pathology), tenderness on deep palpation and percussion over these joints, loss of normal quickness of motion and resiliency, and postural defects often accompanied by limitation of flexion and extension of the hip. 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. (c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers. Evaluation August 30, 2002; criterion October 23, 2008. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. (e) Without retrogression of lesions or other evidence of material improvement at the end of six months hospitalization or without change of diagnosis from active at the end of 12 months hospitalization. 5207 Forearm, limitation of extension. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. 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. 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. 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. Social interaction is inappropriate most or all of the time. Motion of the thumb and fingers should be described by appropriate reference to the joints (See Plate III) whose movement is limited, with a statement as to how near, in centimeters, the tip of the thumb can approximate the fingers, or how near the tips of the fingers can approximate the proximal transverse crease of palm. 6312 Nontuberculosis mycobacterium infection. Blindness in 1 eye, only light perception: Lymphatic filariasis, to include elephantiasis. 8519 Long thoracic nerve, paralysis. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. Occasionally disoriented to two of the four aspects (person, time, place, situation) of orientation or often disoriented to one aspect of orientation. 7540 Disseminated intravascular coagulation. Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. What are muscle injuries for VA rating purposes? 5105 Anatomical loss of one foot and loss of use of one hand. With persistent polyuria or requiring continuous hormonal therapy. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Criterion March 10, 1976; criterion October 7, 1996. (3) Moderately severe disability of muscles -. 8711 Neuralgia, middle radicular group. An Equivalent VA disability is a general term for conditions that have multiple names. 6300 Vibriosis (Cholera, Non-cholera). The VA disability rating for hip bursitis falls under 38 CFR 4.71a, 5019. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. (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. Evaluation September 22, 1978; criterion October 7, 1996. For even routine and familiar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy). 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). For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. 5229 Index or long finger, limitation of motion: With a gap of one inch (2.5 cm.) Evaluation August 30, 2002; criterion, note August 13, 2018. With dietary restrictions to all mechanically altered foods, Without dietary restrictions to mechanically altered foods. 6305 Lymphatic filariasis, to include elephantiasis. Added October 15, 1991; criterion January 12, 1998. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation, Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. learn more about the process here. 18, 1976; 43 FR 45350, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 67 FR 48785, July 26, 2002; 67 FR 54349, Aug. 22, 2002; 68 FR 51456, Aug. 27, 2003; 69 FR 32450, June 10, 2004; 80 FR 42041, July 16, 2015; 85 FR 76460, Nov. 30, 2020, 85 FR 85523, Dec. 29, 2020, 86 FR 8142, Feb. 4, 2021]. Aortic aneurysm: ascending, thoracic, abdominal. 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. Unless medically contraindicated, the fundus must be examined with the claimant's pupils dilated. The eCFR is displayed with paragraphs split and indented to follow (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. In severe cases there is gaping of bones on the inner border of the foot, and rigid valgus position with loss of the power of inversion and adduction. 7532 Renal tubular disorders(such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconis syndrome, Bartters syndrome, related disorders of Henles loop and proximal or distal nephron function, etc.). Inability to communicate either by spoken language, written language, or both, more than occasionally but less than half of the time, or to comprehend spoken language, written language, or both, more than occasionally but less than half of the time. [29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. This is an automated process for If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders. How to Get a 100 Percent VA Rating (if deserved)! Skin hypo-or hyper-pigmented in an area exceeding six square inches (39 sq. General Rating Formula for Diseases of the Heart November 14, 2021. Rickettsial, ehrlichia, and anaplasma infections. 8525 Posterior tibial nerve, paralysis. One or more neurobehavioral effects that interfere with or preclude workplace interaction, social interaction, or both on most days or that occasionally require supervision for safety of self or others. Evaluation September 9, 1975; criterion January 12, 1998; criterion November 14, 2021. Search & Navigation (2) Provided that he or she customarily wears contact lenses, evaluate the visual acuity of any individual affected by a corneal disorder that results in severe irregular astigmatism that can be improved more by contact lenses than by eyeglass lenses, as corrected by contact lenses. in length. Specific phobia; social anxiety disorder (social phobia). [29 FR 6718, May 22, 1964, as amended at 43 FR 45349, Oct. 2, 1978]. This document is available in the following developer friendly formats: Information and documentation can be found in our (Effective as to outpatient surgery March 1, 1989. The evaluation for visual impairment of one eye must not exceed 30 percent unless there is anatomical loss of the eye. Note: Not to be combined with claw foot ratings. Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: All toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads: Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads: 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral, Operated with resection of metatarsal head, Severe, if equivalent to amputation of great toe. The ankle pressure (AP) is the systolic blood pressure measured at the ankle. Military and private medical treatment records: Severe rated at 30% to 40% depending on dominant or non-dominant arm, Moderately severe rated at 20% to 30% depending on dominant or non-dominant arm, Moderate rated from 10% to 20% depending on shoulder function, File an Appeal with the Board of Veterans Appeals (BVA). An evaluation of 20 percent is assigned for recurrent subluxation (i) Type of injury. Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. Analogous means the condition that is closest to the ratable condition that best describes the primary symptoms. Added September 22, 1978; criterion October 7, 1996. The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. Evaluation August 13, 1981; criterion June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; evaluation, Evaluation March 11, 1969; evaluation August 13, 1981; criterion June 9, 1996; title December 10, 2017; note, Criterion September 9, 1975; criterion August 13, 1981; criterion June 6, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 8527 Internal saphenous nerve, paralysis. 9412 Panic disorder and/or agoraphobia. 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. The symptoms should be apparent without regard to exercise. 5219 Two digits of one hand, unfavorable ankylosis of: Index and long; index and ring; or index and little fingers, Long and ring; long and little; or ring and little fingers, 5220 Five digits of one hand, favorable ankylosis of. 7117 Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's): With two or more digital ulcers plus auto-amputation of one or more digits and history of characteristic attacks, With two or more digital ulcers and history of characteristic attacks, Characteristic attacks occurring at least daily, Characteristic attacks occurring four to six times a week, Characteristic attacks occurring one to three times a week. Permitting passage of liquids only, with marked impairment of general health. Unfavorable, at an angle of less than 50 or with complete loss of supination or pronation, Intermediate, at an angle of more than 90, or between 70 and 50, Favorable, at an angle between 90 and 70. Added May 22, 1995; title, criterion May 13, 2018. WebRunners Knee (Patellofemoral pain syndrome) VA rating: Pain on the front of the knee and around the back of the kneecap. 18, 1976, as amended at 70 FR 75399, Dec. 20, 2005].
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