9422 Other specified somatic symptom and related disorder. The Endocrine System is a vast network of glands that create hormones to help regulate the body. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. 5213 Supination and pronation, impairment. Six months after (1) An authorized absence in excess of 4 days which begins during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the first day of such authorized absence. Neuralgia, musculocutaneous nerve (superficial peroneal). In this post, we reveal and explain the complete VA disability conditions list by body system and diagnostic code. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. 8721 Neuralgia, external popliteal nerve (common peroneal). Search & Navigation Evaluate post-surgical residuals under the General Rating Formula. Criterion March 10, 1976; criterion September 22, 1978. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of six or more weeks total duration per year. Choosing an item from This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. 8514 Musculospiral nerve (radial), paralysis. 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). The evaluation of visual impairment is based on impairment of visual acuity (excluding developmental errors of refraction), visual field, and muscle function. Group III Function: Elevation and abduction of arm. 9, 2018; 83 FR 15323, Apr. (d) The combined evaluation of muscle groups acting upon a single unankylosed joint must be lower than the evaluation for unfavorable ankylosis of that joint, except in the case of muscle groups I and II acting upon the shoulder. Entrance and (if present) exit scars indicating track of missile through one or more muscle groups. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. Added March 11, 1969; removed September 22, 1978. 3 Also entitled to special monthly compensation. When complete examinations are not conducted covering all systems of the body affected by disease or injury, it is impossible to visualize the nature and extent of the service connected disability. Evaluate post-surgical residuals under the General Rating Formula. How to Service Connect Your Shoulder Pain, Direct Service Connection for a VA Rating for Shoulder Pain, Secondary Service Connection for a Shoulder Pain VA Rating, 3. 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. 8524 Internal popliteal nerve (tibial), paralysis. Mental disorders due to traumatic stress. Blindness in 1 eye, only light perception: Lymphatic filariasis, to include elephantiasis. Subastragalar or tarsal joint, ankylosis. To determine the evaluation for visual impairment when both decreased visual acuity and visual field defect are present in one or both eyes and are service connected, separately evaluate the visual acuity and visual field defect (expressed as a level of visual acuity), and combine them under the provisions of 4.25. 5052 Elbow replacement (prosthesis). Without cardiac involvement but with chronic edema, stasis dermatitis, and either ulceration or cellulitis: Without cardiac involvement but with chronic edema or stasis dermatitis: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg, At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg, At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg, At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg, Note (1): The ankle/brachial index (ABI) is the ratio of the systolic blood pressure at the ankle divided by the simultaneous brachial artery systolic blood pressure. Moderately severely impaired judgment. Degenerative arthritis, other than post-traumatic. 4.115a Ratings of the genitourinary system - dysfunctions. The injured hand, or the most severely injured hand, of an ambidextrous individual will be considered the dominant hand for rating purposes. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome). They are grouped together because of their proximity to one other as well as their common embryological origin and the use of common pathways, such as the male reproductive system. The ankle pressure (AP) is the systolic blood pressure measured at the ankle. The toe pressure (TP) is the systolic blood pressure measured at the great toe. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies: Displacement, causing severe anterior or posterior open bite, Displacement, causing moderate anterior or posterior open bite, Displacement, not causing anterior or posterior open bite. Paraplegia: Rate under diagnostic code 5110. 6062 Blindness, both eyes, only light perception. Measurement of ankylosis and joint motion. Manifest differences in ulcers of the stomach or duodenum in comparison with those at an anastomotic stoma are sufficiently recognized as to warrant two separate graduated descriptions. Regulation Y Convalescence ratings following extended hospitalization. Veterans may be more susceptible to shoulder injuries due to the physical nature of their service. Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235-5243 September 26, 2003. 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. The central nervous system consists of the brain, the spinal cord, and thecranialnerves. will bring you directly to the content. 7110 Aortic aneurysm: Ascending, thoracic, or abdominal: Evaluate at 100 percent if the aneurysm is any one of the following: Five centimeters or larger in diameter; symptomatic (e.g., precludes exertion); or requires surgery. [71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021], [Unless otherwise directed, use this general rating formula to evaluate diseases of the heart. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. The combined rating for disabilities of an extremity shall not exceed the rating for the amputation at the elective level, were amputation to be performed. Major or mild neurocognitive disorder due to HIV or other infections. Can communicate complex ideas. Scar 5 or more inches (13 or more cm.) Evaluate under the General Rating Formula for Diseases of the Eye, disfigurement (diagnostic code 7800), conjunctivitis (diagnostic code 6018), etc., depending on the particular findings, and combine in accordance with, Evaluate under the General Rating Formula for Diseases of the Eye. Occasionally disoriented to two of the four aspects (person, time, place, situation) of orientation or often disoriented to one aspect of orientation. Below is a complete list of VA disabilities for the musculoskeletal system, listed in order by Diagnostic Code (DC) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. WebSocial Security Disability or SSI For Bursitis If your bursitis is severe enough, you may meet the requirements of Social Security's disability listing for joint dysfunction. [64 FR 25210, May 11, 1999, as amended at 68 FR 25823, May 14, 2003]. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. (e) Incoordination, impaired ability to execute skilled movements smoothly. Evaluate subjective symptoms that are residuals of TBI, whether or not they are part of cognitive impairment, under the subjective symptoms facet in the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified. However, separately evaluate any residual with a distinct diagnosis that may be evaluated under another diagnostic code, such as migraine headache or Meniere's disease, even if that diagnosis is based on subjective symptoms, rather than under the Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified table, Evaluate emotional/behavioral dysfunction under. Intellectual disability (intellectual developmental disorder) and personality disorders are not diseases or injuries for compensation purposes, and, except as provided in 3.310(a) of this chapter, disability resulting from them may not be service-connected. If a prophylactic thyroidectomy is performed (based upon genetic testing) and antineoplastic therapy is not required, evaluate as hypothyroidism under DC 7903. The termination of these total ratings will not be subject to 3.105(e) of this chapter. This rating instruction does not apply to DC 7824, Evaluate under the General Rating Formula for the Skin. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. Note: If non-service-connected arteriosclerotic heart disease is superimposed on service-connected valvular or other non-arteriosclerotic heart disease, request a medical opinion as to which condition is causing the current signs and symptoms. Plates I and II provide a standardized description of ankylosis and joint motion measurement. 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: With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement. If youre suffering from shoulder pain, its important to get seen by a doctor to determine the underlying cause of the pain and get a diagnosis. Severe; associated with nausea, sweating, circulatory disturbance after meals, diarrhea, hypoglycemic symptoms, and weight loss with malnutrition and anemia, Moderate; less frequent episodes of epigastric disorders with characteristic mild circulatory symptoms after meals but with diarrhea and weight loss, Mild; infrequent episodes of epigastric distress with characteristic mild circulatory symptoms or continuous mild manifestations. All disabilities are then to be combined as described in paragraph (a) of this section. 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. Added January 12, 1998; criterion November 14, 2021. Most likely, the VA will This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with 4.7. It is also available for inspection at the National Archives and Records Administration (NARA). For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. 8527 Internal saphenous nerve, paralysis. Schedule of ratings - respiratory system. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. (iv) palpable or tender cervical or axillary lymph nodes. 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. (2) disabilities resulting from common etiology or a single accident. The circulatory disturbances, especially of the lower extremity following injury in the popliteal space, must not be overlooked, and require rating generally as phlebitis. Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein. Criterion September 8, 1994; title, criterion, note November 14, 2021. Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. Pro Tip: In accordance with the Painful Motion principle, if you have pain upon flexion or abduction of your shoulder, the VA is required to award the minimum compensable rating for the condition, which is 10%. Sciatic neuritis is not uncommonly caused by arthritis of the spine. Web1. 7312 Liver, cirrhosis, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis. Total disability ratings for pension based on unemployability and age of the individual. Marginal employment shall not be considered substantially gainful employment. (a) The ratings for multiple finger amputations apply to amputations at the proximal interphalangeal joints or through proximal phalanges. Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. In view of the number of atypical instances it is not expected, especially with the more fully described grades of disabilities, that all cases will show all the findings specified. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. (b) Where unemployable, the veteran has other disabilities innocently acquired which meet the percentage requirements of 4.16 and 4.17 and would render, in the judgment of the rating agency, the average person unable to secure or follow a substantially gainful occupation. Displaying title 38, up to date as of 3/02/2023. Prestabilization rating from date of discharge from service. In the citation of disabilities on rating sheets, the diagnostic terminology will be that of the medical examiner, with no attempt to translate the terms into schedule nomenclature. If more than one extremity is affected, evaluate each extremity separately and combine (under. Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. 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. It is also available for inspection at the Office of Regulation Policy and Management, Department of Veterans Affairs, 810 Vermont Avenue NW., Room 1068, Washington, DC 20420. (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. The eCFR is displayed with paragraphs split and indented to follow The examiner will also perform a physical examination of your shoulder. Schedule of ratings - infectious diseases, immune disorders and nutritional deficiencies. What are Dental and Oral Conditions for VA rating purposes? Crepitation either in the soft tissues such as the tendons or ligaments, or crepitation within the joint structures should be noted carefully as points of contact which are diseased. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. 5123 Above insertion of pronator teres. (f) Special monthly compensation. VA Disability Conditions List by Body System and VA Diagnostic Code (Official) In this Ultimate Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. 11, 1969; 43 FR 45361, Oct. 2, 1978]. (G) Induration or atrophy of an entire muscle following simple piercing by a projectile. (b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). 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 every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. Criterion September 22, 1978; criterion February 17, 1994; title September 10, 2017. 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. (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases. 7630 Malignant neoplasms of the breast. 5315 Group XV Function: Adduction of hip. 9901 Mandible, loss of, complete, between angles. cm.). Criterion September 22, 1978; criterion August 30, 1996; criterion, note August 11, 2019. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. (f) If impaired hearing is service-connected in only one ear, in order to determine the percentage evaluation from Table VII, the non-service-connected ear will be assigned a Roman Numeral designation for hearing impairment of I, subject to the provisions of 3.383 of this chapter. This procedure will facilitate a close check of new and unlisted conditions, rated by analogy. Ratings for Pulmonary Tuberculosis Initially Evaluated After August 19, 1968: 6819 Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths. Note (1): Evaluate symptoms of hyperthyroidism under DC 7900, hyperthyroidism, including, but not limited to, Graves' disease. It is not a disability subject to compensation. For the purposes of this diagnostic code, chronic urticaria is defined as continuous urticaria at least twice per week, off treatment, for a period of six weeks or more, Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments, Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control, Chronic urticaria that requires first line treatment (antihistamines) for control, Persistent documented vasculitis episodes refractory to continuous immunosuppressive therapy, Recurrent documented vasculitic episodes occurring four or more times over the past 12-month period; and, Requiring intermittent systemic immunosuppressive therapy for control, Recurrent documented vasculitic episodes occurring one to three times over the past 12-month period, and requiring intermittent systemic immunosuppressive therapy for control; or, Without recurrent documented vasculitic episodes but requiring continuous systemic medication for control, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability.

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