Displaying title 38, up to date as of 3/02/2023. It is essential that the examination on which ratings are based adequately portray the anatomical damage, and the functional loss, with respect to all these elements. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. Rate under the general rating formula for minor seizures. 7319 Colon, irritable syndrome(spastic colitis, mucous colitis, irritable bowel syndrome , Mucous colitis etc.). 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). 9914 Maxilla, loss of more than half. Note July 6, 1950; evaluation February 17, 1994, criterion September 8, 1994; criterion November 14, 2021. When a claimant has both diplopia and decreased visual acuity or visual field defect, assign a level of corrected visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected) that is: one step poorer than it would otherwise warrant if the evaluation for diplopia under diagnostic code 6090 is 20/70 or 20/100; two steps poorer if the evaluation under diagnostic code 6090 is 20/200 or 15/200; or three steps poorer if the evaluation under diagnostic code 6090 is 5/200. will bring you to those results. One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). 6042 Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), 6062 No more than light perception in both eyes. The official, published CFR, is updated annually and available below under The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination. 5210 Radius and ulna, nonunion of, with flail false joint. Moderately impaired judgment. Special provisions regarding evaluation of respiratory conditions. The schedule for rating for mental disorders is set forth as follows: 9210 Other specified and unspecified schizophrenia spectrum and other psychotic disorders, 9301 Major or mild neurocognitive disorder due to HIV or other infections, 9304 Major or mild neurocognitive disorder due to traumatic brain injury, 9305 Major or mild vascular neurocognitive disorder, 9312 Major or mild neurocognitive disorder due to Alzheimer's disease, 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, 9403 Specific phobia; social anxiety disorder (social phobia), 9416 Dissociative amnesia; dissociative identity disorder, 9417 Depersonalization/Derealization disorder, 9422 Other specified somatic symptom and related disorder, 9423 Unspecified somatic symptom and related disorder, 9424 Conversion disorder (functional neurological symptom disorder), 9433 Persistent depressive disorder (dysthymia), General Rating Formula for Mental Disorders. 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. 8729 Neuralgia, external cutaneous nerve of thigh. Some shoulder injuries may require surgery. cm.). Complete; all shoulder and elbow movements lost or severely affected, hand and wrist movements not affected, Complete; adduction, abduction and rotation of arm, flexion of elbow, and extension of wrist lost or severely affected, Complete; all intrinsic muscles of hand, and some or all of flexors of wrist and fingers, paralyzed (substantial loss of use of hand), Complete; drop of hand and fingers, wrist and fingers perpetually flexed, the thumb adducted falling within the line of the outer border of the index finger; can not extend hand at wrist, extend proximal phalanges of fingers, extend thumb, or make lateral movement of wrist; supination of hand, extension and flexion of elbow weakened, the loss of synergic motion of extensors impairs the hand grip seriously; total paralysis of the triceps occurs only as the greatest rarity, Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances, Complete; the griffin claw deformity, due to flexor contraction of ring and little fingers, atrophy very marked in dorsal interspace and thenar and hypothenar eminences; loss of extension of ring and little fingers cannot spread the fingers (or reverse), cannot adduct the thumb; flexion of wrist weakened, Complete; weakness but not loss of flexion of elbow and supination of forearm, Complete; abduction of arm is impossible, outward rotation is weakened; muscles supplied are deltoid and teres minor, Complete; inability to raise arm above shoulder level, winged scapula deformity, Complete; the foot dangles and drops, no active movement possible of muscles below the knee, flexion of knee weakened or (very rarely) lost, Complete; foot drop and slight droop of first phalanges of all toes, cannot dorsiflex the foot, extension (dorsal flexion) of proximal phalanges of toes lost; abduction of foot lost, adduction weakened; anesthesia covers entire dorsum of foot and toes, Complete; plantar flexion lost, frank adduction of foot impossible, flexion and separation of toes abolished; no muscle in sole can move; in lesions of the nerve high in popliteal fossa, plantar flexion of foot is lost, Complete; paralysis of all muscles of sole of foot, frequently with painful paralysis of a causalgic nature; toes cannot be flexed; adduction is weakened; plantar flexion is impaired, Complete; paralysis of quadriceps extensor muscles, 8540 Soft-tissue sarcoma (of neurogenic origin). The determination will be made on the basis of the actual remaining function of the hand or foot, whether the acts of grasping, manipulation, etc., in the case of the hand, or of balance and propulsion, etc., in the case of the foot, could be accomplished equally well by an amputation stump with prosthesis. 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. Whether the upper or lower extremities, the back or abdominal wall, the eyes or ears, or the cardiovascular, digestive, or other system, or psyche are affected, evaluations are based upon lack of usefulness, of these parts or systems, especially in self-support. Depending on the specific residuals, separately evaluate as adhesions of peritoneum (diagnostic code 7301), cirrhosis of liver (diagnostic code 7312), and chronic liver disease without cirrhosis (diagnostic code 7345). The graduated ratings for nonpulmonary tuberculosis will not be combined with residuals of nonpulmonary tuberculosis unless the graduated rating and the rating for residual disability cover separate functional losses, e.g., graduated ratings for tuberculosis of the kidney and residuals of tuberculosis of the spine. Simple wound of muscle without debridement or infection. With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: That are constant, or nearly so, and refractory to therapy, That are episodic, with exacerbations often precipitated by environmental or emotional stress or by overexertion, but that are present more than one-third of the time, That require continuous medication for control. Renal involvement in diabetes mellitus type I or II. 7717 AL amyloidosis (primary amyloidosis). 5053 Wrist replacement (prosthesis). 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. cm.). How to Get a 100 Percent VA Rating (if deserved)! There should be careful consideration of lumbosacral sprain, and the various symptoms of pain and paralysis attributable to disease affecting the lumbar vertebrae and the intervertebral disc. 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 The VA disability rating for shoulder impingement is usually rated either as an impairment of the clavicle or scapula OR limitation of motion of the arm. 9417 Depersonalization/derealization disorder. (f) For muscle group injuries in different anatomical regions which do not act upon ankylosed joints, each muscle group injury shall be separately rated and the ratings combined under the provisions of 4.25. This will generally require separate evaluation of the arthritis in the joints directly subject to strain. (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.