Listed below are some of the most common conditions that go by other names. 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. 8623 Neuritis, anterior tibial (deep peroneal) nerve. Example of computation of concentric contraction under the schedule with abnormal findings taken from Figure 1. Evaluation September 9, 1975; criterion October 7, 1996. Added October 1, 1961; criterion October 1, 1961; evaluation March 10, 1976; removed December 18, 1987; re-designated, Tables VI and VII replaced by new Tables VI, VIA, and VII December 18, 1987. Ratings under diagnostic codes 7301 to 7329, inclusive, 7331, 7342, and 7345 to 7348 inclusive will not be combined with each other. ClickHEREto Join the #1 Rated VA Claims Insider Elite Program and Start Today for FREE. One eye, only light perception and other eye: Neoplasm, malignant, primary or secondary, Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation, Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy, including uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or combination, Cutaneous manifestations of collagen-vascular diseases not listed elsewhere, Essential thrombocythemia and primary myelofibrosis, Hemorrhagic fevers, including dengue, yellow fever, and others, Hyperinfection syndrome or disseminated strongyloidiasis, Group I Function: Upward rotation of scapula, Group III Function: Elevation and abduction of arm, Group IV Function: Stabilization of shoulder, Group VII Function: Flexion of wrist and fingers, Group VIII Function: Extension of wrist, fingers, thumb, Group X Function: Movement of forefoot and toes, Group XIII Function: Extension of hip and flexion of knee, Group XVIII Function: Outward rotation of thigh, Group XIX Function: Abdominal wall and lower thorax, Group XX Function: Postural support of body, Group XXII Function: Rotary and forward movements, head, Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism, Kyphoscoliosis, pectus excavatum / carinatum, Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia), Including ramus, unilaterally or bilaterally, Lymphatic filariasis, to include elephantiasis, Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of, Dissociative amnesia; dissociative identity disorder, Major or mild neurocognitive disorder due to Alzheimer's disease, Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder, Major or mild neurocognitive disorder due to HIV or other infections, Major or mild neurocognitive disorder due to traumatic brain injury, Major or mild vascular neurocognitive disorder, Other specified and unspecified schizophrenia spectrum and other psychotic disorders, Other specified somatic symptom and related disorder, Persistent depressive disorder (dysthymia), Specific phobia; social anxiety disorder (social phobia), Unspecified somatic symptom and related disorder, Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis, Eleventh (spinal accessory, external branch), Mandible, confirmed by diagnostic imaging studies, Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction, Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only, Raynaud's syndrome (secondary Raynaud's phenomenon, secondary Raynaud's), Disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C, Involvement in diabetes mellitus type I or II, Retinal dystrophy (including retinitis pigmentosa, wet or dry macular degeneration, early-onset macular degeneration, rod and/or cone dystrophy), Retinopathy or maculopathy not otherwise specified, Rickettsial, ehrlichia, and anaplasma Infections, 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, Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage, 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, Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804, Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome, Spondylolisthesis or segmental instability, spine, Tenosynovitis, tendinitis, tendinosis or tendinopathy. (iii) Objective findings. If youve filed your VA disability claim and have been denied or have received a low ratingor youre unsure how to get startedreach out to us! This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to 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. 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). Recurrent dislocation of at scapulohumeral joint: With frequent episodes and guarding of all arm movements, With infrequent episodes and guarding of movement only at shoulder level (flexion and/or abduction at 90 ). Neuralgia, cranial or peripheral, characterized usually by a dull and intermittent pain, of typical distribution so as to identify the nerve, is to be rated on the same scale, with a maximum equal to moderate incomplete paralysis. 6329 Hemorrhagic fevers, including dengue, yellow fever, and others. 5317 Group XVII Function: Extension of hip. Mental disorders due to traumatic stress. Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service-connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. Evaluation; August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017. 7718 Essential thrombocythemia and primary myelofibrosis: Requiring either continuous myelosuppressive therapy, or, for six months following hospital admission for any of the following treatments: peripheral blood or bone marrow stem cell transplant, or chemotherapy, or interferon treatment, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count <500 10, Requiring continuous or intermittent myelosuppressive therapy, or chemotherapy, or interferon treatment to maintain platelet count of 200,000-400,000, or white blood cell (WBC) count of 4,000-10,000. Constant inability to communicate by speech, Constant inability to speak above a whisper. The psychotic or psychroneurotic disorder will be rated under the appropriate diagnostic code. Blindness, both eyes, only light perception. In rating disability from the conditions in the preceding sentence refer to the appropriate schedule. The most trusted name in education-based resources for Veterans. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. 8524 Internal popliteal nerve (tibial), paralysis. 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. 5307 Group VII Function: Flexion of wrist and fingers. Criterion February 3, 1988; Title August 4, 2014. Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. 6331 Coxiella burnetii infection (Q Fever). The percentage evaluation is located at the point where the row and column intersect. Added October 26, 1990; criterion December 9, 2018. Evaluation July 6, 1950; criterion March 10, 1976. 11, 1969. Each ear will be evaluated separately. 8312 Neuritis, twelfth cranial nerve. 8529 External cutaneous nerve of thigh, paralysis. 5272 Subastragalar or tarsal joint, ankylosis of: 5273 Os calcis or astragalus, malunion of: 5275 Bones, of the lower extremity, shortening of: No relief from both non-surgical and surgical treatment, bilateral, No relief from both non-surgical and surgical treatment, unilateral, Pronounced; marked pronation, extreme tenderness of plantar surfaces of the feet, marked inward displacement and severe spasm of the tendo achillis on manipulation, not improved by orthopedic shoes or appliances. Social interaction is frequently inappropriate. Your skeleton is the foundational structure for your muscles and other soft tissues. Where there are existing pulmonary and nonpulmonary conditions, the graduated evaluation for the pulmonary, or for the nonpulmonary, condition will be utilized, combined with evaluations for residuals of the condition not covered by the graduated evaluation utilized, so as to provide the higher evaluation over such period. What are eye disabilities for VA rating purposes? The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. (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. This rating instruction does not apply to DC 7824, Evaluate under the General Rating Formula for the Skin. If youre a veteran dealing with shoulder pain, you may be wondering how to get a shoulder pain VA rating. The termination of these total ratings will not be subject to 3.105(e) of this chapter. Table II - Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR Citation. Criterion September 22, 1978; criterion August 26, 2002. In this post, we reveal and explain the complete VA disability conditions list by body system and diagnostic code. or more) and marked deformity, Without loss of bone substance or deformity. Choosing an item from Introduction criterion May 13, 2018; Revised General Rating Formula for Diseases of the Eye NOTE revised May 13, 2018. The official, published CFR, is updated annually and available below under Neuralgia, internal popliteal nerve (tibial). 20, 2007; 72 FR 16728, Apr. For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture. Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). 6354 Chronic Fatigue Syndrome (CFS). Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. GENERAL RATING FORMULA FOR DISEASES OF THE HEART: Workload of 3.0 METs or less results in heart failure symptoms, Workload of 3.1-5.0 METs results in heart failure symptoms, Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging), Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control. 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. (3) When the PFT's are not consistent with clinical findings, evaluate based on the PFT's unless the examiner states why they are not a valid indication of respiratory functional impairment in a particular case. How to Get a 100 Percent VA Rating (if deserved)! Always oriented to person, time, place, and situation. 6201 Chronic nonsuppurative otitis media with effusion (serous otitis media). General Rating Formula For The Skin For DCs 7806, 7809, 7813-7816, 7820-7822, and 7824: Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or, Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period, Characteristic lesions involving 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected; or Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period, Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or, At least 5 percent, but less than 20 percent, of exposed areas affected; or, Intermittent systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of less than 6 weeks over the past 12-month period, No more than topical therapy required over the past 12-month period and at least one of the following, Characteristic lesions involving less than 5 percent of the entire body affected; or, Characteristic lesions involving less than 5 percent of exposed areas affected, 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. 5328 Muscle, neoplasm of, benign, postoperative. Note following July 6, 1950; evaluation January 12, 1998; criterion November 14, 2021. Osteomyelitis, acute, subacute, or chronic. Other specified forms of arthropathy (excluding gout). 9918 Neoplasm, hard and soft tissue, malignant. 5306 Group VI Function: Extension of elbow. Neoplasm, hard and soft tissue, malignant. 5003 Degenerative arthritis, other than post-traumatic: Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet. result, it may not include the most recent changes applied to the CFR. 7522 Erectile dysfunction, with or without penile deformity. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. 3102), [43 FR 45348, Oct. 2, 1978, as amended at 56 FR 57985, Nov. 15, 1991; 71 FR 28586, May 17, 2006; 74 FR 26959, June 5, 2009]. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. The use of the protective provisions of Pub. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. but less than 144 square inches (929 sq. Neuritis, anterior tibial (deep peroneal) nerve. If more than one extremity is affected, evaluate each extremity separately and combine (under. The evaluation of the same disability under various diagnoses is to be avoided. Added March 1, 1963; criterion March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. 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. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, If symptomatic; or, for the period beginning on the date a physician recommends surgical correction and continuing for six months following discharge from inpatient hospital admission for surgical correction. If more than one extremity is affected, evaluate each extremity separately and combine (under. 8526 Anterior crural nerve (femoral), paralysis. 8405 Neuralgia, fifth cranial nerve. Bones, neoplasm, malignant, primary or secondary. 8627 Neuritis, internal saphenous nerve. Note: When surgery is required, a 100-percent evaluation begins on the date a physician recommends surgical correction with a mandatory VA examination six months following hospital discharge. 4.128 Convalescence ratings following extended hospitalization. The osseous abnormalities incident to trauma or disease, such as malunion with deformity throwing abnormal stress upon, and causing malalignment of joint surfaces, should be depicted from study and observation of all available data, beginning with inception of injury or disease, its nature, degree of prostration, treatment and duration of convalescence, and progress of recovery with development of permanent residuals. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! 9, 2018], [60 FR 49227, Sept. 22, 1995, as amended at 77 FR 6467, Feb. 8, 2012; 79 FR 2100, Jan. 13, 2014; 83 FR 54254, Oct. 29, 2018; 83 FR 54881, Nov. 1, 2018; 87 FR 61248, Oct. 11, 2022]. in length. Minimum, if there is pain, photophobia, and glare sensitivity. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. Introduction paragraph revised March 10, 1976. 7512 Cystitis, chronic, includes interstitial and all etiologies, infectious and non-infectious: 7515 Bladder, calculus in, with symptoms interfering with function: Rate as voiding dysfunction or urinary tract infection, whichever is predominant. This is often based on if you can rotate or extend your shoulder, using the criteria listed above. Stricture disease requiring periodic dilatation every 2 to 3 months, Obstructive symptomatology with or without stricture disease requiring dilatation 1 to 2 times per year. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. 3 Also entitled to special monthly compensation. 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. cm. (e) Table VII, Percentage Evaluations for Hearing Impairment, is used to determine the percentage evaluation by combining the Roman numeral designations for hearing impairment of each ear. So if youre rated based on your musculoskeletal system, dont expect a rating for a muscle injury unless its a different condition. Examination of visual acuity must include the central uncorrected and corrected visual acuity for distance and near vision using Snellen's test type or its equivalent. 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. Criterion July 6, 1950; criterion August 30, 2002; criterion October 23, 2008; title, note 1, note 2 August 13, 2018. 8710 Neuralgia, upper radicular group. 7541 Renal involvement in diabetes mellitus type I or II. (3) Evaluation of ankylosis of the index, long, ring, and little fingers: (i) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation without metacarpal resection, at proximal interphalangeal joint or proximal thereto, (ii) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the metacarpophalangeal or proximal interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) Each measurement is rounded to the nearest five degrees. Neuritis, anterior crural (femoral) nerve. The attention should be given to anatomical changes, as compared to normal, in the relationship of the foot and leg, particularly to the inward rotation of the superior portion of the os calcis, medial deviation of the insertion of the Achilles tendon, the medial tilting of the upper border of the astragalus. When evaluating visual impairment, refer to 38 CFR 3.350 to determine whether the claimant may be entitled to special monthly compensation. Criterion October 23, 2008; title August 13, 2018. 4.130 Schedule of ratings - Mental disorders. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. In the absence of trauma or other definite evidence of aggravation, service connection is not in order for pes cavus which is a typically congenital or juvenile disease. Major or mild neurocognitive disorder due to HIV or other infections. This web site is designed for the current versions of 8523 Anterior tibial nerve (deep peroneal), paralysis. Severe; definite partial obstruction shown by X-ray, with frequent and prolonged episodes of severe colic distension, nausea or vomiting, following severe peritonitis, ruptured appendix, perforated ulcer, or operation with drainage, Moderately severe; partial obstruction manifested by delayed motility of barium meal and less frequent and less prolonged episodes of pain, Moderate; pulling pain on attempting work or aggravated by movements of the body, or occasional episodes of colic pain, nausea, constipation (perhaps alternating with diarrhea) or abdominal distension, Severe; pain only partially relieved by standard ulcer therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health, Moderately severe; less than severe but with impairment of health manifested by anemia and weight loss; or recurrent incapacitating episodes averaging 10 days or more in duration at least four or more times a year, Moderate; recurring episodes of severe symptoms two or three times a year averaging 10 days in duration; or with continuous moderate manifestations, Mild; with recurring symptoms once or twice yearly, Pronounced; periodic or continuous pain unrelieved by standard ulcer therapy with periodic vomiting, recurring melena or hematemesis, and weight loss. 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. In this article, our VA Disability Conditions List by Body System and VA Diagnostic Code (Official), VA DISABILITIES OF THE MUSCULOSKELETAL SYSTEM. ], [62 FR 65219, Dec. 11, 1997, as amended at 63 FR 37779, July 14, 1998; 71 FR 52460, Sept. 6, 2006; 79 FR 2100, Jan. 13, 2014; 82 FR 50804, Nov. 2, 2017; 86 FR 54093, Sept. 30, 2021; 86 FR 62095, Nov. 9, 2021]. (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. is available with paragraph structure matching the official CFR 8610 Neuritis, upper radicular group. Schedule of ratings - gynecological conditions and disorders of the breast. Added February 17, 1994; title and criterion November 14, 2021. The severity of symptoms determines the range of ratings assigned by this code. 4.42 Complete medical examination of injury cases. (a) Examination of visual acuity. Rate thoracoplasty as removal of ribs under DC 5297. This combined value will then be converted to the nearest number divisible by 10, and combined values ending in 5 will be adjusted upward. Many Different Conditions Could Be Causing Your Shoulder Pain, 2. Measurement of ankylosis and joint motion. Note (2): One MET (metabolic equivalent) is the energy cost of standing quietly at rest and represents an oxygen uptake of 3.5 milliliters per kilogram of body weight per minute.