You can use your service medical records, military records, and a personal statement to prove your shoulder injury occurred while you were serving. I was granted 40% loss of extension on the knee and 10% for bursitis of the shoulder. 8622 Neuritis, musculocutaneous (superficial peroneal) nerve. Anatomical loss of one hand and one foot. The disability rating assigned also depends on whether the veterans dominant (higher evaluation) versus nondominant (lower evaluation) arm is affected. 8722 Neuralgia, musculocutaneous nerve (superficial peroneal). As a NOTE August 23, 1948; criterion September 22, 1978. 7312 Cirrhosis of the liver, primary biliary cirrhosis, or cirrhotic phase of sclerosing cholangitis: Generalized weakness, substantial weight loss, and persistent jaundice, or; with one of the following refractory to treatment: ascites, hepatic encephalopathy, hemorrhage from varices or portal gastropathy (erosive gastritis), History of two or more episodes of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), but with periods of remission between attacks, History of one episode of ascites, hepatic encephalopathy, or hemorrhage from varices or portal gastropathy (erosive gastritis), Portal hypertension and splenomegaly, with weakness, anorexia, abdominal pain, malaise, and at least minor weight loss, Symptoms such as weakness, anorexia, abdominal pain, and malaise, Severe; frequent attacks of gall bladder colic, Moderate; gall bladder dyspepsia, confirmed by X-ray technique, and with infrequent attacks (not over two or three a year) of gall bladder colic, with or without jaundice. Moderately severely impaired. Anterior crural nerve (femoral), paralysis. A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established by report at hospital discharge (regular discharge or release to non-bed care) or outpatient release that entitlement is warranted under paragraph (a) (1), (2) or (3) of this section effective the date of hospital admission or outpatient treatment and continuing for a period of 1, 2, or 3 months from the first day of the month following such hospital discharge or outpatient release. If a diagnosis is not supported by the findings on the examination report or if the report does not contain sufficient detail, it is incumbent upon the rating board to return the report as inadequate for evaluation purposes. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. Schedule of ratings - cardiovascular system. (iii) Objective findings. 5315 Group XV Function: Adduction of hip. 10 percent VA disability rating for each leg. 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. 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. 8522 Musculocutaneous nerve (superficial peroneal), paralysis. Social interaction is frequently inappropriate. About VA disability ratings We assign you a disability rating based on the severity of your service-connected condition. Criterion March 10, 1976; removed December 17, 1987. The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. It is thus essential, both in the examination and in the evaluation of disability, that each disability be viewed in relation to its history. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. Separate ratings are not to be assigned for disability from disease of the heart and any form of nephritis, on account of the close interrelationships of cardiovascular disabilities. All Diagnostic Codes under Mental Disorders October 1, 1961; except as to evaluation for Diagnostic Codes 9500 through 9511 September 9, 1975. The rating board will include a full statement as to the veteran's service-connected disabilities, employment history, educational and vocational attainment and all other factors having a bearing on the issue. Combine the evaluation for visual impairment of one eye with evaluations for other disabilities of the same eye that are not based on visual impairment (e.g., disfigurement under diagnostic code 7800). Not improvable by prosthesis controlled by natural knee action, Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss, Toe, other than great, with removal metatarsal head, Toes, three or more, without metatarsal involvement. Features of the disability which must have persisted unchanged may be overlooked or a change for the better or worse may not be accurately appreciated or described. 4.55 Principles of combined ratings for muscle injuries. 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. This is an unfavorable mechanical relationship of the parts. (f) Special monthly compensation. (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. After the excitement of finally having the rating you deserve wears off, you start asking questions. Criterion May 22, 1995; evaluation May 13, 2018. cm.). With any form of arthritis (except traumatic arthritis) it is essential that the examination for rating purposes cover all major joints, with especial reference to Heberden's or Haygarth's nodes. 5003 Degenerative arthritis, other than post-traumatic. Some examples of mental illness include PTSD, adjustment disorder, major depressive disorder, anxiety disorders, schizophrenia, and eating disorders among others. Note (2): For the purposes of this diagnostic code, a treatment intervention occurs whenever a symptomatic patient requires intravenous pharmacologic adjustment, cardioversion, and/or ablation for symptom relief. Neoplasm, hard and soft tissue, malignant. Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. The figures appearing in the space where the column and row intersect will represent the combined value of the two. 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. 8710 Neuralgia, upper radicular group. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, Without heart failure but with enlarged heart, wide pulse pressure, and tachycardia. The VA Ratings Schedule for Rheumatoid Arthritis. 4.130 Schedule of ratings - Mental disorders. Objective evidence on testing of moderate impairment of memory, attention, concentration, or executive functions resulting in moderate functional impairment. Criterion March 10, 1976; criterion February 3, 1988. In 2022, flat feet VA disability ratings range from 0 percent to 50 percent, with interim breaks at 10 percent, 20 percent, and 30 percent. Osteomyelitis, acute, subacute, or chronic. 5313 Group XIII Function: Extension of hip and flexion of knee. (b) It is the established policy of the Department of Veterans Affairs that all veterans who are unable to secure and follow a substantially gainful occupation by reason of service-connected disabilities shall be rated totally disabled. Only one hand shall be considered dominant. Most likely, the VA will rate your shoulder pain under one of two different rating schedules. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. 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. 9326 Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. It is necessary therefore, in all cases of this character to deduct from the present degree of disability the degree, if ascertainable, of the disability existing at the time of entrance into active service, in terms of the rating schedule, except that if the disability is total (100 percent) no deduction will be made. 6029 Aphakia or dislocation of crystalline lens: Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step. 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. 8621 Neuritis, external popliteal (common peroneal) nerve. in an area exceeding six square inches (39 sq. (c) For VA rating purposes, the cardinal signs and symptoms of muscle disability are loss of power, weakness, lowered threshold of fatigue, fatigue-pain, impairment of coordination and uncertainty of movement. When present, those occurring during or immediately after eating and known as the dumping syndrome are characterized by gastrointestinal complaints and generalized symptoms simulating hypoglycemia; those occurring from 1 to 3 hours after eating usually present definite manifestations of hypoglycemia. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect to landmarks, should be insisted on. 6019 Ptosis unilateral or bilateral. Replaces 5285-5295 September 26, 2003; Title February 7, 2021. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. However, if you have post concussive headaches that are severe enough to be eligible for a VA rating, then they can be rated under Diagnostic Code 8100for migraine headaches, since that is the diagnostic code that is closest to your condition with similar symptoms. 8526 Anterior crural nerve (femoral), paralysis. It is made up of the breasts, uterus, ovaries, fallopian tubes, vulva, clitoris, vagina, and cervix. O. Schedule of ratings - hemic and lymphatic systems. Such total rating will be followed by appropriate schedular evaluations. 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. (a) Examination of muscle function. Persistent depressive disorder (dysthymia). Note (1): Separately evaluate amputations of fingers or toes, and complications such as squamous cell carcinoma at the site of a cold injury scar or peripheral neuropathy, under other diagnostic codes. L. Code L-1 h, i (38 CFR 3.350(b)). Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. Title May 13, 2018. Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. 7115 Thrombo-angiitis obliterans (Buerger's Disease): Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses, Persistent coldness of the extremity, trophic changes with pains in the hands during physical activity, and diminished upper extremity pulses, Trophic changes with numbness and paresthesia at the tips of the fingers, and diminished upper extremity pulses, Note (1): These evaluations involve a single extremity. This content is from the eCFR and is authoritative but unofficial.
Please do not provide confidential (i) Type of injury. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting. Organization and Purpose As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117. The VASRD gives rating rules for conditions based on their symptoms, treatment options, and the resulting level of disability they cause. 7627 Malignant neoplasms of gynecological system. 5321 Group XXI Function: Respiration. but less than 72 square inches (465 sq. Rate chronic residuals according to impairment of function due to scars, lymphedema, or disfigurement (e.g., limitation of arm, shoulder, and wrist motion, or loss of grip strength, or loss of sensation, or residuals from harvesting of muscles for reconstructive purposes), and/or under diagnostic code 7626, 7632 Female sexual arousal disorder (FSAD), Requiring bone marrow transplant; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring intermittent myeloid growth factors (granulocyte colony-stimulating factor (G-CSF) or granulocyte-macrophage colony-stimulating factor (GM-CSF) or continuous immunosuppressive therapy such as cyclosporine to maintain absolute neutrophil count (ANC) greater than 500/microliter (l) but less than 1000/l; or infections recurring, on average, at least once every three months per 12-month period, Requiring intermittent myeloid growth factors to maintain ANC greater than 1000/l; or infections recurring, on average, at least once per 12-month period but less than once every three months per 12-month period, Requiring continuous medication (e.g., antibiotics) for control; or requiring intermittent use of a myeloid growth factor to maintain ANC greater than or equal to 1500/l. (iii) Objective findings. What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Criterion March 11, 1969; removed February 17, 1994. 8000 Encephalitis, epidemic, chronic. An Equivalent VA disability is a general term for conditions that have multiple names. Answer a few questions to check your eligibility. Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). (a) For VA purposes, the diagnosis of chronic fatigue syndrome requires: (1) new onset of debilitating fatigue severe enough to reduce daily activity to less than 50 percent of the usual level for at least six months; and, (2) the exclusion, by history, physical examination, and laboratory tests, of all other clinical conditions that may produce similar symptoms; and. Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, worse than those shown for moderately severe muscle injuries, and, if present, evidence of inability to keep up with work requirements. Only joints in these positions are considered to be in favorable position. Evaluation of disability from mental disorders. This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). When evaluating any claim involving complete organic aphonia, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Dear Veteran, Heres the brutal truth about VA disability claims: According to our data, 8/10 (80%) of veterans reading this message right now are underrated by the VA. Severe; objective evidence of marked deformity (pronation, abduction, etc. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. Tic douloureux, or trifacial neuralgia, may be rated up to complete paralysis of the affected nerve. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350(f) (3), (4) or (5). 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014].
Rating Knee Pain 7011 Ventricular arrhythmias (sustained): For an indefinite period from the date of inpatient hospital admission for initial medical therapy for a sustained ventricular arrhythmia; or, for an indefinite period from the date of inpatient hospital admission for ventricular aneurysmectomy; or, with an automatic implantable cardioverter-defibrillator (AICD) in place, Note: When inpatient hospitalization for sustained ventricular arrhythmia or ventricular aneurysmectomy is required, a 100-percent evaluation begins on the date of hospital admission with a mandatory VA examination six months following hospital discharge. 5304 Group IV Function: Stabilization of shoulder. Painful neuroma of a stump after amputation shall be assigned the evaluation for the elective site of reamputation. 8540 Soft-tissue sarcoma (Neurogenic origin). Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. The evaluation of visual impairment is based on impairment of visual acuity (excluding developmental errors of refraction), visual field, and muscle function. or existing codification. 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. Criterion March 10, 1976; criterion October 7, 1996. VA disabilities of the Skin include burns, scars, eczema, infections, and cancers, among others. Pressing enter in the search box 6829 Drug-induced pulmonary pneumonitis and fibrosis. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. (iii) Objective findings. Indications on palpation of loss of deep fascia, muscle substance, or normal firm resistance of muscles compared with sound side. Evaluation August 23, 1948; evaluation February 17, 1955; evaluation July 2, 2001. cm.) 9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity. (ii) History and complaint. (c) Neurocognitive disorders shall be evaluated under the general rating formula for mental disorders; neurologic deficits or other impairments stemming from the same etiology (e.g., a head injury) shall be evaluated separately and combined with the evaluation for neurocognitive disorders (see 4.25). Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. Added October 1, 1961; evaluation September 9, 1975. Examinations will be conducted without the use of hearing aids. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. 6515 Laryngitis, tuberculous, active or inactive. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. 5173 Toes, three or more, without metatarsal involvement. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 5301 Group I Function: Upward rotation of scapula. (a) When evaluating a mental disorder, the rating agency shall consider the frequency, severity, and duration of psychiatric symptoms, the length of remissions, and the veteran's capacity for adjustment during periods of remission. Simple wound of muscle without debridement or infection. 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Schedule of ratings - respiratory system.
VA Disability Ratings for GERD Explained This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease. 8510 Upper radicular group, paralysis. 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. (2) When diplopia extends beyond more than one quadrant or range of degrees, evaluate diplopia based on the quadrant and degree range that provides the highest evaluation. They may test your range of motion and look for muscle weakness. 29 FR 6718, May 22, 1964, unless otherwise noted. 6331 Coxiella burnetii infection (Q Fever). Added September 9, 1975; criterion January 12, 1998; note, criterion November 14, 2021. cm.) 4.71 Measurement of ankylosis and joint motion. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. This, though a familial disease, has its onset in late adult life, and is considered a ratable disability. (v) generalized muscle aches or weakness. 7911 Addisons disease (adrenocortical insufficiency). 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). Group I Function: Upward rotation of scapula. Otherwise, the lower rating will be assigned. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. Examiners must use either Goldmann kinetic perimetry or automated perimetry using Humphrey Model 750, Octopus Model 101, or later versions of these perimetric devices with simulated kinetic Goldmann testing capability. You can learn more about the process 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.