View the most recent official publication: These links go to the official, published CFR, which is updated annually. Loss of use of a hand or a foot, for the purpose of special monthly compensation, will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump at the site of election below elbow or knee with use of a suitable prosthetic appliance. The prestabilization 50-percent rating is not to be used in any case in which a rating of 50 percent or more is immediately assignable under the regular provisions. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic states, generalized convulsions, random motor movements (chewing, lip smacking, fumbling), hallucinatory phenomena (involving taste, smell, sound, vision), perceptual illusions (deja vu, feelings of loneliness, strangeness, macropsia, micropsia, dreamy states), alterations in thinking (not open to reason), alterations in memory, abnormalities of mood or affect (fear, alarm, terror, anger, dread, well-being), and autonomic disturbances (sweating, pallor, flushing of the face, visceral phenomena such as nausea, vomiting, defecation, a rising feeling of warmth in the abdomen). (d) Maximum evaluation for visual impairment of one eye. The relevant principle enunciated in 4.125, entitled Diagnosis of mental disorders, should have careful attention in this connection. The nephrosclerotic type, originating in hypertension or arteriosclerosis, develops slowly, with minimum laboratory findings, and is associated with natural progress. If you have questions or comments regarding a published document please Prosthetic replacement of the shoulder joint: For 1 year following implantation of prosthesis, With chronic residuals consisting of severe, painful motion or weakness in the affected extremity. ): Note: Cystic diseases of the kidneys include, but are not limited to, polycystic disease, uremic medullary cystic disease, medullary sponge kidney, and similar conditions such as Alport's syndrome, cystinosis, primary oxalosis, and Fabry's disease. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that do not require therapy comparable to that for systemic malignancies: Separately evaluate visual and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. 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. Thrombo-angiitis obliterans (Buerger's Disease). Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. You may also be eligible for secondary service connection if you cant prove a direct link. That numeral will then be elevated to the next higher Roman numeral. cm.). What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? For purposes of this section, marginal employment generally shall be deemed to exist when a veteran's earned annual income does not exceed the amount established by the U.S. Department of Commerce, Bureau of the Census, as the poverty threshold for one person. 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. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. What are Neurological Conditions and Convulsive Disorders for VA rating purposes? 4 Schedule for Rating Disabilities For a limited time, you can book a free, no-obligation VA Claim Discovery Call with one of our experts. 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. 5207 Forearm, limitation of extension. cm. Prestabilization ratings are for assignment in the immediate postdischarge period. General Rating Formula for DCs 7806, 7809, 7813-7816, 7820-7822, and 7824 added August 13, 2018. Rate under the general rating formula for major seizures. For example, if there are two disabilities, the degree of one disability will be read in the left column and the degree of the other in the top row, whichever is appropriate. 5310 Group X Function: Movement of forefoot and toes. With remaining field of 31 to 45 degrees: With remaining field of 46 to 60 degrees: Minimum, with scotoma affecting at least one-quarter of the visual field (quadrantanopsia) or with centrally located scotoma of any size, Alternatively, evaluate based on visual impairment due to scotoma, if that would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with. The Code of Federal Regulations (CFR) is the official legal print publication containing the codification of the general and permanent rules published in the Federal Register by the departments and agencies of the Federal Government. Subastragalar or tarsal joint, ankylosis. 7205 Esophagus, diverticulum of, acquired. If a prophylactic thyroidectomy is performed (based upon genetic testing) and antineoplastic therapy is not required, evaluate as hypothyroidism under DC 7903. As a 7613 Uterus, disease, injury, or adhesions of. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. The most common is called direct service connection. Such total rating will be followed by appropriate schedular evaluations. 5105 Anatomical loss of one foot and loss of use of one hand. 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. Added March 10, 1976; removed February 3, 1988. Thereafter, with diagnosis confirmed by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization, use the General Rating Formula. 5025 Fibromyalgia (fibrositis, primary fibromyalgia syndrome). 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. Totally incapacitating, Severe; same as pronounced with less pronounced and less continuous symptoms with definite impairment of health, Moderately severe; intercurrent episodes of abdominal pain at least once a month partially or completely relieved by ulcer therapy, mild and transient episodes of vomiting or melena, Moderate; with episodes of recurring symptoms several times a year, Mild; with brief episodes of recurring symptoms once or twice yearly. Evaluation July 6, 1950; criterion and note February 7, 2021. It is essential to make an initial distinction between bilateral flatfoot as a congenital or as an acquired condition. Criterion May 22, 1995; title May 13, 2018. A permanent and total disability rating under the provisions of 4.15, 4.16 and 4.17 will not be precluded by reason of the coexistence of misconduct disability when: (a) A veteran, regardless of employment status, also has innocently acquired 100 percent disability, or. Objective evidence on testing of moderate impairment of memory, attention, concentration, or executive functions resulting in moderate functional impairment. The respiratory system isthe bodys network of organs and tissues that help you breathe. May rely on gestures or other alternative modes of communication. 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. Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities, Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet.