(a) Extremely unfavorable complete ankylosis of the knee, or complete ankylosis of 2 major joints of an extremity, or shortening of the lower extremity of 312 inches (8.9 cms.) - Pensions, Bonuses, and Veterans' Relief, https://www.ecfr.gov/current/title-38/chapter-I/part-4. 6832 Pneumoconiosis (silicosis, anthracosis, etc.). Well cover the different types of shoulder injuries that can qualify for disability benefits, how the VA rates shoulder injuries, and what evidence is needed to support a claim. Evaluation March 10, 1976; evaluation February 17, 1994. 7016 Heart valve replacement (prosthesis): For an indefinite period following date of hospital admission for valve replacement, Note: Six months following discharge from inpatient hospitalization, disability evaluation shall be conducted by mandatory VA examination using the General Rating Formula. 8540 Soft-tissue sarcoma (Neurogenic origin). The stronger the connection between your military Evaluation March 1, 1989; evaluation August 30, 1996. VA Disability Rating for Rotator Cuff Repair and Shoulder [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. The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. Title 38, Part 4 Schedule for Rating Disabilities Criterion March 10, 1976; criterion September 23, 2002; revised and moved to 5235-5243 September 26, 2003. Criterion September 9, 1975; evaluation August 30, 2002; criterion August 13, 2018. 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. The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. VA Disability Ratings for Shoulder and Arm Conditions If a prophylactic thyroidectomy is performed (based upon genetic testing) and antineoplastic therapy is not required, evaluate as hypothyroidism under DC 7903. Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. 18, 1976; 41 FR 34256, Aug. 13, 1976; 54 FR 4281, Jan. 30, 1989; 54 FR 34981, Aug. 23, 1989; 71 FR 28586, May 17, 2006; 79 FR 2100, Jan. 13, 2014]. Addison's disease (adrenocortical insufficiency). 5308 Group VIII Function: Extension of wrist, fingers, thumb. Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. The examiner must document the results for at least 16 meridians 2212 degrees apart for each eye and indicate the Goldmann equivalent used. Where in the judgment of the rating board the veteran's unemployability is due to epilepsy and jurisdiction is not vested in that body by reason of schedular evaluations, the case should be submitted to the Compensation Service or the Director, Pension and Fiduciary Service. 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. Note (1): If hyperthyroid cardiovascular or cardiac disease is present, separately evaluate under DC 7008 (hyperthyroid heart disease). The most trusted name in education-based resources for Veterans. 7205 Esophagus, diverticulum of, acquired. (i) Type of injury. e. Evaluating Limitation of Motion Due to Pain When evaluating limitation of motion due to pain, keep in mind that the limitation must at least meet the level of a noncompensable evaluation for the affected joint to warrant an additional evaluation 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. (e) The total hospital rating if convalescence is required may be continued for periods of 1, 2, or 3 months in addition to the period provided in paragraph (a) of this section. Click Go Elite Now below to get started today and a member of our team will be in touch within minutes. In the absence of a diagnosis of non-psychotic organic psychiatric disturbance (psychotic, psychoneurotic or personality disorder) if diagnosed and shown to be secondary to or directly associated with epilepsy will be rated separately. The official, published CFR, is updated annually and available below under 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). 7722 Pernicious anemia and Vitamin B12 deficiency anemia. [67 FR 49596, July 31, 2002; 67 FR 58448, 58449, Sept. 16, 2002; 73 FR 54710, Oct. 23, 2008; 77 FR 2910, Jan. 20, 2012; 83 FR 32597, July 13, 2018; 83 FR 38663, Aug. 7, 2018], [61 FR 20446, May 7, 1996, as amended at 82 FR 50804, Nov. 2, 2017]. Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. Marginal employment may also be held to exist, on a facts found basis (includes but is not limited to employment in a protected environment such as a family business or sheltered workshop), when earned annual income exceeds the poverty threshold. Subastragalar or tarsal joint, ankylosis. cm. Renal involvement in diabetes mellitus type I or II. 7710 Adenitis, tuberculous, active or inactive: Asymptomatic, smoldering, or monoclonal gammopathy of undetermined significance (MGUS), With at least 4 or more painful episodes per 12-month period, occurring in skin, joints, bones, or any major organs, caused by hemolysis and sickling of red blood cells, with anemia, thrombosis, and infarction, with residual symptoms precluding even light manual labor, With 3 painful episodes per 12-month period or with symptoms precluding other than light manual labor, With 1 or 2 painful episodes per 12-month period, Asymptomatic, established case in remission, but with identifiable organ impairment, When there is active disease, during treatment phase, or with indolent and non-contiguous phase of low grade NHL, Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period, Requiring transfusion of platelets or red cells, on average, at least once every three months per 12-month period; or infections recurring, on average, at least once every three months per 12-month period; or using continuous therapy with immunosuppressive agent or newer platelet stimulating factors, Requiring transfusion of platelets or red cells, on average, at least once per 12-month period; or infections recurring, on average, at least once per 12-month period, 7717 AL amyloidosis (primary amyloidosis). 5309 Group IX Function: Forearm muscles. wide at widest part. 8714 Neuralgia, musculospiral nerve (radial). Added March 11, 1969; removed September 22, 1978. Minimal scar. General Rating Formula for Interstitial Lung Disease (diagnostic codes 6825 through 6833): Forced Vital Capacity (FVC) less than 50-percent predicted, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or; cor pulmonale or pulmonary hypertension, or; requires outpatient oxygen therapy, FVC of 50- to 64-percent predicted, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum exercise capacity of 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation, FVC of 65- to 74-percent predicted, or; DLCO (SB) of 56- to 65-percent predicted, FVC of 75- to 80-percent predicted, or; DLCO (SB) of 66- to 80-percent predicted. Note following July 6, 1950; evaluation January 12, 1998; criterion November 14, 2021. VA ratings for shoulder pain require an accurate Range of Motion (ROM) test of the flexion and abduction of the arm or shoulder. Some injuries might just overstretch a muscle or tendon, while more severe injuries may involve partial or complete tears. Ratings for Pulmonary Tuberculosis (Chronic) Entitled on August 19, 1968: 6704 Active, advancement unspecified. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. [With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. Added February 17, 1994; note and criterion November 14, 2021. Title, evaluation, note February 7, 2021. 6830 Radiation-induced, pneumonitis & fibrosis. The VA Ratings Schedule for Rheumatoid Arthritis. Note (1): For purposes of this section, characteristic attacks consist of sequential color changes of the digits of one or more extremities lasting minutes to hours, sometimes with pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) Neuralgia, anterior tibial nerve (deep peroneal). 5012 Bones, neoplasm, malignant, primary or secondary. 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. contact the publishing agency. 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). Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. 7808 Old World leishmaniasis (cutaneous, Oriental sore): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's, 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disabililty. (Authority: 38 U.S.C. With shortening of a long bone, some degree of angulation is to be expected; the extent and direction should be brought out by X-ray and observation. General Rating Formula for Bacterial Infections of the Lung (diagnostic codes 6822 through 6824): Active infection with systemic symptoms such as fever, night sweats, weight loss, or hemoptysis. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral): Forced expiratory volume in one second (FEV-1) less than 40 percent of predicted value, with Flow-Volume Loop compatible with upper airway obstruction, or; permanent tracheostomy, FEV-1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, Stricture or obstruction of pharynx or nasopharynx, or; absence of soft palate secondary to trauma, chemical burn, or granulomatous disease, or; paralysis of soft palate with swallowing difficulty (nasal regurgitation) and speech impairment, Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, With permanent hypertrophy of turbinates and with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, Wegener's granulomatosis, lethal midline granuloma, FEV-1 less than 40 percent of predicted value, or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation), or; cor pulmonale (right heart failure), or; right ventricular hypertrophy, or; pulmonary hypertension (shown by Echo or cardiac catheterization), or; episode(s) of acute respiratory failure, or; requires outpatient oxygen therapy, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum oxygen consumption of 15 to 20 ml/kg/min (with cardiorespiratory limit), FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; DLCO (SB) 56- to 65-percent predicted, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; DLCO (SB) 66- to 80-percent predicted, With incapacitating episodes of infection of at least six weeks total duration per year, With incapacitating episodes of infection of four to six weeks total duration per year, or; near constant findings of cough with purulent sputum associated with anorexia, weight loss, and frank hemoptysis and requiring antibiotic usage almost continuously, With incapacitating episodes of infection of two to four weeks total duration per year, or; daily productive cough with sputum that is at times purulent or blood-tinged and that requires prolonged (lasting four to six weeks) antibiotic usage more than twice a year, Intermittent productive cough with acute infection requiring a course of antibiotics at least twice a year. 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%. Malignant neoplasms of gynecological system. Disability of the musculoskeletal system is primarily the inability, due to damage or infection in parts of the system, to perform the normal working movements of the body with normal excursion, strength, speed, coordination and endurance. WebReferences for Chronic Achilles Tendonitis or Achilles Bursitis. (b) Except as otherwise provided in this schedule, the disabilities arising from a single disease entity, e.g., arthritis, multiple sclerosis, cerebrovascular accident, etc., are to be rated separately as are all other disabiling conditions, if any. VA DISABILITY FOR GYNECOLOGICAL CONDITIONS AND DISORDERS OF THE BREAST. 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. For a minimum of one year from the date of hospital admission for cardiac transplantation, Note: One year following discharge from inpatient hospitalization, determine the appropriate disability rating by mandatory VA examination. will bring you directly to the content. Motor activity severely decreased due to apraxia. 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. Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. 6036 Status post corneal transplant. 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. 7630 Malignant neoplasms of the breast. It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case. 7544 Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Gynecological Conditions and Disorders of the Breasts include the organs that can only be found in a female body and are used for sexual and reproductive purposes. The VA disability rating for hip bursitis falls under 38 CFR 4.71a, 5019. The forepart of the foot is abducted, and the foot everted. (5) multiple disabilities incurred as a prisoner of war. 5213 Supination and pronation, impairment. (b) The correct procedure when applying the bilateral factor to disabilities affecting both upper extremities and both lower extremities is to combine the ratings of the disabilities affecting the 4 extremities in the order of their individual severity and apply the bilateral factor by adding, not combining, 10 percent of the combined value thus attained. 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. When the percentage requirements are met, and the disabilities involved are of a permanent nature, a rating of permanent and total disability will be assigned if the veteran is found to be unable to secure and follow substantially gainful employment by reason of such disability. Once the signal reaches the visual cortex, it is interpreted by the brain so you can make sense of the environment. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. Essential thrombocythemia and primary myelofibrosis. 6209 Benign neoplasm(other than skin only). All these parts work together to support your body weight, maintain your posture, and help you move. For example, assign a 70 percent evaluation if 3 is the highest level of evaluation for any facet. Severely impaired judgment. cm.) The examiner must document the results of muscle function testing by identifying the quadrant(s) and range(s) of degrees in which diplopia exists. The following ratings may be assigned, in lieu of ratings prescribed elsewhere, under the conditions stated for disability from any disease or injury. Hip Labral Tear The labrum is a [53 FR 30262, Aug. 11, 1988, as amended at 73 FR 66549, Nov. 10, 2008; 74 FR 7648, Feb. 19, 2009; 83 FR 15320, Apr. 6014 Malignant neoplasms of the eye, orbit, and adnexa (excluding skin): Malignant neoplasms of the eye, orbit, and adnexa (excluding skin) that require therapy that is comparable to those used for systemic malignancies, i.e., systemic chemotherapy, X-ray therapy more extensive than to the area of the eye, or surgery more extensive than enucleation, Note: Continue the 100 percent rating beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. Evaluation January 12, 1998; title, criterion November 14, 2021. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified): 7535 Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents): 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism: Note: This diagnostic code pertains to renal involvement secondary to all glomerulonephritis conditions, all vasculitis conditions and their derivatives, and other renal conditions caused by systemic diseases, such as Lupus erythematosus, systemic lupus erythematosus nephritis, Henoch-Schonlein syndrome, scleroderma, hemolytic uremic syndrome, polyarthritis, Wegener's granulomatosis, Goodpasture's syndrome, and sickle cell disease. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. Navigate by entering citations or phrases (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. 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. Minimum, if interfering to any extent with mastication - 10, 5326 Muscle hernia, extensive. Self-induced weight loss to less than 80 percent of expected minimum weight, with incapacitating episodes of at least six weeks total duration per year, and requiring hospitalization more than twice a year for parenteral nutrition or tube feeding. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. Apply the provisions of, For three months following hospital admission for surgery. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. 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.