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. Many Different Conditions Could Be Causing Your Shoulder Pain, 2. (i) Type of injury. 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. 10, 2018]. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. 6331 Coxiella burnetii infection (Q Fever). Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other. Evaluation February 17, 1994; removed November 14, 2021. (d) Maximum evaluation for visual impairment of one eye. In this connection, it will be remembered that a person may be too disabled to engage in employment although he or she is up and about and fairly comfortable at home or upon limited activity. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. The forepart of the foot is abducted, and the foot everted. 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. The joints involved should be tested for pain on both active and passive motion, in weight-bearing and nonweight-bearing and, if possible, with the range of the opposite undamaged joint. The toe pressure (TP) is the systolic blood pressure measured at the great toe. Social interaction is inappropriate most or all of the time. 8711 Neuralgia, middle radicular group. Choroidopathy, including uveitis, iritis, cyclitis, or choroiditis. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see 4.125 for availability information). (b) If the diagnosis of a mental disorder is changed, the rating agency shall determine whether the new diagnosis represents progression of the prior diagnosis, correction of an error in the prior diagnosis, or development of a new and separate condition. (f) Pain on movement, swelling, deformity or atrophy of disuse. Note: Not to be combined with claw foot ratings. The official, published CFR, is updated annually and available below under Rate thoracoplasty as removal of ribs under DC 5297. [43 FR 45352, Oct. 2, 1978, as amended at 73 FR 66549, Nov. 10, 2008]. What are disabilities of the Endocrine System for VA rating purposes? The ending dates of all graduated ratings of nonpulmonary tuberculosis will be controlled by the date of attainment of inactivity. 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). Ready to Get the VA Rating and Compensation YOU Deserve? A Goniometer will probably be used at your C&P exam to measure Range of Motion (ROM) of your shoulder and arm. For residuals not listed here that are reported on an examination, evaluate under the most appropriate diagnostic code. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. Or rate on impairment of function of contiguous joint. (ii) History and complaint. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. 7807 American (New World) leishmaniasis (mucocutaneous, espundia): 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 disability. With persistent polyuria or requiring continuous hormonal therapy. developer resources. All of these conditions can lead to chronic shoulder pain and disability. 7811 Tuberculosis luposa (lupus vulgaris), active or inactive: 7813 Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor). 5311 Group XI Function: Propulsion, plantar flexion of foot. 9433 Persistent depressive disorder (dysthymia). (See table I). In making such determinations, the following guidelines will be used: (a) Marginal employment, for example, as a self-employed farmer or other person, while employed in his or her own business, or at odd jobs or while employed at less than half the usual remuneration will not be considered incompatible with a determination of unemployability, if the restriction, as to securing or retaining better employment, is due to disability. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity). Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. One or two painful flare-ups a year: 20% Rating. 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. Added October 1, 1961; criterion March 10, 1976; criterion March 1, 1989. Stipulations are made for things like whether a dominant or non-dominant arm is affected or whether you have dependents who rely on you. The VA uses 38 CFR 4.71 to rate your musculoskeletal system and 38 CFR 4.73 to rate muscle injuries. Motor activity severely decreased due to apraxia. 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). You still have options. Web: A rating under DC 5257 for lateral knee instability. Handedness for the purpose of a dominant rating will be determined by the evidence of record, or by testing on VA examination. A plumb line dropped from the middle of the patella falls inside of the normal point. Schedule for Rating Disabilities; Dental and Oral Conditions 7, 1994; 86 FR 54085, Sept. 30, 2021], [59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. 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. 4.89 Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968. section 356 of title 38, United States Code. citations and headings In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. (3) The assent of the claimant should first be obtained for permission to conduct this economic and social survey. 7000 Valvular heart disease(including rheumatic heart disease). As active, progressive disease, including areas of osteoporosis, hypertension, and proximal upper and lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms, Proximal upper or lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms, With striae, obesity, moon face, glucose intolerance, and vascular fragility. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). The term incomplete paralysis, with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. 8623 Neuritis, anterior tibial (deep peroneal) nerve. Added February 17, 1994; title and criterion November 14, 2021. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. Minimum, if there is pain, photophobia, and glare sensitivity. (b) Complete paralysis of the external popliteal nerve (common peroneal) and consequent, footdrop, accompanied by characteristic organic changes including trophic and circulatory disturbances and other concomitants confirmatory of complete paralysis of this nerve, will be taken as loss of use of the foot. 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. 6036 Status post corneal transplant. Other specified forms of arthropathy (excluding gout). 11, 1969; 43 FR 45361, Oct. 2, 1978]. The conversion to the nearest degree divisible by 10 will be done only once per rating decision, will follow the combining of all disabilities, and will be the last procedure in determining the combined degree of disability. cm. Scar at least one-quarter inch (0.6 cm.) Criterion March 11, 1969; removed February 17, 1994. Criterion March 10, 1976; criterion October 7, 1996. will bring you directly to the content. Surface contour of scar elevated or depressed on palpation. 9304 Major or mild neurocognitive disorder due to traumatic brain injury(Dementia). 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.). In those prestabilization ratings in which following examination reduction in evaluation is found to be warranted, the higher evaluation will be continued to the end of the 12th month following discharge or to the end of the period provided under 3.105(e) of this chapter, whichever is later. Evaluation March 1, 1989; evaluation August 30, 1996; criterion, note August 11, 2019. (iii) Objective findings. Added March 1, 1989; criterion August 30, 1996; criterion, note August 11, 2019. Note (2): When diabetes mellitus has been conclusively diagnosed, do not request a glucose tolerance test solely for rating purposes. 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. Flexion elicits such manifestations. 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.
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