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This article discusses four things you need to know about shoulder pain and VA disability. cm.). 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year, Frequent attacks of colic with infection (pyonephrosis), kidney function impaired, Frequent attacks of colic, requiring catheter drainage, Only an occasional attack of colic, not infected and not requiring catheter drainage, 3. invasive or non-invasive procedures more than two times/year. 4.16 Total disability ratings for compensation based on unemployability of the individual. 9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. the hierarchy of the document. Criterion July 6, 1950; evaluation March 10, 1976; evaluation January 12, 1998. 5160 Complete amputation, lower extremity: Trans-pelvic amputation (involving complete removal of the femur and intrinsic pelvic musculature along with any portion of the pelvic bones), Disarticulation (involving complete removal of the femur and intrinsic pelvic musculature only), 5161 Upper third, one-third of the distance from perineum to knee joint measured from perineum, 5163 With defective stump, thigh amputation recommended, 5164 Amputation not improvable by prosthesis controlled by natural knee action, 5165 At a lower level, permitting prosthesis, 5166 Forefoot, amputation proximal to metatarsal bones (more than one-half of metatarsal loss), 5170 Toes, all, amputation of, without metatarsal loss or transmetatarsal, amputation of, with up to half of metatarsal loss. Added August 30, 1996; criterion, note August 11, 2019. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. Chronic, or recurring, suppurative osteomyelitis, once clinically identified, including chronic inflammation of bone marrow, cortex, or periosteum, should be considered as a continuously disabling process, whether or not an actively discharging sinus or other obvious evidence of infection is manifest from time to time, and unless the focus is entirely removed by amputation will entitle to a permanent rating to be combined with other ratings for residual conditions, however, not exceeding amputation ratings at the site of election. (iii) Objective findings. [29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. Following the total rating for the 2-year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. Evaluation March 10, 1976; removed July 2, 2001. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. What is the Cardiovascular System for VA rating purposes? (b) For rating purposes, the skeletal muscles of the body are divided into 23 muscle groups in 5 anatomical regions: 6 muscle groups for the shoulder girdle and arm (diagnostic codes 5301 through 5306); 3 muscle groups for the forearm and hand (diagnostic codes 5307 through 5309); 3 muscle groups for the foot and leg (diagnostic codes 5310 through 5312); 6 muscle groups for the pelvic girdle and thigh (diagnostic codes 5313 through 5318); and 5 muscle groups for the torso and neck (diagnostic codes 5319 through 5323). 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. Added June 9, 1952; evaluation March 10, 1976; removed January 12, 1998. The individual is thus 72 percent disabled, as shown in table I opposite 60 percent and under 30 percent. He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and multi-functional teams in challenging international environments, including a combat tour to Afghanistan in 2011 supporting Operation ENDURING FREEDOM. Added March 11, 1969; removed September 22, 1978. 5311 Group XI Function: Propulsion, plantar flexion of foot. 5217 Four digits of one hand, unfavorable ankylosis of: 5218 Three digits of one hand, unfavorable ankylosis of: Index, long, and ring; index, long, and little; or index, ring, and little fingers. (ii) History and complaint. will also bring you to search results. (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). Record of consistent complaint of one or more of the cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, particularly lowered threshold of fatigue after average use, affecting the particular functions controlled by the injured muscles. In a given individual, symptoms may fluctuate in severity from day to day. Major or mild neurocognitive disorder due to another medical condition or substance/medication-induced major or mild neurocognitive disorder. To enforce any edition other than that specified in this section, the Department of Veterans Affairs must publish notice of change in the Federal Register and the material must be available to the public. Evaluation February 17, 1994; title, criterion November 14, 2021. If a mental disorder has been assigned a total evaluation due to a continuous period of hospitalization lasting six months or more, the rating agency shall continue the total evaluation indefinitely and schedule a mandatory examination six months after the veteran is discharged or released to nonbed care. This is an automated process for If the report of examination is inadequate as a basis for the required consideration of service connection and evaluation, the rating agency may request a supplementary report from the examiner giving further details as to the limitations of the disabled person's ordinary activity imposed by the disease, injury, or residual condition, the prognosis for return to, or continuance of, useful work. L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. Thereafter: Rate residuals under the specific body system or systems affected. (a) Visual impairment. Evaluation September 9, 1975; evaluation September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. 8623 Neuritis, anterior tibial (deep peroneal) nerve. Social interaction is frequently inappropriate. Your musculoskeletal system includes your bones, cartilage, ligaments, tendons, and connective tissues. VA Form 21-686c: A Quick 8-Step Guide For Veterans. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 7101 Hypertensive vascular disease (hypertension and isolated systolic hypertension): Diastolic pressure predominantly 130 or more, Diastolic pressure predominantly 120 or more, Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more, Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control. 8624 Neuritis, internal popliteal (tibial) nerve. Table I, Combined Ratings Table, results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity. Hip, resurfacing or replacement (prosthesis). 7911 Addisons disease (adrenocortical insufficiency). The Consciousness facet, for example, does not provide for an impairment level other than total, since any level of impaired consciousness would be totally disabling. Occurs when tendons and cartilage cannot properly support the Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder and incapacitating episodes of up to two weeks total duration per year. All Rights Reserved. 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. (d) Special provisions for the application of evaluation criteria for diagnostic codes 6600, 6603, 6604, 6825-6833, and 6840-6845. Added March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. VA Rating for Knee Pain: VA Knee Rating Chart and VA Navigate by entering citations or phrases The muscles that power your lungs are also part of the respiratory system. The manifestations of a chronic mental disorder associated with psychomotor epilepsy, like those of the seizures, are protean in character. 9917 Neoplasm, hard and soft tissue, benign. (c) Amputations at distal joints, or through distal phalanges, other than negligible losses, will be rated as prescribed for favorable ankylosis of the fingers. Evaluation July 6, 1950; criterion March 10, 1976. 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. (b) A through-and-through injury with muscle damage shall be evaluated as no less than a moderate injury for each group of muscles damaged. Did you know there are 834 conditions eligible for compensation in the official VA disability conditions list? 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. You may be able to get VA disability benefits for conditions such as:Chronic (long-lasting) back pain resulting in a current diagnosed back disabilityBreathing problems resulting from a current lung condition or lung diseaseSevere hearing lossScar tissueLoss of range of motion (problems moving your body)UlcersCancers caused by contact with toxic chemicals or other dangers 6032 Loss of eyelids, partial or complete: Separately evaluate both visual impairment due to eyelid loss and nonvisual impairment, e.g., disfigurement (diagnostic code 7800), and combine the evaluations. Occasionally disoriented to one of the four aspects (person, time, place, situation) of orientation. Palpation shows loss of deep fascia or muscle substance, or soft flabby muscles in wound area. Your skeleton is the foundational structure for your muscles and other soft tissues. 6515 Laryngitis, tuberculous, active or inactive. Criterion May 22, 1995; evaluation May 13, 2018. 5303 Group III Function: Elevation and abduction of arm. 5310 Group X Function: Movement of forefoot and toes. Cutaneous manifestations of collagen-vascular diseases not listed elsewhere. 5011 Decompression illness: Rate manifestations under the appropriate diagnostic code within the affected body system, such as arthritis for musculoskeletal residuals; auditory system for vestibular residuals; respiratory system for pulmonary barotrauma residuals; and neurologic system for cerebrovascular accident residuals. Confirmed by ECG, with five or more treatment interventions per year, Confirmed by ECG, with one to four treatment interventions per year; or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control. 5279 Metatarsalgia, anterior (Mortons disease). What are Mental Disorders for VA rating purposes? 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)). Evaluation August 23, 1948; criterion October 23, 1995; evaluation December 9, 2018; criterion December 9, 2018. 6843 Traumatic chest wall defect, pneumothorax, hernia, etc. Most likely, the VA will rate your shoulder pain under one of two different rating schedules. 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). 8719 Neuralgia, long thoracic nerve. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. Subject to the provisions of 38 CFR 3.383(a), if visual impairment of only one eye is service-connected, the visual acuity of the other eye will be considered to be 20/40 for purposes of evaluating the service-connected visual impairment. Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimant's condition. 5055 Knee, resurfacing or replacement (prosthesis). For digits II through V, the metacarpophalangeal joint has a range of zero to 90 degrees of flexion, the proximal interphalangeal joint has a range of zero to 100 degrees of flexion, and the distal (terminal) interphalangeal joint has a range of zero to 70 or 80 degrees of flexion, (2) When two or more digits of the same hand are affected by any combination of amputation, ankylosis, or limitation of motion that is not otherwise specified in the rating schedule, the evaluation level assigned will be that which best represents the overall disability (. 9305 Major or mild vascular neurocognitive disorder(Dementia). Evaluation; August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017. (c) The bilateral factor is not applicable unless there is partial disability of compensable degree in each of 2 paired extremities, or paired skeletal muscles. Ratings for nonpulmonary TB December 1, 1949; criterion March 11, 1969. Convalescence ratings following extended hospitalization. Each ear will be evaluated separately. [64 FR 25210, May 11, 1999, as amended at 68 FR 25823, May 14, 2003]. (2) If the DLCO (SB) (Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method) test is not of record, evaluate based on alternative criteria as long as the examiner states why the test would not be useful or valid in a particular case. cm.). 6200-6260 revised and re-designated, March 23, 1956 removed, December 17, 1987; Table II revised Table V March 10, 1976; Table II revised to Table VII September 22, 1978; text from. 9, 2018; 83 FR 15323, Apr. When a mental disorder that develops in service as a result of a highly stressful event is severe enough to bring about the veteran's release from active military service, the rating agency shall assign an evaluation of not less than 50 percent and schedule an examination within the six month period following the veteran's discharge to determine whether a change in evaluation is warranted. 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. 7345 Liver disease, chronic, without cirrhosis(including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C). 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. 6829 Drug-induced, pneumonitis & fibrosis. The ankle pressure (AP) is the systolic blood pressure measured at the ankle. 7534 Atherosclerotic renal disease (renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified). How do I increase my rating percentages? Tic douloureux, or trifacial neuralgia, may be rated up to complete paralysis of the affected nerve. All of these conditions can lead to chronic shoulder pain and disability. 5009 Other specified forms of arthropathy (excluding gout). Tenosynovitis, tendinitis, tendinosis or tendinopathy. Motor activity moderately decreased due to apraxia. WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. Web5257 VA disability rating for knee instability: Excessive side to side motion or frequent dislocation of the knee. 8540 Soft-tissue sarcoma (Neurogenic origin). Added September 9, 1975; evaluation February 17, 1994; criterion November 14, 2021. Note (1): Evaluate compensable complications of diabetes separately unless they are part of the criteria used to support a 100-percent evaluation. Depending on the specific findings, rate residuals as interstitial lung disease, restrictive lung disease, or, when obstructive lung disease is the major residual, as chronic bronchitis (DC 6600). 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.