Criterion March 1, 1989; evaluation August 30, 1996; title, criterion, note August 11, 2019. 7719 Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia): Requiring peripheral blood or bone marrow stem cell transplant, or continuous myelosuppressive or immunosuppressive therapy treatment, Requiring intermittent myelosuppressive therapy, or molecularly targeted therapy with tyrosine kinase inhibitors, or interferon treatment when not in apparent remission, In apparent remission on continuous molecularly targeted therapy with tyrosine kinase inhibitors, Requiring intravenous iron infusions 4 or more times per 12-month period, Requiring intravenous iron infusions at least 1 time but less than 4 times per 12-month period, or requiring continuous treatment with oral supplementation, Asymptomatic or requiring treatment only by dietary modification, Requiring continuous treatment with high-dose oral supplementation, For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B, Requiring continuous treatment with Vitamin B, Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab), Requiring immunosuppressive medication 4 or more times per 12-month period, Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period, Requiring one course of immunosuppressive therapy per 12-month period, Solitary plasmacytoma, when there is active disease or during a treatment phase, Requiring peripheral blood or bone marrow stem cell transplant; or requiring chemotherapy, Requiring 4 or more blood or platelet transfusions per 12-month period; or infections requiring hospitalization 3 or more times per 12-month period, Requiring at least 1 but no more than 3 blood or platelet transfusions per 12-month period; infections requiring hospitalization at least 1 but no more than 2 times per 12-month period; or requiring biologic therapy on an ongoing basis or erythropoiesis stimulating agent (ESA) for 12 weeks or less per 12-month period. Knee, resurfacing or replacement (prosthesis). Fairness and courtesy must at all times be shown to applicants by all employees whose duties bring them in contact, directly or indirectly, with the Department's claimants. 4.128 Convalescence ratings following extended hospitalization. Criterion March 10, 1976; title, note February 7, 2021. 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. Liver disease, chronic, without cirrhosis. 8405 Neuralgia, fifth cranial nerve. Added October 15, 1991; criterion January 12, 1998. 10, 2018; 83 FR 32600, July 13, 2018; 83 FR 54258, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76466, Nov. 30, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021], [72 FR 13003, Mar. 6731 Tuberculosis, pulmonary, chronic, inactive: 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). Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note. Schedule of ratings - gynecological conditions and disorders of the breast. 7917 Hyperaldosteronism(benign or malignant). Hyperinfection syndrome or disseminated strongyloidiasis. Principles of combined ratings for muscle injuries. (3) When the PFT's are not consistent with clinical findings, evaluate based on the PFT's unless the examiner states why they are not a valid indication of respiratory functional impairment in a particular case. 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. 7000 Valvular heart disease (including rheumatic heart disease), During active infection with cardiac involvement and for three months following cessation of therapy for the active infection. Criterion March 10, 1976; criterion February 17, 1994; criterion November 14, 2021. Thereafter: Rate residuals under the specific body system or systems affected. For purposes of evaluating conditions in 4.114, the term substantial weight loss means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term minor weight loss means a weight loss of 10 to 20 percent of the individual's baseline weight, sustained for three months or longer. Rate the vascular conditions under Codes 8007 through 8009, for 6 months. Neuralgia, musculocutaneous nerve (superficial peroneal). A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment. If not amenable to dilation, rate as for the degree of obstruction (stricture). (a) Examination of visual fields. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control. What is the Genitourinary System for VA rating purposes? What is the Respiratory System for VA rating purposes? Renal involvement in diabetes mellitus type I or II. Footnotes in the schedule indicate levels of visual impairment that potentially establish entitlement to special monthly compensation; however, other levels of visual impairment combined with disabilities of other body systems may also establish entitlement. or greater, Area or areas of at least 72 square inches (465 sq. Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. Ratings for inactive nonpulmonary tuberculosis initially entitled after August 19, 1968. Replaces 5285-5295 September 26, 2003; Title February 7, 2021. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. 5166 Forefoot, proximal to metatarsal bones. The Complete Guide to Getting a Narcolepsy VA Rating, 6 Things Every Veteran Needs to Know About VA Disability for Medication Side Effects. Always oriented to person, time, place, and situation. 5054 Hip, resurfacing or replacement (prosthesis): For 4 months following implantation of prosthesis or resurfacing. Determine the average concentric contraction of the visual field of each eye by measuring the remaining visual field (in degrees) at each of eight principal meridians 45 degrees apart, adding them, and dividing the sum by eight. Added November 29, 1994; criterion August 30, 1996; title, criterion, note August 11, 2019. (c) The assignment of a total disability rating on the basis of hospital treatment or observation will not preclude the assignment of a total disability rating otherwise in order under other provisions of the rating schedule, and consideration will be given to the propriety of such a rating in all instances and to the propriety of its continuance after discharge. (iii) Objective findings. Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. The eCFR is displayed with paragraphs split and indented to follow If more than one extremity is affected, evaluate each extremity separately and combine (under. 7916 Hyperpituitarism (prolactin secreting pituitary dysfunction): Note: Evaluate as malignant or benign neoplasm, as appropriate. 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. 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. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. 8612 Neuritis, lower radicular group. 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. 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. Rate as minor seizures, except in the presence of major and minor seizures, rate the predominating type. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. For example, the combined evaluations for disabilities below the knee shall not exceed the 40 percent evaluation, diagnostic code 5165. 10, 2018]. For information on the availability of this information at NARA, call 202-741-6030 or go to http://www.archives.gov/federal_register/code_of_federal_regulations/ibr_publications.html. Any of these effects may range from slight to severe, although verbal and physical aggression are likely to have a more serious impact on workplace interaction and social interaction than some of the other effects. 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. Thus, a person having a 60 percent disability is considered 40 percent efficient. Note (1): Evaluate symptoms of hyperthyroidism under DC 7900, hyperthyroidism, including, but not limited to, Graves' disease. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment. (b) When the puretone threshold is 30 decibels or less at 1000 Hertz, and 70 decibels or more at 2000 Hertz, the rating specialist will determine the Roman numeral designation for hearing impairment from either Table VI or Table VIa, whichever results in the higher numeral. Its FREE to get started, so click Go Elite Now below to complete our 3-step intake process. (iii) Objective findings. 8524 Internal popliteal nerve (tibial), paralysis. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction. 7306 Ulcer, marginal(gastrojejunal ulcer). What are Gynecological Conditions and Disorders of the Breasts for VA rating purposes? Criterion September 22, 1978; evaluation January 12, 1998; criterion November 14, 2021. It is not a disability subject to compensation. cm.) Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. All Rights Reserved. (i) Type of injury. 7336 Hemorrhoids, external or internal. but less than 12 square inches (77 sq. If there are 2 or more joints affected, each rating shall be combined in accordance with. 7820 Infections of the skin(including bacterial, fungal, viral, treponemal, and parasitic diseases). After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s). 5213 Supination and pronation, impairment. [41 FR 11292, Mar. If you want to learn how to implement these strategies to get the VA benefits you deserve, click here to speak with a VA claim expert for free. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. Retinopathy or maculopathy not otherwise specified. Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. 11, 1969; 43 FR 45361, Oct. 2, 1978]. (b) Claims of all veterans who fail to meet the percentage standards but who meet the basic entitlement criteria and are unemployable, will be referred by the rating board to the Veterans Service Center Manager or the Pension Management Center Manager under 3.321(b)(2) of this chapter. This could be something like a shoulder dislocation that occurred during a training exercise. 7530 Chronic renal disease requiring regular dialysis: Thereafter: Rate on residuals as renal dysfunction, minimum rating. This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. Muscles swell and harden abnormally in contraction. Criterion March 10, 1976; criterion February 3, 1988; removed November 7, 1996. 5319 Group XIX Function: Abdominal wall and lower thorax. Criterion September 22, 1978; criterion August 30, 2002; criterion October 23, 2008; title, note 1, note 2 August 13, 2018. Criterion August 9, 1976; evaluation May 22, 1995. Neuralgia, anterior crural nerve (femoral). (c) There will be no rating assigned for muscle groups which act upon an ankylosed joint, with the following exceptions: (1) In the case of an ankylosed knee, if muscle group XIII is disabled, it will be rated, but at the next lower level than that which would otherwise be assigned.
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