Moderately severely impaired judgment. The examination report must document the results of either the tangent screen or of the 30-degree threshold visual field with the Goldmann III stimulus size. 5230 Ring or little finger, limitation of motion: (For diagnostic codes 5235 to 5243 unless 5243 is evaluated under the Formula for Rating Intervertebral Disc Syndrome Based on Incapacitating Episodes): With or without symptoms such as pain (whther or not it radiates), stiffness, or aching in the area of the spine affected by residuals of injury or disease, Unfavorable ankylosis of the entire spine, Unfavorable ankylosis of the entire thoracolumbar spine, Unfavorable ankylosis of the entire cervical spine; or, forward flexion of the thoracolumbar spine 30 degrees or less; or, favorable ankylosis of the entire thoracolumbar spine, Forward flexion of the cervical spine 15 degrees or less; or, favorable ankylosis of the entire cervical spine, Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than 170 degrees; or, muscle spasm or guarding severe enough to result in an abnormal gait or abnormal spinal contour such as scoliosis, reversed lordosis, or abnormal kyphosis, Forward flexion of the thoracolumbar spine greater than 60 degrees but not greater than 85 degrees; or, forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or, combined range of motion of the thoracolumbar spine greater than 120 degrees but not greater than 235 degrees; or, combined range of motion of the cervical spine greater than 170 degrees but not greater than 335 degrees; or, muscle spasm, guarding, or localized tenderness not resulting in abnormal gait or abnormal spinal contour; or, vertebral body fracture with loss of 50 percent or more of the height, 5239 Spondylolisthesis or segmental instability, 5242 Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010). (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. 6844 Post-surgical residual (lobectomy, pneumonectomy, etc.). (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). Where there are existing pulmonary and nonpulmonary conditions, the total rating for the 1 year, after attainment of inactivity, may not be applied to both conditions during the same period. 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 7527 Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction: 7528 Malignant neoplasms of the genitourinary system. (d) When a single disability has been diagnosed both as a physical condition and as a mental disorder, the rating agency shall evaluate it using a diagnostic code which represents the dominant (more disabling) aspect of the condition (see 4.14). (b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). Recurrent urinary tract infections secondary to obstruction. See nerve involved for diagnostic code number and rating. You can expect the C&P examiner to ask questions about your shoulder pain, how it started, what makes it worse, and what treatments youve tried. 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. 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. 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. Proving the link between your service and an in-service event or injury will be the most difficult part of getting the VA to award you a shoulder pain VA rating. The respiratory system isthe bodys network of organs and tissues that help you breathe. The most trusted name in education-based resources for Veterans. Complete medical examination of injury cases. If a prophylactic thyroidectomy is performed (based upon genetic testing) and antineoplastic therapy is not required, evaluate as hypothyroidism under DC 7903. Public Law 90-493 repealed section 356 of title 38, United States Code which had provided graduated ratings for inactive tuberculosis. 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. 4.128 Convalescence ratings following extended hospitalization. Hear from fellow Veterans just like you, with many of our Veteran Success Managers having gone through our programs. Webthe 10 percent rating, 2 or more episodes following the initial infection are required. 7537 Interstitial nephritis, including gouty nephropathy, disorders of calcium metabolism. Group VII Function: Flexion of wrist and fingers. 8617 Neuritis, musculocutaneous nerve. site when drafting amendatory language for Federal regulations: On 18 June 2019, the VA published a final rule effective 11 August 2019, to amend the Department of Veterans Affairs (VA) Schedule for Rating Disabilities (VASRD) by revising 7339 Hernia, ventral, postoperative. Epilepsy and Unemployability: (1) Rating specialists must bear in mind that the epileptic, although his or her seizures are controlled, may find employment and rehabilitation difficult of attainment due to employer reluctance to the hiring of the epileptic. However, full consideration must be given to unusual physical or mental effects in individual cases, to peculiar effects of occupational activities, to defects in physical or mental endowment preventing the usual amount of success in overcoming the handicap of disability and to the effect of combinations of disability. 4.130 Schedule of ratings - Mental disorders. 6300 Vibriosis (Cholera, Non-cholera). Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. Maxilla or mandible, chronic osteomyelitis, osteonecrosis, or osteoradionecrosis of. In the exercise of his or her functions, rating officers must not allow their personal feelings to intrude; an antagonistic, critical, or even abusive attitude on the part of a claimant should not in any instance influence the officers in the handling of the case. [41 FR 34258, Aug. 13, 1976, as amended at 59 FR 2527, Jan. 18, 1994]. Debilitating fatigue, cognitive impairments (such as inability to concentrate, forgetfulness, or confusion), or a combination of other signs and symptoms: Which are nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care, Which are nearly constant and restrict routine daily activities to less than 50 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least six weeks total duration per year, Which are nearly constant and restrict routine daily activities from 50 to 75 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least four but less than six weeks total duration per year, Which are nearly constant and restrict routine daily activities by less than 25 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least two but less than four weeks total duration per year, Which wax and wane but result in periods of incapacitation of at least one but less than two weeks total duration per year; or symptoms controlled by continuous medication, For 1 year after date of inactivity, following active tuberculosis. Added September 22, 1978; title, criterion, and note February 7, 2021. Use the adjusted visual acuity for the poorer eye (or the affected eye, if disability of only one eye is service-connected), and the corrected visual acuity for the better eye (or visual acuity of 20/40 for the other eye, if only one eye is service-connected) to determine the percentage evaluation for visual impairment under diagnostic codes 6065 through 6066. 9908 Condyloid process, loss of, one or both sides, Loss of half or more, not replaceable by prosthesis, Loss of less than half, not replaceable by prosthesis, Loss of half or more, replaceable by prosthesis, Loss of less than half, replaceable by prosthesis. Limitation of Motion of Individual Digits: Spondylolisthesis or segmental instability. Criterion August 13, 1981; criterion June 9, 1996; criterion December 10, 2017. Learn more about the eCFR, its status, and the editorial process. Added September 9, 1975; criterion October 7, 1996. However, in cases protected by the provisions of Pub. 4.86 Exceptional patterns of hearing impairment. 8514 Musculospiral nerve (radial), paralysis. Thrombo-angiitis obliterans (Buerger's Disease). Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia). (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. orthopedic, digestive, respiratory, cardiovascular-renal, neuropsychiatric, (4) multiple injuries incurred in action, or. (iv) palpable or tender cervical or axillary lymph nodes. Minimum, if there is pain, photophobia, and glare sensitivity. If youre unhappy with the decision on your VA rating for shoulder pain, you have the right to file to overturn the VAs decision.