The maximum scheduler rating for severe bilateral pes planus (flat feet) is 50 percent. 6331 Coxiella burnetii infection (Q Fever). Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. In those cases, use the pre-bronchodilator values for rating purposes. Conversion disorder (functional neurological symptom disorder). (a) Visual impairment. 29 FR 6718, May 22, 1964, unless otherwise noted. Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation; Provided, That permanent total disability shall be taken to exist when the impairment is reasonably certain to continue throughout the life of the disabled person. Analogous means the condition that is closest to the ratable condition that best describes the primary symptoms. Particular attention, with a view to proper rating under the rating schedule, is to be given to the claims of veterans discharged from hospital, regardless of length of hospitalization, with indications on the final summary of expected confinement to bed or house, or to inability to work with requirement of frequent care of physician or nurse at home. Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation. Depending on the specific residuals, separately evaluate as adhesions of peritoneum (diagnostic code 7301), cirrhosis of liver (diagnostic code 7312), and chronic liver disease without cirrhosis (diagnostic code 7345). 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). Albuminuria alone is not nephritis, nor will the presence of transient albumin and casts following acute febrile illness be taken as nephritis. Criterion August 23, 1948; criterion February 1, 1962. Criterion February 3, 1988; Title August 4, 2014. A change in evaluation based on that or any subsequent examination shall be subject to the provisions of 3.105(e) of this chapter. Rating agencies must be thoroughly familiar with this manual to properly implement the directives in 4.125 through 4.129 and to apply the general rating formula for mental disorders in 4.130. Major or mild neurocognitive disorder due to HIV or other infections. 7821 Cutaneous manifestations of collagen-vascular diseases not listed elsewhere(including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis). 8526 Anterior crural nerve (femoral), paralysis. (g) When evaluating any claim for impaired hearing, refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation due either to deafness, or to deafness in combination with other specified disabilities. In the absence of trauma or other definite evidence of aggravation, service connection is not in order for pes cavus which is a typically congenital or juvenile disease. Anatomical loss of one foot and loss of use of one hand. In the absence of limitation of motion, rate as below: With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations, With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups. One or more neurobehavioral effects that interfere with or preclude workplace interaction, social interaction, or both on most days or that occasionally require supervision for safety of self or others. 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. To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. 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). 20, 2007; 72 FR 16728, Apr. Neuralgia, musculocutaneous nerve (superficial peroneal). They will continue for a 12-month period following discharge from service. Prosthetic replacement of the head of the femur or of the acetabulum: Following implantation of prosthesis with painful motion or weakness such as to require the use of crutches, Markedly severe residual weakness, pain or limitation of motion following implantation of prosthesis, Moderately severe residuals of weakness, pain or limitation of motion, Minimum evaluation, total replacement only. Microsoft Edge, Google Chrome, Mozilla Firefox, or Safari. The repealed section, however, still applies to the case of any veteran who on August 19, 1968, was receiving or entitled to receive compensation for tuberculosis. For the purposes of this diagnostic code, normal ABI will be greater than or equal to 0.80. (c) Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.). WebThe rules of the VA's Schedule for Rating Disabilities (VASRD) are used to assign rating percentages to conditions. 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. 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, tinea corposis). Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5250-5254 for the hip, whichever results in the highest evaluation. developer resources. (a) When the puretone threshold at each of the four specified frequencies (1000, 2000, 3000, and 4000 Hertz) is 55 decibels or more, 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. 7827 Erythema multiforme; Toxic epidermal necrolysis: Recurrent mucosal, palmar, or plantar involvement impairing mastication, use of hands, or ambulation occurring four or more times over the past 12-month period despite ongoing immunosuppressive therapy, Recurrent mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring four or more times over the past 12-month period; and requiring intermittent systemic therapy, One to three episodes of mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring over the past 12-month period AND requiring intermittent systemic therapy; or, Without recurrent episodes, but requiring continuous systemic medication for control, Deep acne (deep inflamed nodules and pus-filled cysts) affecting 40 percent or more of the face and neck, Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck, or deep acne other than on the face and neck, Superficial acne (comedones, papules, pustules) of any extent, Deep acne (deep inflamed nodules and pus-filled cysts) affecting the intertriginous areas (the axilla of the arm, the anogenital region, skin folds of the breasts, or between digits), Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck; or deep acne affecting non-intertriginous areas of the body (other than the face and neck), Affecting more than 40 percent of the scalp, Affecting less than 20 percent of the scalp, With loss of hair limited to scalp and face, Unable to handle paper or tools because of moisture, and unresponsive to therapy, Able to handle paper or tools after therapy, Rate as scars (DC's 7801, 7802, 7803, 7804, or 7805), disfigurement of the head, face, or neck (DC 7800), or impairment of function (under the appropriate body system). Criterion March 10, 1976; criterion May 22, 1995; title, note May 13, 2018. Palpation shows loss of deep fascia or muscle substance, or soft flabby muscles in wound area. Criterion February 3, 1988; removed November 7, 1996. (iv) When outpatient oxygen therapy is required. (d) On these total ratings Department of Veterans Affairs regulations governing effective dates for increased benefits will control.