- Need for aid attendance or permanently bedridden qualifies for subpar. 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. Exercise with undeveloped or unbalanced musculature, producing chronic irritation, can be an aggravating factor. The respiratory system isthe bodys network of organs and tissues that help you breathe. Title May 13, 2018. 7717 AL amyloidosis (primary amyloidosis). 6017 Conjunctivitis, trachomatous, chronic. cm.). In rating disability from the conditions in the preceding sentence refer to the appropriate schedule. 6029 Aphakia or dislocation of crystalline lens: Evaluate based on visual impairment, and elevate the resulting level of visual impairment one step. Added June 9, 1996; evaluation June 9, 1996; criterion December 10, 2017; note. 8526 Anterior crural nerve (femoral), paralysis. Note (1): Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. Over a period of many years, a veteran's disability claim may require reratings in accordance with changes in laws, medical knowledge and his or her physical or mental condition. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994; 86 FR 54086, Sept. 30, 2021], [60 FR 19855, Apr. [29 FR 6718, May 22, 1964, as amended at 61 FR 52700, Oct. 8, 1996]. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral): Forced expiratory volume in one second (FEV-1) less than 40 percent of predicted value, with Flow-Volume Loop compatible with upper airway obstruction, or; permanent tracheostomy, FEV-1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, Stricture or obstruction of pharynx or nasopharynx, or; absence of soft palate secondary to trauma, chemical burn, or granulomatous disease, or; paralysis of soft palate with swallowing difficulty (nasal regurgitation) and speech impairment, Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, With permanent hypertrophy of turbinates and with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, Wegener's granulomatosis, lethal midline granuloma, FEV-1 less than 40 percent of predicted value, or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation), or; cor pulmonale (right heart failure), or; right ventricular hypertrophy, or; pulmonary hypertension (shown by Echo or cardiac catheterization), or; episode(s) of acute respiratory failure, or; requires outpatient oxygen therapy, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum oxygen consumption of 15 to 20 ml/kg/min (with cardiorespiratory limit), FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; DLCO (SB) 56- to 65-percent predicted, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; DLCO (SB) 66- to 80-percent predicted, With incapacitating episodes of infection of at least six weeks total duration per year, With incapacitating episodes of infection of four to six weeks total duration per year, or; near constant findings of cough with purulent sputum associated with anorexia, weight loss, and frank hemoptysis and requiring antibiotic usage almost continuously, With incapacitating episodes of infection of two to four weeks total duration per year, or; daily productive cough with sputum that is at times purulent or blood-tinged and that requires prolonged (lasting four to six weeks) antibiotic usage more than twice a year, Intermittent productive cough with acute infection requiring a course of antibiotics at least twice a year. The exam aims to gather more information about your shoulder condition and how it affects your daily life. There are five general classes of bradyarrhythmia: Sinus bradycardia, including sinoatrial block; atrioventricular (AV) junctional (nodal) escape rhythm; AV heart block (second or third degree) or AV dissociation; atrial fibrillation or flutter with a slow ventricular response; and, idioventricular escape rhythm. Rate as for impairment of sphincter control. 5210 Radius and ulna, nonunion of, with flail false joint. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin. (c) Table VIa, Numeric Designation of Hearing Impairment Based Only on Puretone Threshold Average, is used to determine a Roman numeral designation (I through XI) for hearing impairment based only on the puretone threshold average. 7345 Chronic liver disease without cirrhosis (including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C): Near-constant debilitating symptoms (such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain), Daily fatigue, malaise, and anorexia, with substantial weight loss (or other indication of malnutrition), and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least six weeks during the past 12-month period, but not occurring constantly, Daily fatigue, malaise, and anorexia, with minor weight loss and hepatomegaly, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least four weeks, but less than six weeks, during the past 12-month period, Daily fatigue, malaise, and anorexia (without weight loss or hepatomegaly), requiring dietary restriction or continuous medication, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least two weeks, but less than four weeks, during the past 12-month period, Intermittent fatigue, malaise, and anorexia, or; incapacitating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain) having a total duration of at least one week, but less than two weeks, during the past 12-month period, Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health, Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health, With two or more of the symptoms for the 30 percent evaluation of less severity, With frequently recurrent disabling attacks of abdominal pain with few pain free intermissions and with steatorrhea, malabsorption, diarrhea and severe malnutrition, With frequent attacks of abdominal pain, loss of normal body weight and other findings showing continuing pancreatic insufficiency between acute attacks, Moderately severe; with at least 4-7 typical attacks of abdominal pain per year with good remission between attacks, With at least one recurring attack of typical severe abdominal pain in the past year. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. The central nervous system consists of the brain, the spinal cord, and thecranialnerves. L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. 5001 Bones and joints, tuberculosis of, active or inactive: 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process: With constitutional manifestations associated with active joint involvement, totally incapacitating, Less than criteria for 100% but with weight loss and anemia productive of severe impairment of health or severely incapacitating exacerbations occurring 4 or more times a year or a lesser number over prolonged periods, Symptom combinations productive of definite impairment of health objectively supported by examination findings or incapacitating exacerbations occurring 3 or more times a year, One or two exacerbations a year in a well-established diagnosis. Rate as renal dysfunction or urinary tract infection, whichever is predominant. 6200 Chronic suppurative otitis media. It is made up of the breasts, uterus, ovaries, fallopian tubes, vulva, clitoris, vagina, and cervix. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. 7117 Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's): With two or more digital ulcers plus auto-amputation of one or more digits and history of characteristic attacks, With two or more digital ulcers and history of characteristic attacks, Characteristic attacks occurring at least daily, Characteristic attacks occurring four to six times a week, Characteristic attacks occurring one to three times a week. Redesignated at 59 FR 60902, Nov. 29, 1994]. 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. Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. Criterion October 23, 2008; title August 13, 2018. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. If it is not clear from the available records what the change of diagnosis represents, the rating agency shall return the report to the examiner for a determination.