Search VA regulations and diagnostic codes

Schedule of ratings—respiratory system.

| Note (2): Following episodes of total spontaneous pneumothorax, a rating of 100 percent shall be assigned as of the date of hospital admission and shall continue for three months from the first day of the month after hospital discharge. | | | Note (3): Gunshot wounds of the pleural cavity with…

Compensation for certain disabilities occurring in Persian Gulf veterans.

(5) A qualifying chronic disability referred to in this section shall be rated using evaluation criteria from part 4 of this chapter for a disease or injury in which the functions affected, anatomical localization, or symptomatology are similar. (6) A qualifying chronic disability referred to in…

Schedule of ratings—musculoskeletal system.

| With widespread musculoskeletal pain and tender points, with or without associated fatigue, sleep disturbance, stiffness, paresthesias, headache, irritable bowel symptoms, depression, anxiety, or Raynaud's-like symptoms: | | | That are constant, or nearly so, and refractory to therapy | 40 | |…

Schedule of ratings—Mental disorders.

| | Rating | | --- | --- | | Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to…

Chronic fatigue syndrome.

§ 4.88a. Chronic fatigue syndrome. (a) For VA purposes, the diagnosis of chronic fatigue syndrome requires: (1) new onset of debilitating fatigue severe enough to reduce daily activity to less than 50 percent of the usual level for at least six months; and (2) the exclusion, by history, physical…

Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

| 6312 Nontuberculosis mycobacterium infection: | | | As active disease | 100 | | Note 1: Continue the rating of 100 percent for the duration of treatment for active disease followed by a mandatory VA exam. If there is no relapse, rate on residuals. Any change in evaluation based upon that or any…

Schedule of ratings—neurological conditions and convulsive disorders.

The Epilepsies

Ratings of the genitourinary system—dysfunctions.

| Daytime voiding interval between two and three hours, or; awakening to void two times per night | 10 | | Obstructed voiding: | | | Urinary retention requiring intermittent or continuous catheterization | 30 | | Marked obstructive symptomatology (hesitancy, slow or weak stream, decreased force of…

Schedule of ratings—ear.

§ 4.87. Schedule of ratings—ear. Diseases of the Ear

Identification of epilepsy.

§ 4.121. Identification of epilepsy. When there is doubt as to the true nature of epileptiform attacks, neurological observation in a hospital adequate to make such a study is necessary. To warrant a rating for epilepsy, the seizures must be witnessed or verified at some time by a physician. As…

Schedule of ratings—other sense organs.

§ 4.87a. Schedule of ratings—other sense organs. | | Rating | | --- | --- | | 6275 Sense of smell, complete loss | 10 | | 6276 Sense of taste, complete loss | 10 | | Note: Evaluation will be assigned under diagnostic codes 6275 or 6276 only if there is an anatomical or pathological basis for the…

Application of the general rating formula for diseases of the heart.

§ 4.100. Application of the general rating formula for diseases of the heart. (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases…

Schedule of ratings—cardiovascular system.

§ 4.104. Schedule of ratings—cardiovascular system. Diseases of the Heart[Unless otherwise directed, use this general rating formula to evaluate diseases of the heart.]

Schedule of ratings—digestive system.

| Note (1): Findings must be documented by barium swallow, computerized tomography, or esophagogastroduodenoscopy. | | | Note (2): Non-gastrointestinal complications of procedures should be rated under the appropriate system. | | | Note (3): This diagnostic code applies, but is not limited to…

Psychomotor epilepsy.

§ 4.122. Psychomotor epilepsy. The term psychomotor epilepsy refers to a condition that is characterized by seizures and not uncommonly by a chronic psychiatric disturbance as well. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic…

Special provisions regarding evaluation of respiratory conditions.

§ 4.96. Special provisions regarding evaluation of respiratory conditions. (a) Rating coexisting respiratory conditions. Ratings under diagnostic codes 6600 through 6817 and 6822 through 6847 will not be combined with each other. Where there is lung or pleural involvement, ratings under…

Claims based on exposure to fine particulate matter.

§ 3.320. Claims based on exposure to fine particulate matter. (a) Service connection based on presumed exposure to fine particulate matter —(1) General. Except as provided in paragraph (b) of this section, a disease listed in paragraphs (a)(2) and (3) of this section shall be service connected…

Schedule of ratings—eye.

Ratings for Impairment of Muscle Function | Degree of diplopia | Equivalentvisual acuity | | --- | --- | | 6090 Diplopia (double vision): | | | (a) Central 20 degrees | 5/200 (1.5/60) | | (b) 21 degrees to 30 degrees | | | (1) Down | 15/200 (4.5/60) | | (2) Lateral | 20/100 (6/30) | | (3) Up |…

Schedule of ratings—dental and oral conditions.

§ 4.150. Schedule of ratings—dental and oral conditions.

Schedule of ratings—gynecological conditions and disorders of the breast.

| 7631 Benign neoplasms of the breast and other injuries of the breast. 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…