All mental health disability ratings are based on the severity of the condition and the resulting level of social and occupational impairment. Malignant neoplasms of the eye, orbit, and adnexa (excluding skin). The VA will give you a disability rating based upon the severity of your Anxiety Disorder, specifically related to your level of occupational and social impairment. Note (1): For purposes of this section, characteristic attacks consist of sequential color changes of the digits of one or more extremities lasting minutes to hours, sometimes with pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. Here, the symptoms mentioned above cause a decrease in veterans ability to efficiently complete work-related tasks. (F) Atrophy of muscle groups not in the track of the missile, particularly of the trapezius and serratus in wounds of the shoulder girdle. The official, published CFR, is updated annually and available below under Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Objective evidence on testing of severe impairment of memory, attention, concentration, or executive functions resulting in severe functional impairment. Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication. 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. With dietary restrictions to full liquid and pureed foods, With dietary restrictions to soft and semi-solid foods. Please be advised, VA has implemented the Veteran Crisis Line equipped with specially trained responders ready to help veterans 24 hours a day, 7 days a week, 365 days a year. Added March 10, 1976; criterion February 3, 1988; Title August 4, 2014. Evaluation July 6, 1950; criterion and note February 7, 2021. (a) Definitions. 7121 Post-phlebitic syndrome of any etiology: With the following findings attributed to venous disease: Massive board-like edema with constant pain at rest, Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration, Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration, Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema, Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery, Asymptomatic palpable or visible varicose veins, Arthralgia or other pain, numbness, or cold sensitivity plus two or more of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity plus one of the following: Tissue loss, nail abnormalities, color changes, locally impaired sensation, hyperhidrosis, anhydrosis, X-ray abnormalities (osteoporosis, subarticular punched-out lesions, or osteoarthritis), atrophy or fibrosis of the affected musculature, flexion or extension deformity of distal joints, volar fat pad loss in fingers or toes, avascular necrosis of bone, chronic ulceration, carpal or tarsal tunnel syndrome, Arthralgia or other pain, numbness, or cold sensitivity. Where unemployability for pension previously has been established on the basis of combined service-connected and nonservice-connected disabilities and the service-connected disability or disabilities have increased in severity, 4.16 is for consideration. This web site is designed for the current versions of 5172 Toes, other than great, amputation of, with removal of metatarsal head: 5173 Toes, three or four, amputation of, without metatarsal involvement: 5200 Scapulohumeral articulation, ankylosis of: Unfavorable, abduction limited to 25 from side, Intermediate between favorable and unfavorable, Favorable, abduction to 60, can reach mouth and head, Flexion and/or abduction limited to 25 from side, Midway between side and shoulder level (flexion and/or abduction limited to 45), At shoulder level (flexion and/or abduction limited to 90). Introduction paragraph revised March 10, 1976. Motor activity normal most of the time, but mildly slowed at times due to apraxia (inability to perform previously learned motor activities, despite normal motor function). Any change in evaluation based upon that or any subsequent examination will be subject to the provisions of. Scar 5 or more inches (13 or more cm.) 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)). (i) Type of injury. For use in rating cases in which the protective provisions of Pub. #2. 7009 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation: For one month following hospital discharge for implantation or re-implantation. 29 FR 6718, May 22, 1964, unless otherwise noted. For application in rating cases in which the protective provisions of Pub. The term psychomotor epilepsy refers to a condition that is characterized by seizures and not uncommonly by a chronic psychiatric disturbance as well. (c) Special monthly compensation. Uroflowmetry; markedly diminished peak flow rate (less than 10 cc/sec). May 22, 2019 Updated: February 1, 2023 VA Disability Ratings for Anxiety Anxiety is defined as intense, excessive, and persistent worry and fear about everyday situations. Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. Added August 30, 2002; title, criterion August 13, 2018. The common cause of disability in this region is arthritis, to be identified in the usual manner. Evaluation August 30, 1996; criterion, note August 11, 2019. If youre trying to increase your VA rating for anxiety, you need to prove to the VA that your symptoms are now worse and warrant a higher rating by law. 6006 Retinopathy or maculopathy not otherwise specified, Note: This code includes orbital trauma, as well as penetrating or non-penetrating eye injury. Without other injury to the muscle10, 5327 Muscle, neoplasm of, malignant (excluding soft tissue sarcoma)100. Service connection for depression and anxiety may also be established on a secondary basis. If you're suffering from anxiety that's related to your military service, you may be eligible for VA disability compensation for an anxiety VA rating from 0% to 100%. Evaluation September 9, 1975; criterion October 7, 1996. All Rights Reserved. 23, 2009; 77 FR 6467, Feb. 8, 2012; 79 FR 45102, Aug. 4, 2014; 82 FR 36085, Aug. 3, 2017; 82 FR 50807, Nov. 2, 2017; 83 FR 15073, Apr. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. The personality disorder will be rated as a dementia (e.g., diagnostic code 9304 or 9326). Through and through or deep penetrating wound due to high-velocity missile, or large or multiple low velocity missiles, or with shattering bone fracture or open comminuted fracture with extensive debridement, prolonged infection, or sloughing of soft parts, intermuscular binding and scarring. Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 9400, Generalized Anxiety Disorder. 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. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. Note (1): An Addisonian crisis consists of the rapid onset of peripheral vascular collapse (with acute hypotension and shock), with findings that may include: anorexia; nausea; vomiting; dehydration; profound weakness; pain in abdomen, legs, and back; fever; apathy, and depressed mentation with possible progression to coma, renal shutdown, and death. Pressing enter in the search box will also bring you to . Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. 4.29 Ratings for service-connected disabilities requiring hospital treatment or observation. (C) Diminished muscle excitability to pulsed electrical current in electrodiagnostic tests. C-58-3 GENERAL INSTRUCTIONS Custom Federal Regulations Service Supplemental Materials for Book C Code of Federal Regulations Title 38, Part 4 Schedule for Rating Disabilities Criterion March 1, 1963; title, criteria February 7, 2021. Total disability ratings for compensation based on unemployability of the individual. Also, in the event that chronic renal disease has progressed to the point where regular dialysis is required, any coexisting hypertension or heart disease will be separately rated. 7016 Heart valve replacement (prosthesis): For an indefinite period following date of hospital admission for valve replacement, Note: Six months following discharge from inpatient hospitalization, disability evaluation shall be conducted by mandatory VA examination using the General Rating Formula. Added July 6, 1950; title February 7, 2021. 4.129 Mental disorders due to traumatic stress. Evaluate using an appropriate respiratory analogy. They will continue for a 12-month period following discharge from service. 5217 Four digits of one hand, unfavorable ankylosis of: 5218 Three digits of one hand, unfavorable ankylosis of: Index, long, and ring; index, long, and little; or index, ring, and little fingers. General Rating Formula for Diseases of the Heart November 14, 2021. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. (2) Extensions of 1 or more months up to 6 months beyond the initial 6 months period may be made under paragraph (a) (2) or (3) of this section upon approval of the Veterans Service Center Manager. 49 CFR 172.101 between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. Major or mild neurocognitive disorder due to traumatic brain injury. (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. View the most recent official publication: These links go to the official, published CFR, which is updated annually. The #1 best way to increase your anxiety VA rating is to get a private independent psychological evaluation and tell your uncomfortable truths about the severity of your symptoms. Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. 7917 Hyperaldosteronism (benign or malignant): 7918 Pheochromocytoma (benign or malignant): Note: Evaluate as malignant or benign neoplasm as appropriate. Stricture disease requiring periodic dilatation every 2 to 3 months, Obstructive symptomatology with or without stricture disease requiring dilatation 1 to 2 times per year. Since 2016, VA Claims Insider has helped thousands of Veterans just like you get the VA rating and compensation they deserve in less time. When filing for secondary service connection, providing a nexus opinion is especially important. (i) Type of injury. Evaluation March 1, 1989; evaluation August 30, 1996. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. No changes found for this content after 1/03/2017. . The percentage ratings represent as far as can practicably be determined the average impairment in earning capacity resulting from such diseases and injuries and their residual conditions in civil occupations. Total disability ratings for pension based on unemployability and age of the individual. Lay statements serve to outline in detail the onset and progression of the veterans condition. https://www.ecfr.gov/current/title-38/chapter-I/part-4/subpart-B/subject-group-ECFRfa64377db09ae97/section-4.130. The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. Title 38 was last amended 5/30/2023. General considerations for evaluating visual impairment. view historical versions Title 38 Chapter I Part 4 Subpart B Mental Disorders 4.130 Previous Next Top eCFR Content 4.130 Schedule of ratingsMental disorders. [71 FR 52460, Sept. 6, 2006, as amended at 86 FR 54093, Sept. 30, 2021; 86 FR 67654, Nov. 29, 2021], [Unless otherwise directed, use this general rating formula to evaluate diseases of the heart. With remaining field of 31 to 45 degrees: With remaining field of 46 to 60 degrees: Minimum, with scotoma affecting at least one-quarter of the visual field (quadrantanopsia) or with centrally located scotoma of any size, Alternatively, evaluate based on visual impairment due to scotoma, if that would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with. Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). All the following anxiety disorders are rated based on thePsychological Rating System.