21 to 29 mm of maximum unassisted vertical opening. The frequency of seizures should be ascertained under the ordinary conditions of life (while not hospitalized). 7115 Thrombo-angiitis obliterans (Buergers Disease). Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. That numeral will then be elevated to the next higher Roman numeral. 7912 Polyglandular syndrome (multiple endocrine neoplasia, autoimmune polyglandular syndrome): Evaluate according to major manifestations to include, but not limited to, Type I diabetes mellitus, hyperthyroidism, hypothyroidism, hypoparathyroidism, or Addison's disease. By Lorraine Netter, Contributing Author Free evaluation for disability benefits. 7101 Hypertensive vascular disease (hypertension and isolated systolic hypertension): Diastolic pressure predominantly 130 or more, Diastolic pressure predominantly 120 or more, Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more, Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control. 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. Toes, other than great, with removal of metatarsal head. (2) In the case of an ankylosed shoulder, if muscle groups I and II are severely disabled, the evaluation of the shoulder joint under diagnostic code 5200 will be elevated to the level for unfavorable ankylosis, if not already assigned, but the muscle groups themselves will not be rated. Veterans Benefits Administration (VBA) personnel utilize the Veterans Benefit Management System for Rating (VBMS-R) to process disability compensation claims that involve disability evaluations made under the VASRD. (a) An open comminuted fracture with muscle or tendon damage will be rated as a severe injury of the muscle group involved unless, for locations such as in the wrist or over the tibia, evidence establishes that the muscle damage is minimal. Consider especially psychotic manifestations, complete or partial loss of use of one or more extremities, speech disturbances, impairment of vision, disturbances of gait, tremors, visceral manifestations, injury to the skull, etc. VA DISABILITIES OF THE GENITOURINARY SYSTEM. ): Note: Cystic diseases of the kidneys include, but are not limited to, polycystic disease, uremic medullary cystic disease, medullary sponge kidney, and similar conditions such as Alport's syndrome, cystinosis, primary oxalosis, and Fabry's disease. Neuralgia, anterior crural nerve (femoral). 7110 Aortic aneurysm: ascending, thoracic, abdominal. 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 The VA disability rating for shoulder rotator cuff tear is typically around 10%-20%. Addison's disease (adrenocortical insufficiency). No evidence of fascial defect, atrophy, or impaired tonus. 7718 Essential thrombocythemia and primary myelofibrosis. Learn what youve been missingso you can FINALLY get the disability rating and compensation YOU DESERVE! Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. Evaluation September 9, 1975; criterion October 7, 1996. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. Neuralgia, anterior tibial nerve (deep peroneal). Benign neoplasms of the breast and other injuries of the breast. Tenth (pneumogastric, vagus) cranial nerve. 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. The term incomplete paralysis, with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. Poor renal function: Rate as renal dysfunction. (e) Incoordination, impaired ability to execute skilled movements smoothly. A little used part of the musculoskeletal system may be expected to show evidence of disuse, either through atrophy, the condition of the skin, absence of normal callosity or the like. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994; 86 FR 54086, Sept. 30, 2021], [60 FR 19855, Apr. Evaluation October 23, 1995; evaluation December 9, 2018. X-ray changes from arthritis in this location are decrease or obliteration of the joint space, with the appearance of increased bone density of the sacrum and ilium and sharpening of the margins of the joint. 4.29 Ratings for service-connected disabilities requiring hospital treatment or observation. FAR). WebNote: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. 8621 Neuritis, external popliteal (common peroneal) nerve. Evaluation March 10, 1976; evaluation July 2, 2001. Occasionally gets lost in unfamiliar surroundings, has difficulty reading maps or following directions. 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. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. 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. 7345 Liver disease, chronic, without cirrhosis(including hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, etc., but excluding bile duct disorders and hepatitis C). 4.129 Mental disorders due to traumatic stress. General Rating Formula for Diseases of the Heart November 14, 2021. ), (2) Surgery with severe postoperative residuals such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilization of one major joint or more, application of a body cast, or the necessity for house confinement, or the necessity for continued use of a wheelchair or crutches (regular weight-bearing prohibited). Neuritis, external popliteal (common peroneal) nerve. VA DISABILITY FOR NEUROLOGICAL CONDITIONS AND CONVULSIVE DISORDERS. 9903 Mandible, nonunion of, confirmed by diagnostic imaging studies. 6845 Chronic pleural effusion or fibrosis. Thereafter: Rate residuals under the specific body system or systems affected. Added November 7, 1996; removed August 4, 2014. With persistent polyuria or requiring continuous hormonal therapy. Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck that are associated with underlying soft tissue damage. 7520 Penis, removal of half or more. (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. 7614 Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)). Renal disease caused by viral infection such as HIV, Hepatitis B, and Hepatitis C. Vulva or clitoris, disease or injury of (including vulvovaginitis). This imposes upon the medical examiner the responsibility of furnishing, in addition to the etiological, anatomical, pathological, laboratory and prognostic data required for ordinary medical classification, full description of the effects of disability upon the person's ordinary activity. Evaluation March 11, 1969; criterion February 7, 2021. Youve just been rated 100% disabled by the Veterans Affairs. Added March 11, 1969; removed September 22, 1978. 6826 Desquamative interstitial pneumonitis. in length. See nerve involved for diagnostic code number and rating. Displaying title 38, up to date as of 3/02/2023. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. Convalescence ratings following extended hospitalization. You may also be eligible for secondary service connection if you cant prove a direct link. Thereafter, use the General Rating Formula. Veterans may be more susceptible to shoulder injuries due to the physical nature of their service. (v) generalized muscle aches or weakness. Neurological Conditions and Convulsive Disorders. 8407 Neuralgia, seventh cranial nerve. 5051 Shoulder replacement (prosthesis). The injured hand, or the most severely injured hand, of an ambidextrous individual will be considered the dominant hand for rating purposes. 2 Also entitled to special monthly compensation. ), so that the level of evaluation would differ depending on which test result is used, use the test result that the examiner states most accurately reflects the level of disability. The termination of these total ratings will not be subject to 3.105(e) of this chapter. If more than one extremity is affected, evaluate each extremity separately and combine (under. (ii) When pulmonary hypertension (documented by an echocardiogram or cardiac catheterization), cor pulmonale, or right ventricular hypertrophy has been diagnosed. 7533 Cystic diseases of the kidneys(renal artery stenosis, atheroembolic renal disease, or large vessel disease, unspecified, antheroembolic renal disease). A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. What is the Cardiovascular System for VA rating purposes? 7508 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year, Frequent attacks of colic with infection (pyonephrosis), kidney function impaired, Frequent attacks of colic, requiring catheter drainage, Only an occasional attack of colic, not infected and not requiring catheter drainage, 3. invasive or non-invasive procedures more than two times/year. General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615): Symptoms not controlled by continuous treatment, Symptoms that require continuous treatment, Symptoms that do not require continuous treatment. Estimate your 2023 VA Rating & Compensation for FREE! The toe pressure (TP) is the systolic blood pressure measured at the great toe. No complaints of impairment of memory, attention, concentration, or executive functions. Thereafter, evaluate chronic residuals, such as nephrolithiasis (kidney stones), cataracts, decreased renal function, and congestive heart failure under the appropriate diagnostic codes. Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. 8623 Neuritis, anterior tibial (deep peroneal) nerve. Mental disorders due to traumatic stress. Following the total rating for the 2-year period after date of inactivity, the schedular evaluation for residuals of nonpulmonary tuberculosis. 5203 Clavicle or scapula, impairment. 6845 Chronic pleural effusion or fibrosis. Three or more subjective symptoms that mildly interfere with work; instrumental activities of daily living; or work, family, or other close relationships. 7000 Valvular heart disease(including rheumatic heart disease). 4.100 Application of the general rating formula for diseases of the heart. Added September 22, 1978; criterion October 7, 1996. (f) Extension of periods of 1, 2 or 3 months beyond the initial 3 months may be made upon approval of the Veterans Service Center Manager. (1) Pulmonary function tests (PFT's) are required to evaluate these conditions except: (i) When the results of a maximum exercise capacity test are of record and are 20 ml/kg/min or less. FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids, FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy. 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. A decision maker at the VA will review all of the evidence in your claim, including the C&P report, and decide your shoulder pain VA rating. 5278 Claw foot (pes cavus), acquired. or less between the thumb pad and the fingers, with the thumb attempting to oppose the fingers, evaluate as favorable ankylosis, (5) If there is limitation of motion of two or more digits, evaluate each digit separately and combine the evaluations, 5216 Five digits of one hand, unfavorable ankylosis of. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of, If symptomatic; or, for the period beginning on the date a physician recommends surgical correction and continuing for six months following discharge from inpatient hospital admission for surgical correction. Answer a few questions to check your eligibility. This means that you have a current shoulder condition caused or worsened by an event or injury during your military service. or more between the fingertip and the proximal transverse crease of the palm, with the finger flexed to the extent possible, or; with extension limited by more than 30 degrees, With a gap of less than one inch (2.5 cm.) Rate under the appropriate cardiovascular diagnostic code, depending on particular findings. 7124 Raynaud's disease (also known as primary Raynaud's): Characteristic attacks associated with trophic change(s), such as tight, shiny skin, Characteristic attacks without trophic change(s). The VA disability rating for shoulder impingement is usually rated either as an impairment of the clavicle or scapula OR limitation of motion of the arm. Confirmed by ECG, with five or more treatment interventions per year, Confirmed by ECG, with one to four treatment interventions per year; or, confirmed by ECG with either continuous use of oral medications to control or use of vagal maneuvers to control. L. 90-493 should be mentioned in the discussion portion of all ratings in which these provisions are applied. 9305 Major or mild vascular neurocognitive disorder(Dementia). 5304 Group IV Function: Stabilization of shoulder. Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of six or more weeks total duration per year. Criterion February 17, 1994; criterion, footnote November 14, 2021. Added September 22, 1978; note February 7, 2021. 10, 2018; 83 FR 32601, July 13, 2018; 83 FR 54259, Oct. 29, 2018; 84 FR 28234, June 18, 2019; 85 FR 76467, Nov. 30, 2020; 85 FR 85523, Dec. 29, 2020; 86 FR 8143, Feb. 4, 2021; 86 FR 54088, 54097, Sept. 30, 2021]. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in 3.317(d) of this chapter, specifically Brucellosis, Campylobacter jejuni, Coxiella burnetii (Q fever), Malaria, Mycobacterium Tuberculosis, Nontyphoid Salmonella, Shigella, Visceral Leishmaniasis, and West Nile virus. Copyright 2023 VA Claims Insider, LLC. Other specified somatic symptom and related disorder. With remaining field of 16 to 30 degrees: Or evaluate each affected eye as 20/100 (6/30). Public Law 90-493 repealed section 356 of title 38, United States Code which provided graduated ratings for inactive tuberculosis. 0 to 10 millimeters (mm) of maximum unassisted vertical opening. Benign neoplasms of the eye, orbit, and adnexa (excluding skin). The functional loss may be due to absence of part, or all, of the necessary bones, joints and muscles, or associated structures, or to deformity, adhesions, defective innervation, or other pathology, or it may be due to pain, supported by adequate pathology and evidenced by the visible behavior of the claimant undertaking the motion. Hyperthyroidism, including, but not limited to, Graves' disease. 5207 Forearm, limitation of extension. Note (3): For this general formula, heart failure symptoms include, but are not limited to, breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope. For application in rating cases in which the protective provisions of Pub. Scar at least one-quarter inch (0.6 cm.) Group XVIII Function: Outward rotation of thigh. Complete or incomplete pelvic organ prolapse due to injury or disease or surgical complications of pregnancy. (2) Following a period of hospitalization in excess of 21 days, an authorized absence in excess of 14 days or a third consecutive authorized absence of 14 days will be regarded as the equivalent of hospital discharge and will interrupt hospitalization effective on the last day of the month in which either the authorized absence in excess of 14 days or the third 14 day period begins, except where there is a finding that convalescence is required as provided by paragraph (e) or (f) of this section. Anterior crural nerve (femoral), paralysis. You are using an unsupported browser. (e) Combinations of finger amputations at various levels, or finger amputations with ankylosis or limitation of motion of the fingers will be rated on the basis of the grade of disability; (f) Loss of use of the hand will be held to exist when no effective function remains other than that which would be equally well served by an amputation stump with a suitable prosthetic appliance. You can 5239 Spondylolisthesis or segmental instability. General Rating Formula for Major and Minor Epileptic Seizures: Averaging at least 1 major seizure per month over the last year, Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly, Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week, At least 1 major seizure in the last 6 months or 2 in the last year; or averaging at least 5 to 8 minor seizures weekly, At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months, A confirmed diagnosis of epilepsy with a history of seizures. 20, 2007, as amended at 73 FR 54708, 54712, Sept. 23, 2008; 73 FR 69554, Nov. 19, 2008; 74 FR 18467, Apr. Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only. What is the Genitourinary System for VA rating purposes? The Endocrine System is a vast network of glands that create hormones to help regulate the body. [53 FR 30262, Aug. 11, 1988, as amended at 73 FR 66549, Nov. 10, 2008; 74 FR 7648, Feb. 19, 2009; 83 FR 15320, Apr. Thereafter, rate residuals of disease or medical treatment under the most appropriate diagnostic code(s) under the appropriate body system (, Note (3): If eye involvement, such as exophthalmos, corneal ulcer, blurred vision, or diplopia, is also present due to thyroid disease, also separately evaluate under the appropriate diagnostic code(s) in, For six months from date of discharge following surgery. [61 FR 52700, Oct. 8, 1996, as amended at 79 FR 45099, Aug. 4, 2014]. L. 90-493 apply the former evaluations pertaining to pulmonary tuberculosis are retained in 4.97. Preceding paragraph criterion September 22, 1978; criterion August 26, 2002. 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process. Internal popliteal nerve (tibial), paralysis. You can file one of three options or file a new claim. Conversion disorder (functional neurological symptom disorder). 6820 Neoplasms, benign, any specified part of respiratory system. One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). The Office of the Federal Register publishes documents on behalf of Federal agencies but does not have any authority over their programs. Amputation, or injury to an upper extremity, is not considered as a causative factor with subsequently developing arthritis, except in joints subject to direct strain or actually injured. His frustration with the8-step VA disability claims processled him to createVA Claims Insider,which provides U.S. military veterans with tips, strategies, and lessons learned for successfully submitting or re-submitting a winning VA disability compensation claim. 8512 Lower radicular group, paralysis. Criterion March 10, 1976; criterion February 3, 1988; criterion November 7, 1996; Title August 4, 2014. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350(f) (3), (4) or (5). Skin conditions for VA rating purposes can vary immensely in size and severity. For the purposes of this diagnostic code, chronic urticaria is defined as continuous urticaria at least twice per week, off treatment, for a period of six weeks or more, Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments, Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control, Chronic urticaria that requires first line treatment (antihistamines) for control, Persistent documented vasculitis episodes refractory to continuous immunosuppressive therapy, Recurrent documented vasculitic episodes occurring four or more times over the past 12-month period; and, Requiring intermittent systemic immunosuppressive therapy for control, Recurrent documented vasculitic episodes occurring one to three times over the past 12-month period, and requiring intermittent systemic immunosuppressive therapy for control; or, Without recurrent documented vasculitic episodes but requiring continuous systemic medication for control, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability. Anterior tibial nerve (deep peroneal), paralysis. The examination must be conducted by a licensed optometrist or by a licensed ophthalmologist. 5323 Group XXIII Function: Movements of head. General Rating Formula For The Skin For DCs 7806, 7809, 7813-7816, 7820-7822, and 7824: Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or, Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period, Characteristic lesions involving 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected; or Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period, Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or, At least 5 percent, but less than 20 percent, of exposed areas affected; or, Intermittent systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of less than 6 weeks over the past 12-month period, No more than topical therapy required over the past 12-month period and at least one of the following, Characteristic lesions involving less than 5 percent of the entire body affected; or, Characteristic lesions involving less than 5 percent of exposed areas affected, Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability. Severely impaired. This is an examination that a VA-hired doctor conducts. 5160 Complete amputation, lower extremity. 5272 Subastragalar or tarsal joint, ankylosis. Anatomical loss of one hand and loss of use of one foot. The anatomical position is considered as 0, with two major exceptions: (a) Shoulder rotation - arm abducted to 90, elbow flexed to 90 with the position of the forearm reflecting the midpoint 0 between internal and external rotation of the shoulder; and (b) supination and pronation - the arm next to the body, elbow flexed to 90, and the forearm in midposition 0 between supination and pronation. will also bring you to search results. VA disabilities for Neurological Conditions and Convulsive Disorders include conditions of the head, brain, spinal cord, nerves, and epilepsies. If a maximum exercise capacity test is not of record, evaluate based on alternative criteria. Thus with a compensable disability of the right thigh, for example, amputation, and one of the left foot, for example, pes planus, the bilateral factor applies, and similarly whenever there are compensable disabilities affecting use of paired extremities regardless of location or specified type of impairment. 6011 Retinal scars, atrophy, or irregularities. Attacks without laryngeal involvement lasting one to seven days or longer and occurring more than eight times a year, or; attacks with laryngeal involvement of any duration occurring more than twice a year, Attacks without laryngeal involvement lasting one to seven days and occurring five to eight times a year, or; attacks with laryngeal involvement of any duration occurring once or twice a year, Attacks without laryngeal involvement lasting one to seven days and occurring two to four times a year, Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities, Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities, Characteristic attacks that occur daily or more often but that respond to treatment, Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment. 5243 Intervertebral disc syndrome: Assign this diagnostic code only when there is disc herniation with compression and/or irritation of the adjacent nerve root; assign diagnostic code 5242 for all other disc diagnoses. The ratings for the peripheral nerves are for unilateral involvement; when bilateral, combine with application of the bilateral factor. 6030 Paralysis of accommodation (due to neuropathy of the Oculomotor Nerve (cranial nerve III)). For complex or unfamiliar decisions, occasionally unable to identify, understand, and weigh the alternatives, understand the consequences of choices, and make a reasonable decision. The examiner must identify the disease, injury, or other pathologic process responsible for any visual impairment found. Evaluate under diagnostic codes 5256, 5257, 5260, or 5261 for the knee, or 5270 or 5271 for the ankle, whichever results in the highest evaluation. Minimum, if interfering to any extent with mastication - 10, 5326 Muscle hernia, extensive.
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