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Disability Benefits Questionnaires (DBQs) are forms used by VA physicians when performing C&P Exams for VA Disability. The VASRD has very specific requirements for rating every condition, and if the required information is not properly recorded in the C&P Exam, the VA will have to send the claim back in order to gather the proper data, thus delaying the entire disability process. If you have multiple conditions that fall under a single category, then they can all be listed on a single DBQ unless there is a separate one for a specific condition. You can find the DBQs for your conditions by searching through the VA’s complete list of DBQs or by clicking on the links we provide at the bottom of each condition page on our site. Reminder: The VA will give a Military Disability Rating for each service-connected condition a service member has, but the DoD will only rate service-connected conditions that make a service member Unfit for Duty. The digestive system is a network of organs that turn food into nutrients (absorbed into the body) or waste (ejected as feces, more awesomely known as a€?pooa€?).
When rating conditions of the digestive system, it is important to note that a single condition can only be rated ONE time. In addition to this principle, the following codes cannot be used together (only one of them can be used at a time): 7301-7329, 7331, 7342, and 7345-7348. The lips, tongue and mouth are all considered a part of the digestive system since they help take in and process food. Code 7203: A stricture of the esophagus occurs when the esophagus narrows and tightens, making it hard to swallow.
Code 7204: Spasms of the esophagus can occur when the muscles in the esophagus are unable to move food down to the stomach, often causing chest pain and various troubles eating. Code 7205: Diverticulum of the esophagus is a bubble or pocket of stretched tissue that pushes through the muscle wall of the esophagus.
Code 7307: Chronic hypertrophic gastritis is the swelling of the stomach and glands that continues over a long period of time and often leads to cancer. Code 7308: A gastrectomy is the full or partial removal of the stomach which could lead to many Postgastrectomy Syndromes.
Code 7310: Any lasting symptoms after an injury to the stomach are rated as peritoneal adhesions. Code 7348: A vagotomy is a surgical procedure where the vagus nerve, which stimulates the production of stomach acid, is cut in order to reduce the amount of acid produced in the stomach.
After the surgery, if there continues to be significant problems with food passing from the stomach to the small intestine, it is rated 40%. For the digestive system, the pancreas creates important enzymes that help the small intestine absorb the necessary nutrients.
Code 7347: Pancreatitis is the swelling of the pancreas that occurs because the enzymes it produces become active while still in the pancreas. Ratings: If there are seriously disabling attacks of stomach pain with very few pain-free periods, significant amounts of fat in the feces, the inability of the small intestine to absorb the necessary nutrients, diarrhea, and severe malnutrition, it is rated 100%.
If there are frequent attacks of disabling stomach pain, weight loss (lower than the average weight weighed over the last year), and other symptoms like diarrhea or significant amounts of fat in the feces, it is rated 60%. The gallbladder collects bile produced by the liver and passes it along to the stomach when digesting food. Code 7314: Chronic cholecystitis is the constant swelling of the gallbladder most often caused by gallstones. Code 7315: Chronic cholelithiasis is the regular production of hard stones in the gallbladder, which can lead to swelling, pain, and other diseases and infections. Code 7316: Chronic cholangitis is an infection of the tube that takes the bile from the liver to the gallbladder.
Code 7317: Any lasting symptoms after an injury to the gallbladder are rated as peritoneal adhesions.
Code 7318: The removal of the gallbladder normally does not cause any serious side effects, but complications are always possible.
Cirrhosis of the liver, primary biliary cirrhosis, and the cirrhotic phase of sclerosing cholangitis are all rated under this code.
If the condition causes weakness, significant weight loss, and continuous jaundice, or if there is one or more of the following that cannot be fixed by treatment: 1) swelling in the abdomen, 2) mental disturbances like confusion, loss of consciousness and coma, or 3) bleeding in the abdomen from the blood vessels or portal gastropathy, it is rated 100%. If the condition has caused 2 or more episodes of swelling in the abdomen, mental disturbances, or bleeding in the abdomen with periods in between these episodes where the disease is not active, it is rated 70%. Code 7345: Any chronic liver disease that doesna€™t have cirrhosis is rated under this code. Note: If there are two different conditions and one rates under this code and another rates as Hepatitis C under code 7354, then the symptoms caused the by condition rated under code 7354 cannot count towards another rating under this code. If there are near-constant, completely disabling symptoms like fatigue, uneasiness, vomiting, anorexia, joint pain, and pain in the upper right abdomen, it is rated 100%. If there is significant fatigue, uneasiness, anorexia with weight loss and swelling in the liver, or if there are incapacitating episodes totaling 4 to 6 weeks in the past year that include symptoms like fatigue, uneasiness, nausea, vomiting, anorexia, joint pain, and pain in the upper right abdomen, it is rated 40%. If there is significant fatigue, uneasiness and anorexia (without weight loss) that requires either a special diet or constant medication, or if there are incapacitating episodes totaling 2 to 4 weeks in the past year that include symptoms like fatigue, uneasiness, nausea, vomiting, anorexia, joint pain, and pain in the upper right abdomen, it is rated 20%. If there is occasional fatigue, uneasiness and anorexia, or if there are incapacitating episodes totaling 1 to 2 weeks in the past year that include symptoms like fatigue, uneasiness, nausea, vomiting, anorexia, joint pain, and pain in the upper right abdomen, it is rated 10%. Note: If there are two different conditions and one rates under this code and another rates under, say 7345, then the symptoms caused the by condition rated under this code cannot count towards another rating under code 7345. If there is near-constant, completely disabling symptoms like fatigue, uneasiness, vomiting, anorexia, joint pain, and pain in the upper right abdomen, it is rated 100%.
Code 7311: Any lasting symptoms after an injury to the liver are rated either as peritoneal adhesions, cirrhosis, or chronic liver disease whichever best defines the symptoms and gives the highest rating.
If it is severe with diarrhea, or if it alternates between diarrhea and constipation, with stomach pains, it is rated 30%.
Code 7326: Chronic enterocolitis is the constant swelling of the colon and small intestine. If it is very severe and constant and causes serious malnutrition, anemia, and overall disabling bad health or if it causes a severe liver abscess, it is rated 100%. Code 7321: Amebiasis is a serious infection that can cause diarrhea, dysentery and even death. A key for this code: Regardless if this condition is rated under 6809 or 7323 and what those codes say are the requirements for a 10% and 0% rating, the 10% and 0% ratings are described as follows. Code 7327: Diverticulitis is a disease of the colon that causes pouches outside the colon to form and then swell. Code 7328: A resection of the small intestine is a procedure where all or a part of the intestine is removed. Code 7329: A resection of the large intestine is a procedure where all or a part of the intestine is removed.
Code 7330: A fistula of the intestine (large or small intestine), is an abnormal passageway from the intestine to another organ or to the outside of the body.
The rectum is the very end of the colon (large intestine), and acts as a storage area for feces before pushing the feces through the anus to exit the body. Code 7332: Poor sphincter control occurs when the sphincter muscle, a muscle that encircles the opening of the rectum and anus, cannot contract properly or be controlled, thus leading to feces exiting the body at unwanted times. If there is a loss of sphincter control and both legs are amputated or paralyzed, then a rating of 100% is always given, regardless of improvement with therapy.
Code 7335: An anal fistula (or a€?fistula-in-anoa€?) is an abnormal passageway that connects the anus to other parts of the body or to an abnormal opening in the skin. Code 7333: A stricture of the rectum or anus is a patch of scar tissue that narrows the openings of the rectum and anus, thus making it difficult or impossible for feces to pass through. Code 7334: A prolapse of the rectum occurs when the muscles or tissues holding the rectum in place weaken and the rectum slips out of place and can slip down out of the anus. Code 7301: Adhesions of the peritoneum are areas of scar tissue that cause the surface of the peritoneum to stick to the surface of organs. If the adhesions develop after a ruptured appendix, an ulcer that burns the peritoneum, or a surgery that required drainage out of the abdomen, and they cause the digestive path to become partially blocked, with frequent episodes of swelling and pressure in the abdomen, and nausea or vomiting, it is rated 50%. If the adhesions cause the digestive path to become partially blocked, and it is proven by a barium meal test, and there are only occasional episodes of pain, it is rated 30%. If there is tight pain when moving the abdomen (it feels like something is pulling inside), or if there are occasional episodes of swelling, bloating, nausea, and constipation, it is rated 10%. Code 7342: Visceroptosis occurs when all the organs in the abdomen sink down out of their proper places. Note: It is vital that the doctor performing the exam clearly describe the exact location and symptoms of the ulcer. Code 7305: A duodenal ulcer is an ulcer in the lower part of the stomach and beginning of the small intestine (the duodenum).
If the pain cannot be fully relieved by treatment, there is occasional vomiting, blood in the vomit or in the feces, anemia, weight loss and an overall serious decline in health, it is rated 60%. Code 7306: A marginal ulcer in both the stomach and the small intestine is an ulcer caused by healthy cells dying.
If there is constant or periodic severe pain that cannot be relieved by treatment, occasional vomiting, blood in the vomit or feces, and weight loss that is completely disabling, it is rated 100%. A hernia is a whole in the wall and muscles of the cavity that allows organs to push through it.
Code 7338: An inguinal hernia is a hernia in the hole in the inguinal canal that allows the organs in the abdomen fall into the inguinal canal.
If a surgery was performed to fix a large hernia, but it re-herniated and another surgery cannot be performed, it is rated 60%.
Code 7340: A femoral hernia occurs when the abdominal organs push through the femoral canal at the top of the thigh near the groin. Code 7339: A ventral hernia occurs when the abdominal organs push through a part of the abdominal wall.
If the hernia is really big, with a severe separation of the abdominal muscles, a destruction of the abdominal muscles over a large area, or with severe weakening of the muscles and tissues so that surgery would not be able to fix it, it is rated 100%. Code 7346: A hiatal hernia is a hernia in the diaphragm that allows the organs in the abdomen to move up into the chest cavity. If the hernia causes pain, vomiting, significant weight loss, blood in the vomit or feces, and anemia, or if other symptoms cause a serious overall health disability, it is rated 60%.
Code 7344: Any tumor of the digestive system is rated on any systems or functions that it affects.
All other digestive system conditions will be rated analogously (see the Analogous and Equivalent Codes page) with the above ratings. Here are the Disability Benefits Questionnaires (DBQs) used for digestive conditions: Mouth, Lips, and Tongue DBQ, Esophageal Conditions DBQ, Gallbladder and Pancreas DBQ, Intestinal Surgery DBQ, Liver and Hepatits DBQ, Peritoneal Adhesions DBQ, Stomach and Duodenal DBQ, Infectious Intestinal Disorders DBQ, Hernias DBQ, Rectum and Anus DBQ, and Intestinal Conditions DBQ. Probative Value: If two exams record the condition differently, the exam with the most thorough data and performed by the most qualified person in that specialty will be the exam the rating is based on. A Tie Goes to the Veteran: If there are two equally strong exams with conflicting information, or if the condition can be equally rated under two different codes, then the one that gives the highest rating will be assigned.
Accurate Measurements: It is essential that the necessary information to rate your condition is recorded by the physician in your exam. PTSD (post-traumatic stress disorder) is a Mental Disorder that is caused by experiencing a traumatic event. Depending on the PTSD severity, PTSD can have a huge affect on the ability of an individual to function in normal life. Like many mental illnesses, the exact symptoms of PTSD can be very different from one person to the next.
Because of the naturally traumatic experiences that combat provides, many military members suffer from PTSD. The following table lists the different requirements that must be met before a condition can be diagnosed as PTSD. Note: These requirements are strictly for assigning Military Disability Ratings to PTSD for Military Disability.
The symptoms must significantly affect the individual’s social or occupational functioning.
Once the condition fulfills all the requirements for PTSD, it can then be officially diagnosed as PTSD by a mental health professional for the purpose of Military Disability. If you have been diagnosed with PTSD, find out what Military Disability Rating you should receive for your PTSD on our Mental Disorders page. This page contains the original VASRD text for the VASRD Principles, conditions of the Musculoskeletal System, the Sensory Organs, Infectious Diseases, Immune Disorders, and Nutritional Deficiencies.
This rating schedule is primarily a guide in the evaluation of disability resulting from all types of diseases and injuries encountered as a result of or incident to military service. Different examiners, at different times, will not describe the same disability in the same language. It is the defined and consistently applied policy of the Department of Veterans Affairs to administer the law under a broad interpretation, consistent, however, with the facts shown in every case.
The element of the weight to be accorded the character of the veterana€™s service is but one factor entering into the considerations of the rating boards in arriving at determinations of the evaluation of disability. Where there is a question as to which of two evaluations shall be applied, the higher evaluation will be assigned if the disability picture more nearly approximates the criteria required for that rating.
Mere congenital or developmental defects, absent, displaced or supernumerary parts, refractive error of the eye, personality disorder and mental deficiency are not diseases or injuries in the meaning of applicable legislation for disability compensation purposes. The basis of disability evaluations is the ability of the body as a whole, or of the psyche, or of a system or organ of the body to function under the ordinary conditions of daily life including employment.
The repercussion upon a current rating of service connection when change is made of a previously assigned diagnosis or etiology must be kept in mind. A§4.16 Total disability ratings for compensation based on unemployability of the individual. It is provided further that the existence or degree of nonservice-connected disabilities or previous unemployability status will be disregarded where the percentages referred to in this paragraph for the service-connected disability or disabilities are met and in the judgment of the rating agency such service-connected disabilities render the veteran unemployable. A§4.17 Total disability ratings for pension based on unemployability and age of the individual. All veterans who are basically eligible and who are unable to secure and follow a substantially gainful occupation by reason of disabilities which are likely to be permanent shall be rated as permanently and totally disabled. A veteran may be considered as unemployable upon termination of employment which was provided on account of disability, or in which special consideration was given on account of the same, when it is satisfactorily shown that he or she is unable to secure further employment.
Age may not be considered as a factor in evaluating service-connected disability; and unemployability, in service-connected claims, associated with advancing age or intercurrent disability, may not be used as a basis for a total disability rating. When an unlisted condition is encountered it will be permissible to rate under a closely related disease or injury in which not only the functions affected, but the anatomical localization and symptomatology are closely analogous. In view of the number of atypical instances it is not expected, especially with the more fully described grades of disabilities, that all cases will show all the findings specified. In cases involving aggravation by active service, the rating will reflect only the degree of disability over and above the degree existing at the time of entrance into the active service whether the particular condition was noted at the time of entrance into the active service, or it is determined upon the evidence of record to have existed at that time.
It is to be remembered that the majority of applicants are disabled persons who are seeking benefits of law to which they believe themselves entitled. All correspondence relative to the interpretation of the schedule for rating disabilities, requests for advisory opinions, questions regarding lack of clarity or application to individual cases involving unusual difficulties, will be addressed to the Director, Compensation and Pension Service. Table I, Combined Ratings Table, results from the consideration of the efficiency of the individual as affected first by the most disabling condition, then by the less disabling condition, then by other less disabling conditions, if any, in the order of severity. The diagnostic code numbers appearing opposite the listed ratable disabilities are arbitrary numbers for the purpose of showing the basis of the evaluation assigned and for statistical analysis in the Department of Veterans Affairs, and as will be observed, extend from 5000 to a possible 9999. The following ratings may be assigned, in lieu of ratings prescribed elsewhere, under the conditions stated for disability from any disease or injury.
Note (2): Diagnosis of disease, injury, or residuals will be cited, with diagnostic code number assigned from this rating schedule for conditions listed therein.
A§4.29 Ratings for service-connected disabilities requiring hospital treatment or observation.
A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established that a service-connected disability has required hospital treatment in a Department of Veterans Affairs or an approved hospital for a period in excess of 21 days or hospital observation at Department of Veterans Affairs expense for a service-connected disability for a period in excess of 21 days.
A total disability rating (100 percent) will be assigned without regard to other provisions of the rating schedule when it is established by report at hospital discharge (regular discharge or release to non-bed care) or outpatient release that entitlement is warranted under paragraph (a)(1), (2), or (3) of this section effective the date of hospital admission or outpatient treatment and continuing for a period of 1, 2, or 3 months from the first day of the month following such hospital discharge or outpatient release.
In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. Disability of the musculoskeletal system is primarily the inability, due to damage or infection in parts of the system, to perform the normal working movements of the body with normal excursion, strength, speed, coordination and endurance. In considering the residuals of injury, it is essential to trace the medical-industrial history of the disabled person from the original injury, considering the nature of the injury and the attendant circumstances, and the requirements for, and the effect of, treatment over past periods, and the course of the recovery to date. The importance of complete medical examination of injury cases at the time of first medical examination by the Department of Veterans Affairs cannot be overemphasized.
Chronic, or recurring, suppurative osteomyelitis, once clinically identified, including chronic inflammation of bone marrow, cortex, or periosteum, should be considered as a continuously disabling process, whether or not an actively discharging sinus or other obvious evidence of infection is manifest from time to time, and unless the focus is entirely removed by amputation will entitle to a permanent rating to be combined with other ratings for residual conditions, however, not exceeding amputation ratings at the site of election. The osseous abnormalities incident to trauma or disease, such as malunion with deformity throwing abnormal stress upon, and causing malalignment of joint surfaces, should be depicted from study and observation of all available data, beginning with inception of injury or disease, its nature, degree of prostration, treatment and duration of convalescence, and progress of recovery with development of permanent residuals. As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. Accurate measurement of the length of stumps, excursion of joints, dimensions and location of scars with respect to landmarks, should be insisted on. Once the light enters the eye through the pupil, the crystalline lens helps focus the light on the retina at the back of the eye. Note: Your general examining physician CANNOT perform the tests necessary to rate eye conditions.
Normal loss of vision with aging is not ratable, but loss of vision that is caused by an injury or disease can be rated. Additionally, the back of the eye must be examined while the pupils are dilated to get the most accurate rating. The proper corrective lenses must be used during testing to get the ratable best-corrected vision. In the table below, the best eye is listed across the top, and the worst eye is down the left side.
Both near and distant corrected visions are tested, but only the distant vision is used for rating. The visual field is the entire range of vision that can be seen when looking at a fixed point straight ahead. The tests chart 16 meridians of the visual field for each eye, but only 8 directions are used for rating: upward, downward, nasally (toward the nose), temporally (away from the nose), and once midway between each of these. The visual field is measured by objects moving from outside the visual field to inside the visual field.
47.5A° is the average concentric contraction of the remaining field, and this is the measurement needed to rate the condition. Add all the measurements together and then divide this by 8 to get the average concentric contraction of the remaining field. 27.5A° is the average concentric contraction of the remaining field of the right eye, and 33A° is the left. Code 6081: Scotoma is a condition where blind spots appear in the visual field with perfectly normal vision all around them.
These conditions are either rated on specific visual field loss or on the calculated average concentric contraction. If the average concentric contraction of the remaining field is 5A° or less, it is rated 30% for one eye and 100% for both eyes. Homonymous hemianopsia is a condition where one half of the visual field is lost, right or left, in both eyes due to brain damage.
If there is a complete loss of the temporal half of the visual field in one eye, it is rated 10%. If there is a complete loss of the nasal half of the visual field in one eye, it is rated 10%. If there is a complete loss of the bottom half of the visual field in one eye, it is rated 10%. If there is a complete loss of the top half of the visual field in one eye, it is rated 10%.
Diplopia (a€?double visiona€?) is the term most commonly used to describe limited muscle function in the eye. To measure the decrease in muscle function, the Goldmann chart is split into four quadrants: up, down, nasally, and temporally. If there is limited muscle motion in more than one quadrant, then only the quadrant that would get the highest rating is used.
Additionally, if diplopia exists in completely separate areas of the same eye (they are divided by areas of perfectly fine muscle motion), as demonstrated on the chart below, then rate the quadrant that would give the worst visual acuity assignment and then increase the visual acuity to the next worse vision. Once we have the assigned visual acuity, we can then rate the muscle condition based on the table below. Code 6090: So, as long as there are no central visual acuity or visual field problems as well, it is rated under this code on the following table. If the diplopia occurs only occasionally or is corrected with glasses or contacts, it is rated 0%.
The muscle movement is clearly limited in every quadrant, but only the quadrant that would get the highest rating is used. We must determine which eye is worse, so leta€™s first find the assigned visual acuity for both.
If both eyes have both central visual acuity and muscle dysfunction, then we first need to determine which has the worst muscle dysfunction. Now we need to translate the assigned visual acuity to the number of steps to raise the central visual acuity. If there is both visual field and muscle dysfunction present, then muscle dysfunction is not independently rated. Because only one eye is affected, it is the only eye that is used to calculate muscle dysfunction and the visual acuity from the visual field. Now add all the measurements together and then divide this by 8 to get the average concentric contraction of the remaining field. Step 1: Leta€™s start by finding the muscle dysfunction for both eyes to determine which is worse.
Step 2: Next we must determine how many steps to raise the visual acuity calculated from the visual field. If an eye has all three visual problems, then the system above that would result in the highest rating is used. Code 6007: Intraocular hemorrhage is bleeding in the eye that can be caused by injury or disease.
Code 6008: Detachment of the retina can occur if fluid is able to get under the retina, whether through a tear or from swelling.
These conditions are either rated on the Visual Impairment Rating System or on incapacitating episodes, whichever gives the higher rating. If there were incapacitating episodes adding up to 6 weeks or more during the last 12 months, it is rated 60%. Code 6017: Trachomatous conjunctivitis is the swelling of the conjunctiva due to a bacterial infection, that continues despite treatment. If the conjunctivitis is currently active with symptoms like redness, irritation, seeping, etc., it is rated 10%. Code 6037: Pinguecula is a condition where the collagen in the conjunctiva thin because of UV light exposure, and so is most commonly seen in tropical climates. Code 6091: Symblepharon occurs when the lining of the eyelid attaches to the conjunctiva because of injury or disease.
Code 6035: Keratoconus is a condition where the cornea gradually changes its shape, causing significant vision problems. If the surgery has been performed, it is still rated on the Visual Impairment Rating System, however it is important to note that the visual field will be measured differently depending on the outcome of the surgery. Code 6012: Angle-closure glaucoma (or closed-angle glaucoma) is a condition where the optic nerve is damaged, normally by high fluid pressure in the eye, causing loss of vision.
An incapacitating episode is defined as a period of severe symptoms that requires bed rest prescribed by a physician. If there were incapacitating episodes that equal a total of 6 weeks or more during the past 12 months, it is rated 60%.
Code 6013: Open-angle glaucoma is a condition where the optic nerve is damaged, normally by high fluid pressure in the eye, causing loss of vision.


Code 6030: Paralysis of accommodation is a condition where the oculomotor nerve is damaged. Code 6016: Central nystagmus is a condition of excessive eye movement (like twitching) that is caused by a central nerve condition and can lead to vision loss.
Under intense pressure from veterans’ groups, members of Congress are pledging to revisit a controversial provision of the weeks-old federal budget that would reduce pension payments for younger military retirees. This article from Maine speaks to a very important development of the firestorm that has arisen since military retiree pensions (including widows and disabled veterans) were cut by Congress and signed by Obama. And that is this: I do not believe that Washington DC realized that the opposition against screwing over these few Americans (less than 1% serve in the military) would generate any light or heat. This cut, which saves chump change to the Federal government $6 Billion over ten years while our government spends $10.46 per day) has stirred up a hornets nest of justifiable outrage. The budget must be cut, but not on the backs of those who have given more to this nation than millions of takers who do nothing but ask for more free stuff. Hagel wants any exemption to be as narrow as possible, because he has plans for much bigger cuts down the road. This is only the beginning: Lawrence Korb (a truly horrible man who is paid by the Center for American Progress - a George Soros front organization) is all over the medial spreading half truths and lies. Korb is also a member of the Honorary Board of the Servicemembers Legal Defense Network, an organization dedicated to ending discrimination against gay and lesbian people serving in the U.S.
Cut in military pensions reconsideredThis is done so the government can afford free goodies like housing, food, education and college tuition for illegal aliens. Did someone in the military have the gonads to point some REAL guns at those who would steal from them again?
The purpose of a DBQ is to ensure that the physician performing the exam records all the information needed to properly rate a disabled veteran’s conditions. If properly used, DBQs prevent this delay by ensuring that the required information is always recorded for every condition. To ensure that this happens correctly, the Scar DBQ contains a section that prompts the physician to record every measurement needed to rate the scar. The majority of DBQs are for entire body parts or systems, like respiratory conditions, but there are a few specific conditions, like sleep apnea, that have their own DBQ. So again using the psychological category as an example, if you have bulimia (an eating disorder), major depressive disorder, and bipolar disorder, then your physician would fill out two DBQs: the Eating Disorder DBQ for the bulimia, and the Mental Disorders (other) DBQ for both of the other two. Because of this, there is often information required on a DBQ that is not necessary for rating a particular condition for disability but is necessary for pension purposes. Find all the answers you need to maximize your Military Disability Benefits and VA Disability Benefits today!
This principle is particularly important in the digestive system, because a condition in the stomach and a condition in the large intestine can cause the same symptoms. If there is an injury to the mouth, it is either rated on how it affects the ability to chew food (see the Mouth and Teeth page) or on any visible disfigurement to the face (code 7800). It normally occurs in people in their 50s, but can be a birth defect (these are not ratable). If the syndromes are severe and cause nausea, sweating, problems with blood circulation after meals, diarrhea, low blood sugar symptoms like seizures or slow brain functioning, and weight loss with malnutrition and anemia, it is rated 60%.
This most commonly occurs at the lower part of the stomach (pyloris) where food passes from the stomach to the small intestine. To qualify for a rating, the surgery must have been performed with either a gastroenterostomy or a pyloroplasty as well. If there is a definite diagnosis of alkaline gastritis or regular diarrhea, it is rated 30%. If the pancreatic condition interferes with its function in the endocrine system, it is rated under that system.
If the removal of the gallbladder causes severe symptoms, like pain and nausea, it is rated 30%. It regulates the metabolism, clears out old red blood cells, produces hormones and cleans toxins out of the body.
For any of these conditions to qualify for a rating, proper tests like a biopsy and liver function test must be performed. If the condition has caused 1 episode of swelling in the abdomen, mental disturbances, or bleeding in the abdomen, it is rated 50%. This includes diseases like Hepatitis B, chronic active hepatitis, autoimmune hepatitis, hemochromatosis, drug-induced hepatitis, and others. If there is significant fatigue, uneasiness, anorexia with significant weight loss or malnutrition, and swelling in the liver, or incapacitating episodes totaling 6 weeks or more in the past year that include symptoms like fatigue, uneasiness, nausea, vomiting, anorexia, joint pain and pain in the upper right abdomen, it is rated 60%.
If there are frequent episodes of abnormal bowel movements with stomach pain, it is rated 10%. If it is severe, but not constant, with many attacks a year that cause malnutrition which then causes overall bad health that cannot be fully recovered during the periods in between attacks, it is rated 60%.
Marlow Syndrome and severe Shigellosis) is an infectious bacteria that causes the intestines to swell, particularly the colon. If there are low stomach cramps, nausea, bloating, and continuous constipation with diarrhea on occasion, it is rated 10%. If it causes severe symptoms like fever, pain, diarrhea, dehydration and overall disabling health, it is rated 30%. If the small intestine can no longer absorb enough nutrients to sustain the body, causing the overall health of the body to seriously decline (significant weight loss, serious nutritional deficiencies, etc.), it is rated 60%. If the procedure causes severe symptoms, like the inability to pass feces or constant dehydration, that significantly affect the overall health, it is rated 40%. If surgery was attempted to repair the fistula, but the surgery was not fully successful or the fistula re-developed, it is ratable under this code. If there is a significant amount of stuff always leaking out of the anus and frequent uncontrollable bowel movements, it is rated 60%. This is also the case if the loss of sphincter control is due to a spinal cord disease or injury.
If a colostomy, a surgical procedure that creates a new passageway from the rectum or anus to the outside of the body, is required, it is rated 100%. It stretches from the hip bones all the way to the diaphragm, a large tissue that separates the abdominal cavity from the cavity where the lungs and heart sit.
They can occur in any part of the body, are painful, and can cause the organs they affect to not function properly.
The term a€?peptic ulcera€? is not specific enough to get a proper rating, since it could describe an ulcer in many different locations, each of which will show different symptoms. If there is a definite decrease in overall health with anemia and weight loss, or if there are repeated periods of required bed rest prescribed by a physician that average about 10 days or more at least 4 or more times a year, it is rated 40%. If the same symptoms are present, but they are less frequent or severe and cause a serious but not complete disability, it is rated 60%. If a surgery was performed to fix a small hernia, but it re-herniated, or if it cannot be fixed at all, it is rated 30%. If they do, and both qualify for a rating, then the most severe of the two is rated on the requirements above, and then 10% is added for the second hernia.
These cells can be benigna€”they do not attack the good cells around them (tumors)a€”or they can be malignanta€”they attack the cells around them (cancers).
For example, if the tumor pushes on the small intestine and makes it hard for things to move through it, then the obstruction of the small intestine would be rated. The bottom line rule is to rate any condition under the code that BEST describes it, even if it is not exact. However, if another condition exists that is additional to the digestive system condition (not simply caused by it), then it can also be rated. Symptoms of PTSD can include fear, the inability to concentrate, depression, anti-social behaviors, violent outbursts, anger, nightmares, insomnia, and many more.
Some symptoms of PTSD can show up immediately following the traumatic event, but most PTSD symptoms often develop over a period of time.
Being exposed to a traumatic event alone, however, is not enough to be diagnosed with PTSD. In the case of death, whether actual or threatened, the event must have been violent or accidental to qualify.
These experiences include hallucinations and intense flashback episodes, and can be accompanied by violent or irrational behavior. To qualify, this amnesia cannot be caused by physical triggers, like head injuries, or memory altering substances, like alcohol. Losing his temper easily, often with no obvious reason, that results in physical or verbal aggression. This can include taking unnecessary physical risks, binging on substances, sabotaging any positive opportunities, etc.
It could be that they cause stress within the family, the inability to concentrate properly on work assignments, etc.
For the original VASRD text of conditions for the Respiratory System, the Cardiovascular System, the Digestive System, the Genitourinary System, and all Gynecological Conditions, see page 2.
Features of the disability which must have persisted unchanged may be overlooked or a change for the better or worse may not be accurately appreciated or described.
When after careful consideration of all procurable and assembled data, a reasonable doubt arises regarding the degree of disability such doubt will be resolved in favor of the claimant. Every element in any way affecting the probative value to be assigned to the evidence in each individual claim must be thoroughly and conscientiously studied by each member of the rating board in the light of the established policies of the Department of Veterans Affairs to the end that decisions will be equitable and just as contemplated by the requirements of the law.
Whether the upper or lower extremities, the back or abdominal wall, the eyes or ears, or the cardiovascular, digestive, or other system, or psyche are affected, evaluations are based upon lack of usefulness, of these parts or systems, especially in self-support.
The aim should be the reconciliation and continuance of the diagnosis or etiology upon which service connection for the disability had been granted. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. The rating, however, is based primarily upon the average impairment in earning capacity, that is, upon the economic or industrial handicap which must be overcome and not from individual success in overcoming it. Therefore, rating boards should submit to the Director, Compensation and Pension Service, for extra-schedular consideration all cases of veterans who are unemployable by reason of service-connected disabilities, but who fail to meet the percentage standards set forth in paragraph (a) of this section. For the purpose of pension, the permanence of the percentage requirements of A§4.16 is a requisite. Conjectural analogies will be avoided, as will the use of analogous ratings for conditions of doubtful diagnosis, or for those not fully supported by clinical and laboratory findings.
Findings sufficiently characteristic to identify the disease and the disability therefrom and above all, coordination of rating with impairment of function will, however, be expected in all instances. In the exercise of his or her functions, rating officers must not allow their personal feelings to intrude; an antagonistic, critical, or even abusive attitude on the part of a claimant should not in any instance influence the officers in the handling of the case. A clear statement will be made of the point or points upon which information is desired and the complete case file will be simultaneously forwarded to Central Office. For example, if there are two disabilities, the degree of one disability will be read in the left column and the degree of the other in the top row, whichever is appropriate. The bilateral factor will be applied to such bilateral disabilities before other combinations are carried out and the rating for such disabilities including the bilateral factor in this section will be treated as 1 disability for the purpose of arranging in order of severity and for all further combinations.
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. Great care will be exercised in the selection of the applicable code number and in its citation on the rating sheet.
The prestabilization rating is not to be assigned in any case in which a total rating is immediately assignable under the regular provisions of the schedule or on the basis of individual unemployability. A temporary release which is approved by an attending Department of Veterans Affairs physician as part of the treatment plan will not be considered an absence. An authorized absence of 4 days or less which results in a total of more than 8 days of authorized absence during the first 21 days of hospitalization will be regarded as the equivalent of hospital discharge effective the ninth day of authorized absence. If service connection for the disability under treatment is granted after hospital admission, the rating will be from the first day of hospitalization if otherwise in order. 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. The total rating will be followed by an open rating reflecting the appropriate schedular evaluation; where the evidence is inadequate to assign the schedular evaluation, a physical examination will be scheduled prior to the end of the total rating period. 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. The duration of the initial, and any subsequent, period of total incapacity, especially periods reflecting delayed union, inflammation, swelling, drainage, or operative intervention, should be given close attention. When possible, this should include complete neurological and psychiatric examination, and other special examinations indicated by the physical condition, in addition to the required general and orthopedic or surgical examinations.
With shortening of a long bone, some degree of angulation is to be expected- the extent and direction should be brought out by X-ray and observation.
Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. The use of a goniometer in the measurement of limitation of motion is indispensable in examinations conducted within the Department of Veterans Affairs. Through and through or deep penetrating wound of short track from a single bullet, small shell or shrapnel fragment, without explosive effect of high velocity missile, residuals of debridement, or prolonged infection. Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. Through and through or deep penetrating wound by small high velocity missile or large low-velocity missile, with debridement, prolonged infection, or sloughing of soft parts, and intermuscular scarring. Service department record or other evidence showing hospitalization for a prolonged period for treatment of wound. Entrance and (if present) exit scars indicating track of missile through one or more muscle groups. 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. The retina then converts the light into electric pulses that run along the optic nerve to the brain. These evaluations are automatically done during VA physicals for individuals complaining of eye problems, but it is ultimately up to you to make sure you get the proper exam and tests so that can you get the best rating possible.
Generally, the central vision is the part of the vision that is sharp and focused, while the peripheral vision is blurry.
If one eye has a condition that affects both, then it will receive two ratings, one for each. To properly rate central visual acuity, it is essential that the examining optometrist performs tests for near and far vision for both uncorrected and corrected (with glasses, contacts, etc.) sight.
The top number in this fraction is the distance in feet between the person and the object being viewed. Only distant vision is used to rate a visual acuity condition, and only CORRECTED distant vision at that.
Make sure that you only use the corrected vision test results when figuring out your rating here in order to find the proper rating.
If, however, in a single eye the best corrected near vision is two or more steps worse than the best corrected distant vision, then the visual acuity is adjusted upward one step for the distant vision. If one of the eyes is missing, and an artificial one cannot be worn because of a medical reason, then the rating for visual acuity increases by 10%.
If the blind spots affect A? or more of the visual field or if they are centrally located (within the 30A° ring), it is rated 10%. If both eyes have a complete loss of the temporal half of the visual field (this would be opposite sides for the eyes a€“ away from the nose), it is rated 30%. If both eyes have a complete loss of the nasal half of the visual field, then it is rated 10%.
If both eyes have a complete loss of the bottom half of the visual field, then it is rated 30%. If both eyes have a complete loss of the bottom half of the visual field, then it is rated 10%. Literally it means that you see two images when looking at a single object because both eyes arena€™t able to move and focus on the object properly. These ratings are only applicable, however, if there are no other visual conditions in either eye. Both eyes have normal central visual acuity and no ratable condition except double vision as noted in the chart below. This eyea€™s movement is limited in all quadrants, so leta€™s find which has the worst visual acuity assignment. If there are also central visual acuity problems in either eye, then muscle dysfunction is not independently rated. Once we know which has the worst, that muscle dysfunction is converted to the assigned visual acuity and the number of steps to raise the central visual acuity is determined.
Instead, the visual field is calculated, converted to visual acuity, and then increased depending on the degree of muscle dysfunction.
After the concentric constriction of the remaining field is calculated, use Table 4 below to convert it into a visual acuity measurement. After finding the assigned visual acuity of the muscle dysfunction as described in the muscle dysfunction section, the following table is used to determine how many steps to increase the visual acuity that was converted from the visual field.
Thygesona€™s superficial punctate keratopathy, TSPK) is a condition where small lumps form on the cornea of the eye, causing discomfort and irritation.
An a€?incapacitating episodea€? is a period of severe symptoms that requires bed rest and treatment prescribed by a physician.
If the incapacitating episodes over the last 12 months add up to 4 to 6 weeks, it is rated 40%. Conjunctivitis can be caused by many things including reactions to chemical exposure and viruses. If there is also pain and sensitivity to light, the minimum rating for this condition is 10%. If a replacement lens is in place (a€?pseudophakiaa€?) and functions normally, then the ring (isopter) used to rate the condition is the III4e. If the condition can be corrected so that the eye functions normally or close to normally, then the ring used to rate it is III4e. If the condition causes irregular vision with double images, extra large images, extra small images or other irregularities, it is rated 10%.
It is very sudden and painful, and the loss of vision can occur very quickly if not treated right away. If the physician did not prescribe it, then it does not qualify to be rated as an incapacitating episode.
Unlike angle-closure glaucoma, it progresses slowly over time and is harder to detect before significant vision loss occurs. Any optic nerve damage that is not caused by high fluid pressure (glaucoma) is rated under this code. This condition causes the eye to be unable to focus or change sight from near to far vision. Nystagmus can also be caused by other medical or mental conditions, but only nystagmus caused by a nerve condition can be rated here. The cuts to military pensions quickly emerged as the most contentious aspect of the two-year budget passed by Congress late last month. The opposition from veterans and active-duty personnel was so strong that many lawmakers pledged to revisit the issue even as they voted in support of the budget deal.
Washington is used to dictating to lowly service members to do their bidding (whether it is more diversity training, swallowing horrible social policy, etc), and getting zero push back. It has also highlighted a wonder thing: military members, military families, supporters of the military, disabled veterans, and patriots stick together. The left is in an open war to not only take from military pensions, but to destroy the military healthcare system. Korb has spent decades being paid big bucks to undermine and destroy our military from within. Also so the government can send aid to countries like Cuba, Venezuela, Iraq, Afghanistan, North Korea. Gubmint had better consider how many of us are still out here and not afraid to fight for this country again. He was apolitical when he was active, remains so, and hasn’t a clue that the politicians are abrogating his contract in favor of handing goodies out to whoever jingles the largest purse of bribes.
The Military Disability system can seem overwhelming, and the limited resources available are not clear and comprehensive. By giving Disabled Veterans the knowledge they lack, we hope to decrease this percentage and ensure that all Disabled Veterans receive the VA Disability Benefits they deserve. Similarly, there are some conditions that don’t really have a DBQ that fits quite right. Then, if your specific condition is not listed, use the DBQ that is generic for that category. Regardless, as long as the DBQ is properly filled out, you should be good to go for your disability. If there are multiple conditions that have these codes, use the one that gives the highest rating.
The first four-digit code defines the condition as an injury of the mouth, and the second four-digit code tells how it is rated. If only being able to swallow liquids also causes a serious decrease in overall health, then it is rated 80%. These pockets are caused by areas of weak muscle that cannot stand against the pressure of swallowing.
If there is severe bleeding in the stomach or large tears or breaks (ulcers) in the stomach wall, it is rated 60%. If the syndromes are moderate and cause occasional mild problems with blood circulation after meals, diarrhea and weight loss, it is rated 40%.
The first four-digit code defines it as a stomach injury, and the second four-digit code tells how it is rated. If the surgery was not successful in decreasing the amount of acid production and an ulcer forms or reforms, it is rated 20%. The first four-digit code defines it as a gallbladder injury, and the second four-digit code tells how it is rated.
If there is high blood pressure in the portal vein and swelling in the spleen with weakness, anorexia, stomach pain, uneasiness, and minor weight loss, it is rated 30%.
The condition is then re-evaluated, and the main residual symptom or complication is rated. A worse case of hepatitis C can, however, lead to cirrhosis, liver cancer, and liver failure. The first four-digit code defines it as a liver injury, and the second four-digit code tells how it is rated. It is important to note that the a€?colona€? is divided into three sections, all of which are just sections of the large intestine.
If it is somewhat severe and causes some attacks a year, but less than a severe condition, it is rated 30%.
It is either rated as irritable colon syndrome, peritoneal adhesions, or ulcerative colitis, whichever most closely describes the overall condition and symptoms. If the small intestine can still absorb some nutrients, but not enough to maintain a healthy weight, it is rated 40%. If there are only occasional uncontrollable bowel movements that require a pad or other materials to be worn, it is rated 30%. If the scar tissue seriously decreases the space in the rectum or anus, or if there is extensive leakage, it is rated 50%.
If it doesna€™t slip all the way out, but it stays out or slips out frequently, it is rated 30%. If the hemorrhoids cause constant bleeding that leads to significant blood loss and anemia, a decrease in the number of red blood cells, or if they cause fissures, it is rated 20%.
Because of that, the condition causing the itching is ratable, but the itching alone is not.


Adhesions are only ratable if abdominal surgeries have been performed or if injury or an infectious disease has affected the inside of the abdomen, and if two or more of the following is present: 1) a slowing down of digestive functioning, 2) the digestive tract is partially or completely blocked, 3) acid and fluids in the digestive tract come up into the esophagus (reflux), and 4) pain. If there are repeated periods of severe symptoms that average about 10 days or more 2 or 3 times a year, or if there are constant moderate symptoms, it is rated 20%. If there are episodes at least once a month that can be partially or completely relieved by treatment of vomiting, pain or blood in the feces, it is rated 40%. If a surgery was performed to fix the hernia, it re-herniated, but it is treatable and can be supported by a belt, it is rated 10%. If surgery has been performed, but there are still problems, the condition can then be rated on the following criteria.
If it is small and cannot be supported by a belt or brace, or if the surgery worked and the wounds healed, but they are weak and need support by a belt or brace, it is rated 20%. If two or more of the previous symptoms are present, but are not as severe, it is rated 10%. The condition is then reevaluated and any left over symptoms or complications are rated separately. The symptoms of PTSD can be constant, worsen over time, improve over time, or can come and go. Regardless, the PTSD requirements below are commonly accepted overall as a good general guideline for diagnosing PTSD.
A family member dying after an illness of 5 months is not considered a traumatic event since there was time to emotionally prepare. This aggression can be aimed at people or objects (throwing a computer out the window, etc.). This is left up to the interpretation of the psychiatrist who is diagnosing the condition or the Rating Authorities who are determining the rating for Military Disability. For the origianl VASRD text for the Hemic and Lymphatic Systems, the Skin, the Endocrine System, Neurological Conditions, Convulsive Disorders, Mental Disorders, and Dental and Oral conditions, see page 3. It is the responsibility of the rating specialist to interpret reports of examination in the light of the whole recorded history, reconciling the various reports into a consistent picture so that the current rating may accurately reflect the elements of disability present.
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 persona€™s ordinary activity. The relevant principle enunciated in A§4.125, entitled a€?Diagnosis of mental disorders,a€? should have careful attention in this connection. 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. For purposes of this section, marginal employment generally shall be deemed to exist when a veterana€™s earned annual income does not exceed the amount established by the U.S. The rating board will include a full statement as to the veterana€™s service-connected disabilities, employment history, educational and vocational attainment and all other factors having a bearing on the issue. When the percentage requirements are met, and the disabilities involved are of a permanent nature, a rating of permanent and total disability will be assigned if the veteran is found to be unable to secure and follow substantially gainful employment by reason of such disability. Nor will ratings assigned to organic diseases and injuries be assigned by analogy to conditions of functional origin.
Fairness and courtesy must at all times be shown to applicants by all employees whose duties bring them in contact, directly or indirectly, with the Departmenta€™s claimants. Rating agencies will assure themselves that the recent report of physical examination presents an adequate picture of the claimanta€™s condition.
Proceeding from this 40 percent efficiency, the effect of a further 30 percent disability is to leave only 70 percent of the efficiency remaining after consideration of the first disability, or 28 percent efficiency altogether. The figures appearing in the space where the column and row intersect will represent the combined value of the two. For example, with disabilities evaluated at 60 percent, 20 percent, 10 percent and 10 percent (the two 10a€™s representing bilateral disabilities), the order of severity would be 60, 21 and 20.
No other numbers than these listed or hereafter furnished are to be employed for rating purposes, with an exception as described in this section, as to unlisted conditions. The prestabilization 50-percent rating is not to be used in any case in which a rating of 50-percent or more is immediately assignable under the regular provisions. 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. This consideration, or the absence of clear cut evidence of injury, may result in classifying the disability as not of traumatic origin, either reflecting congenital or developmental etiology, or the effects of healed disease.
When complete examinations are not conducted covering all systems of the body affected by disease or injury, it is impossible to visualize the nature and extent of the service connected disability. The direction of angulation and extent of deformity should be carefully related to strain on the neighboring joints, especially those connected with weight-bearing.
For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints.
Record of consistent complaint of one or more of the cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, particularly lowered threshold of fatigue after average use, affecting the particular functions controlled by the injured muscles. Some loss of deep fascia or muscle substance or impairment of muscle tonus and loss of power or lowered threshold of fatigue when compared to the sound side. Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section and, if present, evidence of inability to keep up with work requirements.
Indications on palpation of loss of deep fascia, muscle substance, or normal firm resistance of muscles compared with sound side.
Record of consistent complaint of cardinal signs and symptoms of muscle disability as defined in paragraph (c) of this section, worse than those shown for moderately severe muscle injuries, and, if present, evidence of inability to keep up with work requirements. The central vision and peripheral vision to all sides (up, down, right, and left) make up the entire visual field. Since the two eyes are not able to move and focus together on the same object, a single object is seen and interpreted to be at two different locations. These ratings for visual impairment, however, can be combined to equal more than 30% with other ratings for non-visual eye conditions.
The most common test is Snellena€™s test that has the patient read a chart of letters from a certain distance, and this test or its equivalent must be used in order to rate the condition. So, no matter how bad the vision is without glasses or contacts, it is rated on how good the vision is with glasses or contacts. Normally, these objects are rings of light (called a€?isoptersa€?) produced by the testing machines. If a rating under visual field would give a higher rating than 10%, then it can be used to rate this condition. The examining optometrist must chart any decrease in muscle function in all four quadrants on a Goldmann perimeter chart in order for the condition to be rated. If there are other visual conditions, then it is rated a bit differently, and wea€™ll discuss this below. First, if both eyes have a muscle dysfunction, it is the worst muscle dysfunction that is used to determine how many steps to raise the visual acuity. If the physician did not prescribe bed rest, it is not considered an incapacitating episode. Viral conjunctivitis is popularly known as a€?pink eye.a€? Conjunctivitis is not ratable unless it is chronica€”lasts a long time and is not responsive to treatment, or regularly returns despite treatment.
If it is severe it can only be rated based on disfigurement (code 7800) because of the color of the eye.
It is either rated on visual impairment, the inability to close the eyelids (code 6022), disfigurement (code 7800), or on other symptoms.
Since the VASRD clearly states that this condition is to be rated on visual acuity, it cannot also be rated for visual field or muscle dysfunction unless they are caused by an entirely different condition.
This condition is either rated on the Visual Impairment Rating System or on incapacitating episodes (below), whichever results in the higher rating.
Since then, lawmakers have introduced a slew of proposals to reduce or reverse cuts that outraged veterans’ groups and active duty military personnel. Congress is realizing they just didn't pick a fight with the few, they picked a fight with millions of Americans. This is not entirely true - the provision will only cover those military who retired early. Korb also serves on Military Advisor Committee for Business Leaders for Sensible Priorities, whose aim is to redirect 15% of the military's budget to social programs like education, healthcare, job training, humanitarian relief, renewable energies and reducing the deficit.
I think the meat of it is that they want to disarm any of them they can by making a big deal out of any emotional trauma resulting from service.
If any amount of loss of the tongue causes significant trouble speaking, the minimum rating is 30%.
If the esophagus is seriously narrowed, but some things besides liquids can also be swallowed, then it is rated 30%.
They can also form through strong muscle if there is a swallowing disorder that causes extra pressure.
If there are small tears or breaks in the stomach wall and symptoms like stomach pain, it is rated 30%.
If the syndromes are mild and only cause mild problems with blood circulation every now and then or if there are constant but mild symptoms like diarrhea, weight loss or low blood sugar, it is rated 20%. If the surgery was successful, but an ulcer reforms anyway, it is then rated under code 7305 with the minimum rating of 20%.
If the whole or part of the pancreas is surgically removed, then rate any continuing symptoms on the following ratings, with the minimum rating of 30%. The first four-digit code defines it as cholelithiasis, and the second four-digit code tells how it is rated. The first four-digit code defines it as cholangitis, and the second four-digit code tells how it is rated. If there are symptoms like weakness, anorexia, stomach pain and uneasiness, it is rated 10%. For this condition to qualify for a rating, its presence must be proved by a serologic test.
The first four-digit code defines the condition as enterocolitis, and the second four-digit code tells how it is rated.
If the small intestine can absorb enough nutrients, but there is diarrhea, anemia, and the inability to gain weight, it is rated 20%.
If there are not any uncontrollable bowel movements, but there is constant slight leakage or occasional moderate leakage, it is rated 10%.
The first four-digit code defines the condition as an anal fistula, and the second four-digit code tells how it is rated. If the scar tissue only moderately decreases the space in the rectum or anus, or if there is moderate but constant leakage, it is rated 30%. If it is only a little out of place and doesna€™t slip out of the anus, but does cause leakage, it is rated 10%.
If there are blood clots inside the swollen veins, the swelling cana€™t go down, and there is a lot of redundant tissue, it is rated 10%.
For example, if the large intestine was affected by the tuberculosis and continues to have problems functioning correctly, the large intestine would be rated under the code that most closely describes the condition. If a surgery was not performed, but it is treatable, or if it is small and no organs are pushing through the hole, it is rated 0%. So, if one is rated 30%, and the other can also be rated 30%, only 10% can be given for the second. This period is 3 months unless another length (6 months, 1 year, etc.) is directly specified in the condition ratings.
Each disability must be considered from the point of view of the veteran working or seeking work. In this connection, it will be remembered that a person may be too disabled to engage in employment although he or she is up and about and fairly comfortable at home or upon limited activity. When any change in evaluation is to be made, the rating agency should assure itself that there has been an actual change in the conditions, for better or worse, and not merely a difference in thoroughness of the examination or in use of descriptive terms.
Both the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation and the evaluation of the same manifestation under different diagnoses are to be avoided. 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. Prior employment or unemployment status is immaterial if in the judgment of the rating board the veterana€™s disabilities render him or her unemployable. Claims in regard to which the schedule evaluations are considered inadequate or excessive, and errors in the schedule will be similarly brought to attention. The individual is thus 72 percent disabled, as shown in table I opposite 60 percent and under 30 percent.
This combined value will then be converted to the nearest number divisible by 10, and combined values ending in 5 will be adjusted upward. The 60 and 21 combine to 68 percent and the 68 and 20 to 74 percent, converted to 70 percent as the final degree of disability. However, prestabilization ratings may be changed to a regular schedular total rating or one authorizing a greater benefit at any time. When the evidence is inadequate to assign a schedular evaluation, a physical examination will be scheduled and considered prior to the termination of a total rating under this section. Weakness is as important as limitation of motion, and a part which becomes painful on use must be regarded as seriously disabled. Incomplete examination is a common cause of incorrect diagnosis, especially in the neurological and psychiatric fields, and frequently leaves the Department of Veterans Affairs in doubt as to the presence or absence of disabling conditions at the time of the examination.
The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions. No cardinal signs or symptoms of muscle disability as defined in paragraph (c) of this section. Tests of strength and endurance compared with sound side demonstrate positive evidence of impairment. The necessary tests to rate visual field problems or eye muscle dysfunctions (a€?double visiona€?) will only be done IF the optometrist diagnoses a condition that is known to cause these problems. If, however, the condition affects the muscle function AND affects visual acuity or visual field, then the rating for visual acuity or visual field will increase depending on how severely the muscle function is impaired. Negative diopters improve the ability to see far away, and positive diopters improve the ability to see close to the body.
This condition can additionally be rated under code 7800 for disfigurement since an artificial eye cannot be worn. The right eye has normal visual acuity and no ratable condition except a muscle dysfunction as noted in the chart below. Regardless of which eye had the worst muscle dysfunction, the one that has the worst central visual acuity gets the bonus steps from the muscle dysfunction. In the second step, we must determine which of the eyes is raised by the muscle dysfunction. If the surgery has not yet been performed, it is rated on the Visual Impairment Rating System.
See the lens discussion under the Visual Field Rating System for more specific information.
The condition can be rated on the Visual Impairment Rating System if it would receive a higher rating. If it does interfere with proper vision, it can be rated on the Visual Impairment Rating System.
And as members of a team, he said, veterans never want to see changes that hurt those who followed. I am now convinced that both parties were hatching this treachery way before it was finally revealed.
As long as the appropriate tests are performed and the correct information recorded, a DBQ is not essential. Major depressive disorder is not listed as having its own DBQ, so the DBQ for Mental Disorders (other) would be used.
The first four-digit code defines it as spasms of the esophagus, and the second four-digit code tells how it is rated.
If there are nodular lesions in the stomach and symptoms like stomach pain, it is rated 10%. The first four-digit code defines it as stenosis of the stomach, and the second four-digit code tells how it is rated. So, to simplify things, we are just going to refer to the entire large intestine as the colon.
The first four-digit code defines the condition as enteritis, and the second four-digit code tells how it is rated. The first four-digit code defines the condition as amebiasis, and the second four-digit code tells how it is rated. Some patients may need more time to recover than others, so the physician or Rating Authorities can lengthen this time period if they see fit.
If a diagnosis is not supported by the findings on the examination report or if the report does not contain sufficient detail, it is incumbent upon the rating board to return the report as inadequate for evaluation purposes.
This will not, of course, preclude the correction of erroneous ratings, nor will it preclude assignment of a rating in conformity with A§4.7. 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.
Marginal employment may also be held to exist, on a facts found basis (includes but is not limited to employment in a protected environment such as a family business or sheltered workshop), when earned annual income exceeds the poverty threshold. Thus, with a 50 percent disability and a 30 percent disability, the combined value will be found to be 65 percent, but the 65 percent must be converted to 70 percent to represent the final degree of disability. This procedure will facilitate a close check of new and unlisted conditions, rated by analogy. In each prestabilization rating an examination will be requested to be accomplished not earlier than 6 months nor more than 12 months following discharge. 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.
This includes any correction of astigmatism that can be corrected by contacts but not by glasses.
If the prescription in the worst eye is more than 3 diopters different than the prescription for the best eye, then the worst eye can be rated on corrected or uncorrected vision, whichever results in the better vision when both eyes are used together. To determine this, we must first determine the assigned visual acuity of the muscle dysfunction as described above, and then use the table below to determine how many steps to raise the central visual acuity. When visual acuity is also present, then there are two different times when this comes into play: once when determining which eye to get the muscle dysfunction assignment from, and once when deciding which eye gets the bonus from the muscle dysfunction.
Regardless of which eye had the worst muscle dysfunction and was thus used to determine the number of steps, the eye with the worst visual acuity (this visual acuity is converted from the visual field as noted in Table 4) is the one that gets the bonus. Lussier, the public relations officer for the VFW in Maine, said the budget vote will be the No. The provision does not help the military member who was injured and served the regular 20 years and now has a VA disability rating (even a 100% rating).
The first four-digit code defines it as a vagotomy, and the second four-digit code tells how it is rated. The first four-digit code defines the condition as tuberculosis of the peritoneum, and the second four-digit code tells how it is rated. The total rating for the one hernia condition in this case would be 40% (30% + 10% = 40% for one total hernia condition).
Other total disability ratings are scheduled in the various bodily systems of this schedule.
Consideration shall be given in all claims to the nature of the employment and the reason for termination. Similarly, with a disability of 40 percent, and another disability of 20 percent, the combined value is found to be 52 percent, but the 52 percent must be converted to the nearest degree divisible by 10, which is 50 percent.
In the selection of code numbers, injuries will generally be represented by the number assigned to the residual condition on the basis of which the rating is determined. In those prestabilization ratings in which following examination reduction in evaluation is found to be warranted, the higher evaluation will be continued to the end of the 12th month following discharge or to the end of the period provided under A§3.105(e) of this chapter, whichever is later. The iris is covered by a clear dome called the cornea, and the sclera is covered by a clear layer called the conjunctiva. If the results of the test name a vision that falls between two of the visions listed in the chart below (this would be unusual), simply round to the next worse vision. We know this doesna€™t quite seem fair, especially since hearing impairments are rated without the use of a hearing aid, but for some reason, the VASRD thinks that glasses and contacts are good enough. Remember, however, that if the areas of muscle dysfunction are separate like they are in this one, then the assigned visual acuity is raised by one step. The deal reduced sequestration spending cuts imposed in March by $63 billion, in part by trimming annual cost-of-living adjustments for younger military retirees.
1 topic of conversation when VFW members from around the country visit their representatives on Capitol Hill this winter during a conference. The first four-digit code defines the condition as bacillary dysentery and the second four-digit code tells how it is rated. If there are more than two disabilities, the disabilities will also be arranged in the exact order of their severity and the combined value for the first two will be found as previously described for two disabilities. With diseases, preference is to be given to the number assigned to the disease itself; if the rating is determined on the basis of residual conditions, the number appropriate to the residual condition will be added, preceded by a hyphen. Special monthly compensation should be assigned concurrently in these cases whenever records are adequate to establish entitlement.
If your crystalline lens functions normally or close to normal with contact lenses or an implant, then the ring used for rating purposes is III4e. Under the plan, working-age retirees and some disabled vets would receive a one-percentage-point reduction in their cost-of-living adjustments until age 62. The first four-digit code defines it as diverticulum of the esophagus, and the second four-digit code tells how it is rated. The combined value, exactly as found in table I, will be combined with the degree of the third disability (in order of severity).
Thus, rheumatoid (atrophic) arthritis rated as ankylosis of the lumbar spine should be coded a€?5002a€“5240.a€? In this way, the exact source of each rating can be easily identified.
If the lens does not function normally or is absent or displaced, then the ring used for rating purposes is IV4e.
Upon turning 62, their pensions would jump to what they would have been without the yearly reductions. The combined value for the three disabilities will be found in the space where the column and row intersect, and if there are only three disabilities will be converted to the nearest degree divisible by 10, adjusting final 5a€™s upward. In the citation of disabilities on rating sheets, the diagnostic terminology will be that of the medical examiner, with no attempt to translate the terms into schedule nomenclature. An estimated 800,000 people are affected, but the changes are not set to begin until January 2016, so lawmakers have time to work on an alternative plan. I have always observed that intersection to belong to the mind of a self center but insecure person.
Thus if there are three disabilities ratable at 60 percent, 40 percent, and 20 percent, respectively, the combined value for the first two will be found opposite 60 and under 40 and is 76 percent. Residuals of diseases or therapeutic procedures will not be cited without reference to the basic disease.
This combined value will be converted to the nearest degree divisible by 10 which is 80 percent.
Mike Michaud – said they opposed the military pension changes but voted for the budget compromise to avert a government shutdown. Each one has signed onto legislation seeking to restore the full cost-of-living adjustments for military retirees.



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Comments to «Military disability rating for tinnitus»

  1. ELNUR writes:
    I am fortunate i know when you have a continual sensation.
  2. StiGmaT writes:
    Demands to be completed (ringing in the ears), hearing loss, dizziness could be a middle ear.
  3. DiKaRoChKa writes:
    Water, such as coffee, cola the earphones to your ears, or headphones that completely.