Perform passive range of motion for the left hip and provide the ROM values or select “Same as active ROM.” [] Same as active ROM. For VA purposes, repetitive use testing must be included in all joint exams. The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. at 18. Evaluating Permanent Partial Disability (PPD) When an injured employee has reached a healing plateau the doctor should evaluate whether any permanent disability has resulted from the work injury and if so, assign a rating to the affected body part. B. Your degenerative arthritis VA rating is based on the number of joint/joint groups that have a limited range of motion. The combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, improving VA health care and improving and modernizing VA disability programs, including managing claims workloads and updating VA’s eligibility criteria, the VA Schedule for Rating Disabilities. In doing so, the BVA considered only the range of motion listed under the Diagnostic Code for the veteran's back pain. at 53. Therefore, an increased 30 percent rating, effective from June 17, 2008, is warranted for a left shoulder disability. Yes, you can, and what’s more, you can get an award not only for pain, instability, and loss of range of motion, but also for injuries to the nerves in the wrist that cause numbness and tingling. It is the intention to recognize actually painful, unstable, or malaligned joints, due to healed injury, as entitled to at least the minimum compensable rating for the joint. See id., DC 5201. Citation Nr: 1761152 Decision Date: 12/29/17 Archive Date: 01/02/18 DOCKET NO. The further removal of ribs and the shoulder results in a higher level of disability as prosthetics are much more difficult, if not impossible, to use. The Court holds that pain alone does not constitute a functional loss under VA regulations that evaluate disability based upon range-of-motion loss. Non-healing or complex fracture of an upper extremity. 21-0960M-12. When I returned home in 2005, I went to the VA and had MRI’s done that confirmed I had a bulging disc going away from my spine. A disability rating is often assigned for certain body parts—such as the arms, legs, hands, feet, eyes, or ears. 1.21. If your claim has been approved, you will be given a specific disability rating between ten and 100 percent. When evaluating loss in range of motion, consideration is given to the degree of functional loss caused by pain. 02. 0 to 4 mm 10% Note: A rating of 100 percent shall continue beyond the cessation of any surgery, radiation treatment, antineoplastic chemotherapy or other therapeutic procedures. The Diagnostic Codes under 38 CFR § 4.73 for shoulder and arm conditions are split into six groups based on the limitation of motion of the different affected muscles. Perform passive range of motion for the left hip and provide the ROM values or select “Same as active ROM.” [] Same as active ROM. According to Title 38, for a minor shoulder that can raise between 25 and 90 degrees is 20% disability. If severe pain and/or weakness is present, the VA rating is 50% for the dominant arm. One thing many Veterans do not realize is that range of motion plays a huge part in the evaluation of their disability and its benefits. The VA has determined that 3 repetitions of ROM (at a minimum) can serve as a representative test of the effect of repetitive use. Under the VA rating schedule, there is a standard 20% disability rating if there is x-ray evidence of involvement of two or more major joints, or minor joint groups, with occasional incapacitating exacerbations. While many veterans with neck conditions also have lower spine issues, for the purposes of calculating a veteran’s total disability rating, back and neck impairments are treated as separated disabilities. Ratings in the musculoskeletal impairment tables take into account the presence of pain which may accompany the musculoskeletal impairment and that may limit range of motion or function. How will my torn tendon be rated? In my medical records from the field hospital in Iraq, it states that this the back injury is service connected. Normal range of motion for the ankle is 0° to 20° dorsiflexion and 0° to 45° plantar flexion. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. If there is a limited range of motion, but arthritis does not show up on the X-ray, there is an automatic 10% … 1.00 Musculoskeletal Disorders. If you believe that the shoulder is not fairly compensated, you have to file a claim for an increase. 19% + 1.9% = 20.9%, which rounds up to 21%. VA FORM JAN 2011 . 20% VA Disability Rating for Back: Forward flexion of the thoracolumbar spine greater than 30 degrees but not greater than 60 degrees; or, forward flexion of the cervical spine greater than 15 degrees but not greater than 30 degrees; or, the combined range of motion of the thoracolumbar spine not greater than 120 degrees; or, the combined range of motion of the cervical spine not greater than … can be quite difficult. The combined rating for both knees is now 21%, and the VA will use 21% as the rating for those disabilities. See 38 C.F.R. Midway between side and shoulder level (flexion and/or abduction limited to 45°) 30% (major) 20% (minor) At shoulder level (flexion and/or abduction limited to 90°) 20% (major and minor) The VA may also use 38 CFR § 4.73 (Schedule of Ratings – Muscle Injuries) when rating rotator cuff injuries. Symptoms of a vertebral dislocation include pain that spread into the shoulder and arms, tingling or numbness in the arm, muscle spasms in the neck, and weakness in the arms. For example, if the veteran lacks 10 degrees of full knee extension and has normal flexion, show the range of motion as extension to minus 10 degrees (or lacks 10 degrees of extension) and flexion 10 to 140 degrees. INITIAL RANGE OF MOTION (ROM) MEASUREMENTS. Workers Pensation Lines For Determining Impairment. For every disability claim, the Department of Veterans Affairs assigns a severity rating ranging from 0-100% . This rating, which moves in 10% increments, is based on service treatment records, VA medical records and private medical records directly relating to the disability. Within that schedule, diagnostic code 5201 prescribes ratings for limitation of motion of the arm at the shoulder joint. Most joint disabilities are rated based on a limitation of motion caused by the disability. It is thus surprising that Veterans receive disability ratings of 10 to 20% for back injury, but receive much higher ratings and unemployability for conditions like depression or cardiac disease. Knee injuries affecting range of motion, etc. Major joints include the shoulder, wrist, elbow, hip, knee, and ankle while minor joints include toes, fingers, spine, and sacroiliac. Tendons are rated on how they affect the motion of the connected joint (s). See 38 C.F.R. The only exception to this rule is a diagnosis of unfavorable ankylosis of … VA currently assigns ratings for limitation of motion of the arm at the shoulder where motion is limited to 25 degrees from the side, 45 degrees (midway between the side and shoulder level), or 90 degrees (at the shoulder level). It also has four disability ratings starting at 100% and going down to 0%. As I said earlier, this is the law and how the disability compensation system works. Jim, Thank you for the Q and A and columns you have written to help military members, like myself, to get through this ordeal. Show each measured range of motion separately rather than as a continuum. SECTION IV - INITIAL RANGE OF MOTION (ROM) MEASUREMENTS. The VA determines a disability rating after reviewing your service medical records (“SMR”), C&P exam report and any other evidence submitted to them in support of your claim based upon the criteria below. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the claim. The reason for this low rating is based on the history of disability rating. €- Your patient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. Based on the fact that the VA has four levels of disability for ITP, they must have accepted responsibility in a few cases. Rotator Cuff Disease is a disorder of the musculotendinous cuff surrounding the glenohumeral joint (see Anatomy and Physiology). are unable to work any type of job due to limitations caused by pain or limited range of motion. c. VASRD DC 5201. In my experience, the average workers compensation settlement amount for a shoulder injury is between $25,000.00 and $175,000.00. Yes, as long as the shoulder pain is service-connected, you can qualify for VA Disability. It will be rated the minimum 10% unless there is limited motion that qualifies for a higher rating. The issue before the panel is whether pain, by itself, throughout a joint's range of motion constitutes a functional loss entitling the appellant to a higher disability rating under VA regulations. Lateral excursion range of motion: 0 to 4 mm: 10 Note (1): Ratings for limited interincisal movement shall not be combined with ratings for limited lateral excursion Note (2): For VA compensation purposes, the normal maximum unassisted range of vertical jaw opening is from 35 to 50 mm Here are some of the specific conditions included in the general rating formula for spine and back conditions. A 10% disability combined with another 10% disability = 19%, Then you add 10% of 19, or 1.9%. Soft tissue injury or abnormality under continuing surgical management. determines the rating “as an active process” and “for chronic residuals” and then assigns the higher of the two ratings.
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