38 C.F.R. § 4.130 Schedule of ratings—mental disorders.
Title 38 - Pensions, Bonuses, and Veterans' Relief
The nomenclature employed in this portion of the rating schedule is based upon the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, of the American Psychiatric Association (DSM-IV). Rating agencies must be thoroughly familiar with this manual to properly implement the directives in §4.125 through §4.129 and to apply the general rating formula for mental disorders in §4.130. The schedule for rating for mental disorders is set forth as follows: (Authority: 38 U.S.C. 1155) [61 FR 52700, Oct. 8, 1996]
Title 38: Pensions, Bonuses, and Veterans' Relief
PART 4—SCHEDULE FOR RATING DISABILITIES
Subpart B—Disability Ratings
Mental Disorders
§ 4.130 Schedule of ratings—mental disorders.
------------------------------------------------------------------------ Rating------------------------------------------------------------------------ Schizophrenia and Other Psychotic Disorders------------------------------------------------------------------------9201 Schizophrenia, disorganized type9202 Schizophrenia, catatonic type9203 Schizophrenia, paranoid type9204 Schizophrenia, undifferentiated type9205 Schizophrenia, residual type; other and unspecified types9208 Delusional disorder9210 Psychotic disorder, not otherwise specified (atypical psychosis)9211 Schizoaffective disorder------------------------------------------------------------------------ Delirium, Dementia, and Amnestic and Other Cognitive Disorders------------------------------------------------------------------------9300 Delirium9301 Dementia due to infection (HIV infection, syphilis, or other systemic or intracranial infections)9304 Dementia due to head trauma9305 Vascular dementia9310 Dementia of unknown etiology9312 Dementia of the Alzheimer's type9326 Dementia due to other neurologic or general medical conditions (endocrine disorders, metabolic disorders, Pick's disease, brain tumors, etc.) or that are substance- induced (drugs, alcohol, poisons)9327 Organic mental disorder, other (including personality change due to a general medical condition)------------------------------------------------------------------------ Anxiety Disorders------------------------------------------------------------------------9400 Generalized anxiety disorder9403 Specific (simple) phobia; social phobia9404 Obsessive compulsive disorder9410 Other and unspecified neurosis9411 Post-traumatic stress disorder9412 Panic disorder and/or agoraphobia9413 Anxiety disorder, not otherwise specified------------------------------------------------------------------------ Dissociative Disorders------------------------------------------------------------------------9416 Dissociative amnesia; dissociative fugue; dissociative identity disorder (multiple personality disorder)9417 Depersonalization disorder------------------------------------------------------------------------ Somatoform Disorders------------------------------------------------------------------------9421 Somatization disorder9422 Pain disorder9423 Undifferentiated somatoform disorder9424 Conversion disorder9425 Hypochondriasis------------------------------------------------------------------------ Mood Disorders------------------------------------------------------------------------9431 Cyclothymic disorder9432 Bipolar disorder9433 Dysthymic disorder9434 Major depressive disorder9435 Mood disorder, not otherwise specified------------------------------------------------------------------------ Chronic Adjustment Disorder------------------------------------------------------------------------9440 Chronic adjustment disorder General Rating Formula for Mental Disorders: Total occupational and social impairment, due to 100 such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name....................... Occupational and social impairment, with 70 deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships........................... Occupational and social impairment with reduced 50 reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships........... Occupational and social impairment with occasional 30 decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events)........................................... Occupational and social impairment due to mild or 10 transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or; symptoms controlled by continuous medication............... A mental condition has been formally diagnosed, but 0 symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.....................------------------------------------------------------------------------ Eating Disorders------------------------------------------------------------------------9520 Anorexia nervosa9521 Bulimia nervosa Rating Formula for Eating Disorders: Self-induced weight loss to less than 80 percent of 100 expected minimum weight, with incapacitating episodes of at least six weeks total duration per year, and requiring hospitalization more than twice a year for parenteral nutrition or tube feeding........................................... Self-induced weight loss to less than 85 percent of 60 expected minimum weight with incapacitating episodes of six or more weeks total duration per year.............................................. Self-induced weight loss to less than 85 percent of 30 expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year........................... Binge eating followed by self-induced vomiting or 10 other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder and incapacitating episodes of up to two weeks total duration per year..................... Binge eating followed by self-induced vomiting or 0 other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder but without incapacitating episodes......------------------------------------------------------------------------Note: An incapacitating episode is a period during which bed rest and treatment by a physician are required.
