38 C.F.R. § 4.84a Schedule of ratings—eye.
Title 38 - Pensions, Bonuses, and Veterans' Relief
Title 38: Pensions, Bonuses, and Veterans' Relief
PART 4—SCHEDULE FOR RATING DISABILITIES
Subpart B—Disability Ratings
The Organs of Special Sense
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§ 4.84a Schedule of ratings—eye.
Diseases of the Eye------------------------------------------------------------------------ Rating------------------------------------------------------------------------6000 Uveitis6001 Keratitis6002 Scleritis6003 Iritis6004 Cyclitis6005 Choroiditis6006 Retinitis6007 Hemorrhage, intra-ocular, recent6008 Retina, detachment of6009 Eye, injury of, unhealed: The above disabilities, in chronic form, are to be rated from 10 10 percent to 100 percent for impairment of visual acuity or field loss, pain, rest-requirements, or episodic incapacity, combining an additional rating of 10 percent during continuance of active pathology. Minimum rating during active pathology....................................................6010 Eye, tuberculosis of, active or inactive: Active........................................................ 100 Inactive: See §§ 4.88b and 4.89.6011 Retina, localized scars, atrophy, or irregularities of, centrally located, with irregular, duplicated enlarged or diminished image: Unilateral or bilateral....................................... 106012 Glaucoma, congestive or inflammatory: Frequent attacks of considerable duration; during continuance 100 of actual total disability................................... Or, rate as iritis, diagnostic Code 6003.6013 Glaucoma, simple, primary, noncongestive: Rate on impairment of visual acuity or field loss. Minimum rating.............................................. 106014 New growths, malignant (eyeball only): Pending completion of operation or other indicated treatment.. 100 Healed; rate on residuals.6015 New growths, benign (eyeball and adnexa, other than superficial) Rate on impaired vision, minimum.............................. 10 Healed; rate on residuals.6016 Nystagmus, central......................................... 106017 Conjunctivitis, trachomatous, chronic: Active; rate for impairment of visual acuity; minimum rating 30 while there is active pathology.............................. Healed; rate on residuals, if no residuals.................... 06018 Conjunctivitis, other, chronic: Active, with objective symptoms............................... 10 Healed; rate on residuals, if no residuals.................... 06019 Ptosis, unilateral or bilateral: Pupil wholly obscured. Rate equivalent to 5/200 (1.5/60). Pupile one-half or more obscured. Rate equivalent to 20/100 (6/30). With less interference with vision. Rate as disfigurement.6020 Ectropion: Bilateral..................................................... 20 Unilateral.................................................... 106021 Entropion: Bilateral..................................................... 20 Unilateral.................................................... 106022 Lagophthalmos: Bilateral..................................................... 20 Unilateral.................................................... 106023 Eyebrows, loss of, complete, unilateral or bilateral....... 106024 Eyelashes, loss of, complete, unilateral or bilateral...... 106025 Epiphora (lacrymal duct, interference with, from any cause): Bilateral..................................................... 20 Unilateral.................................................... 106026 Neuritis, optic: Rate underlying disease, and combine impairment of visual acuity or field loss.6027 Cataract, traumatic: Preoperative. Rate on impairment of vision. Postoperative. Rate on impairment of vision and aphakia.6028 Cataract, senile, and others: Preoperative. Rate on impairment of vision. Postoperative. Rate on impairment of vision and aphakia.6029 Aphakia: Bilateral or unilateral....................................... 30 Note: The 30 percent rating prescribed for aphakia is a minimum rating to be applied to the unilateral or bilateral condition and is not to be combined with any other rating for impaired vision. When only one eye is aphakic, the eye having poorer corrected visual acuity will be rated on the basis of its acuity without correction. When both eyes are aphakic, both will be rated on corrected vision. The corrected vision of one or both aphakic eyes will be taken one step worse than the ascertained value, however, not better than 20/70 (6/21). Combined ratings for disabilities of the same eye should not exceed the amount for total loss of vision of that eye unless there is an enucleation or a serious cosmetic defect added to the total loss of vision.6030 Accommodation, paralysis of................................ 206031 Dacryocystitis Rate as epiphora.6032 Eyelids, loss of portion of: Rate as disfigurement. (See diseases of the skin.)6033 Lens, crystalline, dislocation of: Rate as aphakia.6034 Pterygium: Rate for loss of vision, if any.6035 Keratoconus: To be evaluated on impairment of corrected visual acuity using contact lenses. Note: When contact lenses are medically required for keratoconus, either unilateral or bilateral, the minimum rating will be 30 percent.------------------------------------------------------------------------
Table IV_Table for Rating Bilateral Blindness or Blindness Combined With Hearing Loss With Dictator's Code and 38 CFR Citations------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------ Vision other eye Plus service-connected Hearing loss --------------------------------------------------------------------------------------------------------------------------------------------------------------- Vision one eye No light 5/200 (1.5/60) or Light perception perception or Total deafness one 10% or 20% at 30% at least one 40% at least one 60% or more at less only anatomical loss ear least one ear SC ear SC ear SC least one ear SC------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------5/200 (1.5/60) or less.......... L \1\ Code LB-1 38 L+\1/2\ \1\ Code M Code MB-2 a or b Add \1/2\ step No additional SMC. Add a full step Add a full step O Code OB-1 38 CFR CFR 3.350(b)(2). LB-2 38 CFR 38 CFR Code PB-1 38 CFR Code PB-3 38 CFR Code PB-3 38 CFR 3.350(e)(1)(iii) 3.350(f)(2)(i). 3.350(f)(2)(ii). 3.350(f)(2)(iv). 3.350(f)(2)(vi). 3.350(f)(2)(vi).Light perception only........... .................. M Code MB-1 a 38 M+\1/2\ Code MB-3 O Code OB-2 38 CFR Add \1/2\ step Add a full step O Code OB-2 38 CFR O Code OB-1 38 CFR CFR a or b 38 CFR 3.350(e)(1)(iv). Code PB-2 38 CFR Code PB-3 38 CFR 3.350(e)(1)(iv). 3.350(e)(1)(iii) 3.350(c)(1)((iv). 3.350(f)(iii). 3.350(f)(2)(v). 3.350(f)(2)(iv).No light perception or .................. .................. N Code NB-1 a-b or O Code OB-2 38 CFR Add \1/2\ step Add full step Code O Code OB-2 38 CFR O Code OB-1 38 CFR anatomical loss. c 38 CFR 3.350(e)(1)(iv). Code PB-2 38 CFR PB-3 38 CFR 3.350(e)(1)(iv). 3.350(e)(1)(iii) 3.350(d)(4). 3.350(f)(2)(v). 3.350(f)(2)(vi).------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------------\1\ With need for aid and attendance qualifies for Subpar. m. code MB-1, b; 38 CFR 3.350(c)(1)(v).Note. (1) Any of the additional SMC payable under Dictator's Codes PB-1, PB-2, or PB-3 is not to exceed the rate payable under Subpar. O. (2) If in addition to any of the above the veteran has the service-connected loss or loss of use of an extremity, additional SMC is payable, not to exceed the rate payable under Subpar. O. See Dictator's Codes PB-4, PB-5, PB-6, and 38 CFR 3.350(f)(2)(vii) (A), (B), (C).
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(Authority: 38 U.S.C. 1115)
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Impairment of Central Visual Acuity------------------------------------------------------------------------ Rating------------------------------------------------------------------------6061 Anatomical loss both eyes.................................. \5\ 1006062 Blindness in both eyes having only light perception........ \5\ 100 Anatomical loss of 1 eye:6063 In the other eye 5/200 (1.5/60)............................ \5\ 1006064 In the other eye 10/200 (3/60)............................. \6\ 906064 In the other eye 15/200 (4.5/60)........................... \6\ 806064 In the other eye 20/200 (6/60)............................. \6\ 706065 In the other eye 20/100 (6/30)............................. \6\ 606065 In the other eye 20/70 (6/21).............................. \6\ 606065 In the other eye 20/50 (6/15).............................. \6\ 506066 In the other eye 20/40 (6/12).............................. \6\ 40 Blindness in 1 eye, having only light perception:6067 In the other eye 5/200 (1.5/60)............................ \5\ 1006068 In the other eye 10/200 (3/60)............................. \5\ 906068 In the other eye 15/200 (4.5/60)........................... \5\ 806068 In the other eye 20/200 (6/60)............................. \5\ 706069 In the other eye 20/100 (6/30)............................. \5\ 606069 In the other eye 20/70 (6/21).............................. \5\ 506069 In the other eye 20/50 (6/15).............................. \5\ 406070 In the other eye 20/40 (6/12).............................. \5\ 30 Vision in 1 eye 5/200 (1.5/60):6071 In the other eye 5/200 (1.5/60)............................ \5\ 1006072 In the other eye 10/200 (3/60)............................. 906072 In the other eye 15/200 (4.5/60)........................... 806072 In the other eye 20/200 (6/60)............................. 706073 In the other eye 20/100 (6/30)............................. 606073 In the other eye 20/70 (6/21).............................. 506073 In the other eye 20/50 (6/15).............................. 406074 In the other eye 20/40 (6/12).............................. 30 Vision in 1 eye 10/200 (3/60):6075 In the other eye 10/200 (3/60)............................. 906075 In the other eye 15/200 (4.5/60)........................... 806075 In the other eye 20/200 (6/60)............................. 706076 In the other eye 20/100 (6/30)............................. 606076 In the other eye 20/70 (6/21).............................. 506076 In the other eye 20/50 (6/15).............................. 406077 In the other eye 20/40 (6/12).............................. 30 Vision in 1 eye 15/200 (4.5/60):6075 In the other eye 15/200 (4.5/60)........................... 806075 In the other eye 20/200 (6/60)............................. 706076 In the other eye 20/100 (6/30)............................. 606076 In the other eye 20/70 (6/21).............................. 406076 In the other eye 20/50 (6/15).............................. 306077 In the other eye 20/40 (6/12).............................. 20 Vision in 1 eye 20/200 (6/60):6075 In the other eye 20/200 (6/60)............................. 706076 In the other eye 20/100 (6/30)............................. 606076 In the other eye 20/70 (6/21).............................. 406076 In the other eye 20/50 (6/15).............................. 306077 In the other eye 20/40 (6/12).............................. 20 Vision in 1 eye 20/100 (6/30):6078 In the other eye 20/100 (6/30)............................. 506078 In the other eye 20/70 (6/21).............................. 306078 In the other eye 20/50 (6/15).............................. 206079 In the other eye 20/40 (6/12).............................. 10 Vision in 1 eye 20/70 (6/21):6078 In the other eye 20/70 (6/21).............................. 306078 In the other eye 20/50 (6/15).............................. 206079 In the other eye 20/40 (6/12).............................. 10 Vision in 1 eye 20/50 (6/15):6078 In the other eye 20/50 (6/15).............................. 106079 In the other eye 20/40 (6/12).............................. 10 Vision in 1 eye 20/40 (6/12): In the other eye 20/40 (6/12) 0------------------------------------------------------------------------\5\ Also entitled to special monthly compensation.\6\ Add 10% if artificial eye cannot be worn; also entitled to special monthly compensation.
Table V_Ratings for Central Visual Acuity Impairment [With Diagnostic Code]---------------------------------------------------------------------------------------------------------------- Vision in other eye ------------------------------------------------------------------------------------------------------- Vision Light in one perception eye 20/40 (6/ 20/50 (6/ 20/70 (6/ 20/100 (6/ 20/200 (6/ 15/200 10/200 (3/ 5/200 only/ 12) 15) 21) 30) 60) (4.5/60) 60) (1.5/60) anatomical loss----------------------------------------------------------------------------------------------------------------20/40 0(6/12)----------------------------------------------------------------------------------------------------------------20/50 10 10(6/15) (6079) (6078)----------------------------------------------------------------------------------------------------------------20/70 10 20 30(6/21) (6079) (6078) (6078)----------------------------------------------------------------------------------------------------------------20/100 10 20 30 50(6/30) (6079) (6078) (6078) (6078)----------------------------------------------------------------------------------------------------------------20/200 20 30 40 60 70(6/60) (6077) (6076) (6076) (6076) (6075)----------------------------------------------------------------------------------------------------------------15/200 20 30 40 60 70 80(4.5/60) (6077) (6076) (6076) (6076) (6075) (6075)----------------------------------------------------------------------------------------------------------------10/200 30 40 50 60 70 80 90(3/60) (6077) (6076) (6076) (6076) (6075) (6075) (6075)----------------------------------------------------------------------------------------------------------------5/200 30 40 50 60 70 80 90 \5\ 100(1.5/60) (6074) (6073) (6073) (6073) (6072) (6072) (6072) (6071)----------------------------------------------------------------------------------------------------------------Light \5\ 30 \5\ 40 \5\ 50 \5\ 60 \5\ 70 \5\ 80 \5\ 90 \5\ 100 \5\ 100 percept ion only (6070) (6069) (6069) (6069) (6068) (6068) (6068) (6067) (6062)----------------------------------------------------------------------------------------------------------------Anatomic \6\ 40 \6\ 50 \6\ 60 \6\ 60 \6\ 70 \6\ 80 \6\ 90 \5\ 100 \5\ 100 al loss of one eye (6066) (6065) (6065) (6065) (6064) (6064) (6064) (6063) (6061)----------------------------------------------------------------------------------------------------------------\5\ Also entitled to special monthly compensation.\6\Add 10 percent if artificial eye cannot be worn; also entitled to special monthly compensation.
Ratings for Impairment of Field Vision------------------------------------------------------------------------ Rating------------------------------------------------------------------------6080 Field vision, impairment of: Homonymous hemianopsia........................................ 30Field, visual, loss of temporal half: Bilateral..................................................... 30 Unilateral.................................................... 10 Or rate as 20/70 (6/21).Field, visual, loss of nasal half: Bilateral..................................................... 20 Unilateral.................................................... 10 Or rate as 20/50 (6/15).Field, visual, concentric contraction of: To 5°: Bilateral..................................................... 100 Unilateral.................................................... 30 Or rate as 5/200 (1.5/60). To 15° but not to 5°: Bilateral..................................................... 70 Unilateral.................................................... 20 Or rate as 20/200 (6/60). To 30° but not to 15°: Bilateral..................................................... 50 Unilateral.................................................... 10 Or rate as 20/100 (6/30). To 45° but not to 30°: Bilateral..................................................... 30 Unilateral.................................................... 10 Or rate as 20/70 (6/21): To 60° but not to 45°: Bilateral..................................................... 20 Unilateral.................................................... 10 Or rate as 20/50 (6/15). Note (1): Correct diagnosis reflecting disease or injury should be cited.............................................. Note (2): Demonstrable pathology commensurate with the functional loss will be required. The concentric contraction ratings require contraction within the stated degrees, temporally; the nasal contraction may be less. The alternative ratings are to be employed when there is ratable defect of visual acuity, or a different impairment of the visual field in the other eye. Concentric contraction resulting from demonstrable pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 (1.5/60) or less for all purposes including entitlement under § 3.350(b)(2) of this chapter; not however, for the purpose of § 3.350(a) of this chapter. Entitlement on account of blindness requiring regular aid and attendance, § 3.350(c) of this chapter, will continue to be determined on the facts in the individual case.........................................................6081 Scotoma, pathological, unilateral: Large or centrally located, minimum........................... 10 Note: Rate on loss of central visual acuity or impairment of field vision. Do not combine with any other rating for visual impairment.------------------------------------------------------------------------
Ratings for Impairment of Muscle Function [6090 Diplopia (double vision)]------------------------------------------------------------------------ Equivalent Degree of diplopia visual acuity------------------------------------------------------------------------(a) Central 20°......................................... 5/200(b) 21° to 30°:(1) Down.................................................... 15/200(2) Lateral................................................. 20/100(3) Up...................................................... 20/70(c) 31° to 40°:(1) Down.................................................... 20/200(2) Lateral................................................. 20/70(3) Up...................................................... 20/40 Note: (1) Correct diagnosis reflecting disease or injury should be cited.......................................... Note: (2) The above ratings will be applied to only one eye. Ratings will not be applied for both diplopia and decreased visual acuity or field of vision in the same eye. When diplopia is present and there is also ratable impairment of visual acuity or field of vision of both eyes the above diplopia ratings will be applied to the poorer eye while the better eye is rated according to the best corrected visual acuity or visual field............. Note: (3) When the diplopia field extends beyond more than one quadrant or more than one range of degrees, the evaluation for diplopia will be based on the quadrant and degree range that provide the highest evaluation......... Note: (4) When diplopia exists in two individual and separate areas of the same eye, the equivalent visual acuity will be taken one step worse, but no worse than 5/ 200......................................................6091 Symblepharon...........................................Rate as limited muscle function, diagnostic code 6090.......6092 Diplopia, due to limited muscle function...............Rate as diagnostic code 6090................................------------------------------------------------------------------------
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[29 FR 6718, May 22, 1964, as amended at 34 FR 5062, Mar. 11, 1969; 40 FR 42537, Sept. 15, 1975; 41 FR 11297, Mar. 18, 1976; 43 FR 45354, Oct. 2, 1978; 51 FR 6411, Feb. 24, 1986; 53 FR 30264, Aug. 11, 1988; 53 FR 50955, Dec. 19, 1988; 57 FR 24364, June 9, 1992]
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