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38 C.F.R. PART 4--SCHEDULE FOR RATING DISABILITIES

TITLE 38--Pensions, Bonuses, and Veterans' Relief

CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS

PART 4--SCHEDULE FOR RATING DISABILITIES

Subpart A--GENERAL POLICY IN RATING

�4.1	Essentials of evaluative rating.

�4.2	Interpretation of examination reports.

�4.3	Resolution of reasonable doubt.

�4.6	Evaluation of evidence.

�4.7	Higher of two evaluations.

�4.9	Congenital or developmental defects.

�4.10

Functional impairment.

�4.13

Effect of change of diagnosis.

�4.14

Avoidance of pyramiding.

�4.15

Total disability ratings.

�4.16

Total disability ratings for compensation based on unemployability of the individual.

�4.17

Total disability ratings for pension based on unemployability and age of the individual.

�4.17a

Misconduct etiology.

�4.18

Unemployability.

�4.19

Age in service-connected claims.

�4.20

Analogous ratings.

�4.21

Application of rating schedule.

�4.22

Rating of disabilities aggravated by active service.

�4.23

Attitude of rating officers.

�4.24

Correspondence.

�4.25

Combined ratings table.

�4.26

Bilateral factor.

�4.27

Use of diagnostic code numbers.

�4.28

Prestabilization rating from date of discharge from service.

�4.29

Ratings for service-connected disabilities requiring hospital treatment or observation.

�4.30

Convalescent ratings.

�4.31

Zero percent evaluations.

Subpart B--DISABILITY RATINGS

�4.40

Functional loss.

�4.41

History of injury.

�4.42

Complete medical examination of injury cases.

�4.43

Osteomyelitis.

�4.44

The bones.

�4.45

The joints.

�4.46

Accurate measurement.

��4.47-4.54

[Reserved]

�4.55

Principles of combined ratings for muscle injuries.

�4.56

Evaluation of muscle disabilities.

�4.57

Static foot deformities.

�4.58

Arthritis due to strain.

�4.59

Painful motion.

�4.60

[Reserved]

�4.61

Examination.

�4.62

Circulatory disturbances.

�4.63

Loss of use of hand or foot.

�4.64

Loss of use of both buttocks.

�4.65

[Reserved]

�4.66

Sacroiliac joint.

�4.67

Pelvic bones.

�4.68

Amputation rule.

�4.69

Dominant hand.

�4.70

Inadequate examinations.

�4.71

Measurement of ankylosis and joint motion.

�4.71a

Schedule of ratings--musculoskeletal system.

�4.72

[Reserved]

�4.73

Schedule of ratings--muscle injuries.

�4.75

Examination of visual acuity.

�4.76

Examination of field vision.

�4.76a

Computation of average concentric contraction of visual fields.

�4.77

Examination of muscle function.

�4.78

Computing aggravation.

�4.79

Loss of use of one eye, having only light perception.

�4.80

Rating of one eye.

��4.81-4.82

[Reserved]

�4.83

Ratings at scheduled steps and distances.

�4.83a

Impairment of central visual acuity.

�4.84

Differences between distant and near visual acuity.

�4.84a

Schedule of ratings--eye.

�4.85

Evaluation of hearing impairment.

�4.86

Exceptional patterns of hearing impairment.

�4.87

Schedule of ratings--ear.

�4.87a

Schedule of ratings--other sense organs.

�4.88

[Reserved]

�4.88a

Chronic fatigue syndrome.

�4.88b

Schedule of ratings--infectious diseases, immune disorders and nutritional deficiencies.

�4.88c

Ratings for inactive nonpulmonary tuberculosis initially entitled after August 19, 1968.

�4.89

Ratings for inactive nonpulmonary tuberculosis in effect on August 19, 1968.

�4.96

Special provisions regarding evaluation of respiratory conditions.

�4.97

Schedule of ratings--respiratory system.

��4.100-4.103

[Reserved]

�4.104

Schedule of ratings--cardiovascular system.

�4.110

Ulcers.

�4.111

Postgastrectomy syndromes.

�4.112

Weight loss.

�4.113

Coexisting abdominal conditions.

�4.114

Schedule of ratings--digestive system.

�4.115

Nephritis.

�4.115a

Ratings of the genitourinary system--dysfunctions.

�4.115b

Ratings of the genitourinary system--diagnoses.

�4.116

Schedule of ratings--gynecological conditions and disorders of the breast.

�4.117

Schedule of ratings--hemic and lymphatic systems.

�4.118

Schedule of ratings--skin.

�4.119

Schedule of ratings--endocrine system.

�4.120

Evaluations by comparison.

�4.121

Identification of epilepsy.

�4.122

Psychomotor epilepsy.

�4.123

Neuritis, cranial or peripheral.

�4.124

Neuralgia, cranial or peripheral.

�4.124a

Schedule of ratings--neurological conditions and convulsive disorders.

�4.125

Diagnosis of mental disorders.

�4.126

Evaluation of disability from mental disorders.

�4.127

Mental retardation and personality disorders.

�4.128

Convalescence ratings following extended hospitalization.

�4.129

Mental disorders due to traumatic stress.

�4.130

Schedule of ratings--mental disorders.

�4.149

[Reserved]

�4.150

Schedule of ratings--dental and oral conditions.

Appendix

Appendix A to Part 4--Table of Amendments and Effective Dates Since 1946

Appendix

Appendix B to Part 4--Numerical Index of Disabilities

Appendix

Appendix C to Part 4--Alphabetical Index of Disabilities