";s:4:"text";s:29224:"Added September 9, 1975; removed September 22, 1978. Criterion March 10, 1976; criterion October 7, 1996. These evaluations are for Raynaud's syndrome as a whole, regardless of the number of extremities involved or whether the nose and ears are involved. [29 FR 6718, May 22, 1964, as amended at 41 FR 11294, Mar. 6520 Larynx, stenosis of, including residuals of laryngeal trauma (unilateral or bilateral): Forced expiratory volume in one second (FEV-1) less than 40 percent of predicted value, with Flow-Volume Loop compatible with upper airway obstruction, or; permanent tracheostomy, FEV-1 of 40- to 55-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 56- to 70-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, FEV-1 of 71- to 80-percent predicted, with Flow-Volume Loop compatible with upper airway obstruction, Stricture or obstruction of pharynx or nasopharynx, or; absence of soft palate secondary to trauma, chemical burn, or granulomatous disease, or; paralysis of soft palate with swallowing difficulty (nasal regurgitation) and speech impairment, Without polyps, but with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, With permanent hypertrophy of turbinates and with greater than 50-percent obstruction of nasal passage on both sides or complete obstruction on one side, Wegener's granulomatosis, lethal midline granuloma, FEV-1 less than 40 percent of predicted value, or; the ratio of Forced Expiratory Volume in one second to Forced Vital Capacity (FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the Lung for Carbon Monoxide by the Single Breath Method (DLCO (SB)) less than 40-percent predicted, or; maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation), or; cor pulmonale (right heart failure), or; right ventricular hypertrophy, or; pulmonary hypertension (shown by Echo or cardiac catheterization), or; episode(s) of acute respiratory failure, or; requires outpatient oxygen therapy, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; DLCO (SB) of 40- to 55-percent predicted, or; maximum oxygen consumption of 15 to 20 ml/kg/min (with cardiorespiratory limit), FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; DLCO (SB) 56- to 65-percent predicted, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; DLCO (SB) 66- to 80-percent predicted, With incapacitating episodes of infection of at least six weeks total duration per year, With incapacitating episodes of infection of four to six weeks total duration per year, or; near constant findings of cough with purulent sputum associated with anorexia, weight loss, and frank hemoptysis and requiring antibiotic usage almost continuously, With incapacitating episodes of infection of two to four weeks total duration per year, or; daily productive cough with sputum that is at times purulent or blood-tinged and that requires prolonged (lasting four to six weeks) antibiotic usage more than twice a year, Intermittent productive cough with acute infection requiring a course of antibiotics at least twice a year. 6025 Disorders of the lacrimal apparatus (epiphora, dacrocystitis, etc.). 9310 Unspecified neurocognitive disorder(Dementia). 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck: With visible or palpable tissue loss and either gross distortion or asymmetry of three or more features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with six or more characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of two features or paired sets of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with four or five characteristics of disfigurement, With visible or palpable tissue loss and either gross distortion or asymmetry of one feature or paired set of features (nose, chin, forehead, eyes (including eyelids), ears (auricles), cheeks, lips), or; with two or three characteristics of disfigurement. 5207 Forearm, limitation of extension of: 5208 Forearm, flexion limited to 100 and extension to 45, 5209 Elbow, other impairment of Flail joint, Joint fracture, with marked cubitus varus or cubitus valgus deformity or with ununited fracture of head of radius, 5210 Radius and ulna, nonunion of, with flail false joint. 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. [40 FR 42535, Sept. 15, 1975, as amended at 54 FR 4281, Jan. 30, 1989; 55 FR 31580, Aug. 3, 1990; 58 FR 39664, July 26, 1993; 61 FR 52700, Oct. 8, 1996; 79 FR 2100, Jan. 13, 2014]. For application in rating cases in which the protective provisions of Pub. After active disease has resolved, rate at 0 percent for infection. Neoplasm, hard and soft tissue, malignant. One or more neurobehavioral effects that interfere with or preclude workplace interaction, social interaction, or both on most days or that occasionally require supervision for safety of self or others. 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 physcial examination will be scheduled prior to the end of the total rating period. 7330 Intestine, fistula of, persistent, or after attempt at operative closure: 7331 Peritonitis, tuberculous, active or inactive: 7332 Rectum and anus, impairment of sphincter control: Extensive leakage and fairly frequent involuntary bowel movements, Occasional involuntary bowel movements, necessitating wearing of pad, Constant slight, or occasional moderate leakage, Great reduction of lumen, or extensive leakage, Moderate reduction of lumen, or moderate constant leakage, Moderate, persistent or frequently recurring, Mild with constant slight or occasional moderate leakage. 8407 Neuralgia, seventh cranial nerve. Added March 1, 1989; evaluation March 24, 1992; criterion August 30, 1996; criterion, note August 11, 2019. When evaluating any claim involving muscle injuries resulting in loss of use of any extremity or loss of use of both buttocks (diagnostic code 5317, Muscle Group XVII), refer to 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. What is the Digestive System for VA rating purposes? Unfavorable, at an angle of less than 50 or with complete loss of supination or pronation, Intermediate, at an angle of more than 90, or between 70 and 50, Favorable, at an angle between 90 and 70. Limitation of Motion of Individual Digits: 5235 Vertebral fracture or dislocation. Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated, Requiring one or more daily injection of insulin, restricted diet, and regulation of activities, Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet. 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. You can 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. Inability to communicate either by spoken language, written language, or both, more than occasionally but less than half of the time, or to comprehend spoken language, written language, or both, more than occasionally but less than half of the time. 5320 Group XX Function: Postural support of body. Signup to never miss a beat with special offers, blog updates, exclusive trainings, and more delivered right to your inbox! (a) Rating coexisting respiratory conditions. Ragged, depressed and adherent scars indicating wide damage to muscle groups in missile track. 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. This could be something like a shoulder dislocation that occurred during a training exercise. Thousands of other Veterans in our Community are here for you. 9412 Panic disorder and/or agoraphobia. 5055 Knee, resurfacing or replacement (prosthesis): With intermediate degrees of residual weakness, pain or limitation of motion rate by analogy to diagnostic codes 5256, 5261, or 5262. Neuritis, anterior tibial (deep peroneal) nerve. When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pct is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. One eye, with visual acuity of other eye: 10/200 (3/60); 15/200 (4.5/60); 20/200 (6/60), 20/100 (6/30); 20/70 (6/21); 20/50 (6/15), Multi-joint (except post-traumatic and gout). Evaluate cognitive impairment under the table titled Evaluation of Cognitive Impairment and Other Residuals of TBI Not Otherwise Classified., Subjective symptoms may be the only residual of TBI or may be associated with cognitive impairment or other areas of dysfunction. Poor renal function: Rate as renal dysfunction. 5105 Anatomical loss of one foot and loss of use of one hand. 5217 Four digits of one hand, unfavorable ankylosis of: 5218 Three digits of one hand, unfavorable ankylosis of: Index, long, and ring; index, long, and little; or index, ring, and little fingers. 6011 Retinal scars, atrophy, or irregularities: Localized scars, atrophy, or irregularities of the retina, unilateral or bilateral, that are centrally located and that result in an irregular, duplicated, enlarged, or diminished image, Alternatively, evaluate based on the General Rating Formula for Diseases of the Eye, if this would result in a higher evaluation, Evaluate under the General Rating Formula for Diseases of the Eye. 8621 Neuritis, external popliteal (common peroneal) nerve. It provides criteria for levels of impairment for each facet, as appropriate, ranging from 0 to 3, and a 5th level, the highest level of impairment, labeled total. However, not every facet has every level of severity. 8627 Neuritis, internal saphenous nerve. (ii) History and complaint. External popliteal nerve (common peroneal), paralysis. All approved material is available from the American Psychiatric Association, 1000 Wilson Boulevard, Suite 1825, Arlington, VA 22209-3901, 703-907-7300, http://www.dsm5.org. Tenosynovitis, tendinitis, tendinosis or tendinopathy. Each ear will be evaluated separately. Group XVIII Function: Outward rotation of thigh. but less than 12 square inches (77 sq. 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. Three or more subjective symptoms that moderately interfere with work; instrumental activities of daily living; or work, family, or other close relationships. Anatomical loss of one hand and loss of use of one foot. (1) An evaluation for diplopia will be assigned to only one eye. Evidence of increased intracranial pressure (such as visual field defect), arthropathy, glucose intolerance, and either hypertension or cardiomegaly, Arthropathy, glucose intolerance, and hypertension, Enlargement of acral parts or overgrowth of long bones. Schedule of ratings - cardiovascular system. Following simple mastectomy or wide local excision with significant alteration of size or form: Following wide local excision without significant alteration of size or form: 7627 Malignant neoplasms of gynecological system, 7628 Benign neoplasms of gynecological system. Social interaction is frequently inappropriate. 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. That numeral will then be elevated to the next higher Roman numeral. 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804. Neuritis, musculocutaneous (superficial peroneal) nerve. 7807 Leishmaniasis, American (New World). (vii) headaches (of a type, severity, or pattern that is different from headaches in the pre-morbid state). (3) Evaluation of ankylosis of the index, long, ring, and little fingers: (i) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, and either is in extension or full flexion, or there is rotation or angulation of a bone, evaluate as amputation without metacarpal resection, at proximal interphalangeal joint or proximal thereto, (ii) If both the metacarpophalangeal and proximal interphalangeal joints of a digit are ankylosed, evaluate as unfavorable ankylosis, even if each joint is individually fixed in a favorable position, (iii) If only the metacarpophalangeal or proximal interphalangeal joint is ankylosed, and there is a gap of more than two inches (5.1 cm.) Criterion September 9, 1975; removed October 7, 1996. The nephrosclerotic type, originating in hypertension or arteriosclerosis, develops slowly, with minimum laboratory findings, and is associated with natural progress. Shoulders are incredibly complex, composed of bones, muscles, tendons, and ligaments. 9423 Unspecified somatic symptom and related disorder. ), (3) Immobilization by cast, without surgery, of one major joint or more. 9916 Maxilla, malunion or nonunion of. Criterion July 6, 1950; criterion February 7, 2021. General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation, With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months, With documented incapacitating episodes requiring at least 1 but less than 3 treatment visits for an eye condition during the past 12 months, Note (1): For the purposes of evaluation under, Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular injections; laser treatments; or other surgical interventions, Note (3): For the purposes of evaluating visual impairment due to the particular condition, refer to. 9305 Major or mild vascular neurocognitive disorder(Dementia). Brian isalso the CEOofMilitary Disability Made Easy, which is the worlds largest free searchable database for all things related to DoD disability and VA disability claims and has served more than 4,600,000 military members and veterans since its founding in 2013. There are three options you should know about: If youve been denied a shoulder pain VA rating, dont give up. How the VA Will Assign you a Shoulder Pain VA Rating. Dont forget that to be eligible for VA disability compensation, you must first have: In this Ultimate Guide to the VA Disability Claims List, which is comprised of 834 disability conditions, youll discover each eligible condition arranged by body system and diagnostic code (lowest to highest) from CFR Title 38, Part 4, the Schedule for Rating Disabilities. 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. 8511 Middle radicular group, paralysis. 5322 Group XXII Function: Rotary and forward movements, head. Pressing enter in the search box Thereafter rate residuals under the appropriate body system. (f) If impaired hearing is service-connected in only one ear, in order to determine the percentage evaluation from Table VII, the non-service-connected ear will be assigned a Roman Numeral designation for hearing impairment of I, subject to the provisions of 3.383 of this chapter. Evaluate using an appropriate respiratory analogy. 5328 Muscle, neoplasm of, benign, postoperative. Thereafter, use the General Rating Formula. The stronger the connection between your military Purely neurological disabilities, such as hemiplegia, cranial nerve paralysis, etc., due to cerebral arteriosclerosis will be rated under the diagnostic codes dealing with such specific disabilities, with citation of a hyphenated diagnostic code (e.g., 8046-8207). Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: All toes tending to dorsiflexion, limitation of dorsiflexion at ankle to right angle, shortened plantar fascia, and marked tenderness under metatarsal heads: Great toe dorsiflexed, some limitation of dorsiflexion at ankle, definite tenderness under metatarsal heads: 5279 Metatarsalgia, anterior (Morton's disease), unilateral, or bilateral, Operated with resection of metatarsal head, Severe, if equivalent to amputation of great toe. This average is used in all cases (including those in 4.86) to determine the Roman numeral designation for hearing impairment from Table VI or VIa. Rate any residual disability of infection within the appropriate body system. Post void residuals greater than 150 cc. Public Law 90-493 repealed section 356 of title 38, United States Code which had provided graduated ratings for inactive tuberculosis. Criterion May 22, 1995; evaluation May 13, 2018. 5203 Clavicle or scapula, impairment. 6317 Rickettsial, ehrlichia, and anaplasma infections. 7807 American (New World) leishmaniasis (mucocutaneous, espundia): Rate as disfigurement of the head, face, or neck (DC 7800), scars (DC's 7801, 7802, 7803, 7804, or 7805), or dermatitis (DC 7806), depending upon the predominant disability. L. 90-493 apply, the former evaluations are retained in this section. 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. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used. Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis. 7117 Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's): With two or more digital ulcers plus auto-amputation of one or more digits and history of characteristic attacks, With two or more digital ulcers and history of characteristic attacks, Characteristic attacks occurring at least daily, Characteristic attacks occurring four to six times a week, Characteristic attacks occurring one to three times a week. The ability to overcome the handicap of disability varies widely among individuals. FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications, FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55 percent, or; at least monthly visits to a physician for required care of exacerbations, or; intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids, FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70 percent, or; daily inhalational or oral bronchodilator therapy, or; inhalational anti-inflammatory medication, FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy. If it is not clear from the available records what the change of diagnosis represents, the rating agency shall return the report to the examiner for a determination. 4.115a Ratings of the genitourinary system - dysfunctions. 6062 Blindness, both eyes, only light perception. (a) Whether or not cardiac hypertrophy or dilatation (documented by electrocardiogram, echocardiogram, or X-ray) is present and whether or not there is a need for continuous medication must be ascertained in all cases. Criterion August 30, 1996; criterion, note August 11, 2019. (a) Psychomotor seizures consist of episodic alterations in conscious control that may be associated with automatic states, generalized convulsions, random motor movements (chewing, lip smacking, fumbling), hallucinatory phenomena (involving taste, smell, sound, vision), perceptual illusions (deja vu, feelings of loneliness, strangeness, macropsia, micropsia, dreamy states), alterations in thinking (not open to reason), alterations in memory, abnormalities of mood or affect (fear, alarm, terror, anger, dread, well-being), and autonomic disturbances (sweating, pallor, flushing of the face, visceral phenomena such as nausea, vomiting, defecation, a rising feeling of warmth in the abdomen). 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. The attention should be given to anatomical changes, as compared to normal, in the relationship of the foot and leg, particularly to the inward rotation of the superior portion of the os calcis, medial deviation of the insertion of the Achilles tendon, the medial tilting of the upper border of the astragalus. Gets lost even in familiar surroundings, unable to use assistive devices such as GPS (global positioning system). 8722 Neuralgia, musculocutaneous nerve (superficial peroneal). Only one hand shall be considered dominant. Evaluation March 11, 1969; criterion February 7, 2021. 7532 Renal tubular disorders(such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconis syndrome, Bartters syndrome, related disorders of Henles loop and proximal or distal nephron function, etc.). 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. This chart shows how musculoskeletal ratings work for VA disability ratings for shoulder pain: If you have muscular damage to your shoulder, you may be eligible for a rating from 0% to 40% (depending on the severity of damage). (c) Table VIa, Numeric Designation of Hearing Impairment Based Only on Puretone Threshold Average, is used to determine a Roman numeral designation (I through XI) for hearing impairment based only on the puretone threshold average. 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are associated with underlying soft tissue damage: Area or areas of 144 square inches (929 sq. In making such determinations, the following guidelines will be used: (a) Marginal employment, for example, as a self-employed farmer or other person, while employed in his or her own business, or at odd jobs or while employed at less than half the usual remuneration will not be considered incompatible with a determination of unemployability, if the restriction, as to securing or retaining better employment, is due to disability. 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. Note (2): Trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities). Background and more details are available in the L. 90-493, the graduated ratings of 50 and 30 percent for inactive tuberculosis will not be elevated. (b) A total rating under this section will require full justification on the rating sheet and may be extended as follows: (1) Extensions of 1, 2 or 3 months beyond the initial 3 months may be made under paragraph (a) (1), (2) or (3) of this section. However, if you have post concussive headaches that are severe enough to be eligible for a VA rating, then they can be rated under Diagnostic Code 8100for migraine headaches, since that is the diagnostic code that is closest to your condition with similar symptoms. ), (2) Surgery with severe postoperative residuals such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilization of one major joint or more, application of a body cast, or the necessity for house confinement, or the necessity for continued use of a wheelchair or crutches (regular weight-bearing prohibited). 9435 Unspecified depressive disorder. The plantar surface of the foot is painful and shows demonstrable tenderness, and manipulation of the foot produces spasm of the Achilles tendon, peroneal spasm due to adhesion about the peroneal sheaths, and other evidence of pain and limited motion. The ratings for the cranial nerves are for unilateral involvement; when bilateral, combine but without the bilateral factor. 8019 Meningitis, cerebrospinal, epidemic: 8045 Residuals of traumatic brain injury (TBI): There are three main areas of dysfunction that may result from TBI and have profound effects on functioning: cognitive (which is common in varying degrees after TBI), emotional/behavioral, and physical. Weakness is as important as limitation of motion, and a part which becomes painful on use must be regarded as seriously disabled. What is the Genitourinary System for VA rating purposes? (2) Extensions of 1 or more months up to 6 months beyond the initial 6 months period may be made under paragraph (a) (2) or (3) of this section upon approval of the Veterans Service Center Manager. [61 FR 39875, July 31, 1996, as amended at 84 FR 28230, June 18, 2019], [34 FR 5062, Mar. 8629 Neuritis, external cutaneous nerve of thigh. The cardiovascular system includes the heart, blood vessels, and blood. 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. Consistently disoriented to two or more of the four aspects (person, time, place, situation) of orientation. cm.). Persistent depressive disorder (dysthymia). Hypothyroidism manifesting as myxedema (cold intolerance, muscular weakness, cardiovascular involvement (including, but not limited to hypotension, bradycardia, and pericardial effusion), and mental disturbance (including, but not limited to dementia, slowing of thought and depression)), Note (1): This evaluation shall continue for six months beyond the date that an examining physician has determined crisis stabilization. Nonunion in upper half, with false movement: With loss of bone substance (1 inch (2.5 cms.) The Endocrine System is made up of the hypothalamus, thymus, pituitary gland, thyroid gland, parathyroid glands, adrenal glands, pineal gland, reproductive glands (ovaries or testes), and the pancreas. For the purpose of pension, the permanence of the percentage requirements of 4.16 is a requisite. 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. ";s:7:"keyword";s:33:"va disability rating for bursitis";s:5:"links";s:621:"Mlive Obituaries Muskegon, Mi Past 3 Weeks,
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