WELCOME

WEEK 2

Background of the Rating Background of the Rating ScheduleSchedule

38 CFR 4.138 CFR 4.1The Rating ScheduleThe Rating Schedule

as a guide.as a guide.

38 CFR 4.2138 CFR 4.21Application ofApplication of

Rating ScheduleRating Schedule

38 CFR 4.2338 CFR 4.23Attitude ofAttitude of

Rating OfficersRating Officers

38 CFR 4.238 CFR 4.2Examination ReportsExamination Reports

38 CFR 4.338 CFR 4.3Reasonable DoubtReasonable Doubt

38 CFR 4.938 CFR 4.9Congenital DefectsCongenital Defects

38 CFR 4.1038 CFR 4.10Functional ImpairmentFunctional Impairment

38 CFR 4.1438 CFR 4.14PYRAMIDINGPYRAMIDING

38 CFR 4.1538 CFR 4.15Total Disability RatingsTotal Disability Ratings

38 CFR 4.1638 CFR 4.16Individual UnemployabilityIndividual Unemployability

38 CFR 4.1838 CFR 4.18UnemployabilityUnemployability

38 CFR 4.1938 CFR 4.19Consideration of AgeConsideration of Age

38 CFR 4.2638 CFR 4.26Bilateral FactorBilateral Factor

38 CFR 4.2738 CFR 4.27Diagnostic Code NumbersDiagnostic Code Numbers

38 CFR 4.2038 CFR 4.20Analogous RatingsAnalogous Ratings

38 CFR 4.2938 CFR 4.29Ratings forRatings for

Hospital TreatmentHospital Treatment

38 CFR 4.3038 CFR 4.30Convalescent RatingsConvalescent Ratings

38 CFR 4.3138 CFR 4.31Zero PercentZero PercentEvaluationsEvaluations

38 CFR 4.4038 CFR 4.40Functional LossFunctional Loss

38 CFR 4.4438 CFR 4.44The BonesThe Bones

38 CFR 4.4538 CFR 4.45The JointsThe Joints

38 CFR 4.5538 CFR 4.5538 CFR 4.5638 CFR 4.56

Muscle EvaluationsMuscle Evaluations

38 CFR 4.5838 CFR 4.58Arthritis Due to StrainArthritis Due to Strain

38 CFR 4.5938 CFR 4.59Painful MotionPainful Motion

38 CFR 4.6838 CFR 4.68Amputation RuleAmputation Rule

38 CFR 4.6938 CFR 4.69Dominant HandDominant Hand

38 CFR 4.7138 CFR 4.71Measurement ofMeasurement of

Joint MotionJoint Motion

EXAMPLESEXAMPLES

Combination of Multiple DisabilitiesCombination of Multiple Disabilities

The VA does not add!

The VA Combines individual disabilities using a concept known as the “Whole Man Concept”

Combined Ratings

38CFR 4.25 – whole man concept

Below knee amputation 40%Depression 30%Bilateral hearing loss 20%Arthritis, shoulder 10%Headaches 10%Hypertension 10%Spinal Disc syndrome 10%Peptic Ulcer 10%

Combined disability 80%

Whole Man Concept – a man is 100% whole

40% of 100 = 40 100-40= 60

30% of 60 = 18 18+40=58 100-58 = 42

20% of 42 = 8 58+8=66 100-66 = 34

10% of 34 = 3 66+3=69 100-69 = 31

10% of 31 = 3 69+3=72 100-72 = 28

10% of 28 = 3 72+3=75 100-75 = 25

10% of 25 = 3 75+3=78 100-78 = 22

10% of 22 = 2 78+2=80

QUESTIONS?QUESTIONS?

COMPENSATION RATES

Compensation Chart

The VA pays compensation in 10% increments from 10% to 100% based on the combined rating of all service connected disability evaluations.

An additional amount may be paid due to special provisions to compensate for certain losses of functional impairment, Special Monthly Compensation (week 5).

Dependents Allowance

The VA may pay an additional amount for:Spouse

Child (minor, disabled, school)

Natural Child

Step Child

Illegitimate Child

Adopted Child

Parent - Dependent

QUESTIONS ?QUESTIONS ?