VA.gov | Veterans Affairs (2024)

38 CFR Book C, Schedule for Rating Disabilities

• Supplements
• Appendices
• 4.1 - 4.31 - Subpart A - General Policy in Rating
• Subpart B - Subpart B - Disability Rating
• 4.40 - 4.73 - The Musculoskeletal System
• 4.75 - 4.84a-5 - The Organs of Special Sense
• 4.85 - 4.87a - Impairment of Auditory Acuity
• 4.88 - 4.89 - Infectious Diseases, Immune Disorders and Nutritional Deficiencies
• 4.96 - 4.97 - The Respiratory System
• 4.100 - The cardiovascular System
• 4.104 - Diagnostic code 7114
• 4.110 - 4.114 - The Digestive System
• 4.115 - 4.115b - The Genitourinary System
• 4.116 - Gynecological Conditions and Disorders of the Breast
• 4.117 - The Hemic and Lymphatic Systems
• 4.118 - The Skin
• 4.119 - The Endocrine System
• 4.120 - 4.124a - Neurological Conditions and Convulsive Disorders
• 4.125 - 4.130 - Mental Disorders
• 4.149 - 4.150 - Dental and Oral Conditions

Supplements for Book C

Appendices

Appendix A- Table of Amendments and Effective Dates Since 1946

Appendix B- Numerical Index of Disabilities

Appendix C-Alphabetical Index of Disabilities

Subpart A - General Policy in Rating

Index

4.1 - Essentials of Evaluative Rating

4.2 - Interpretation of Examination Reports

4.3 - 4.6 - 4.7 - 4.9 - Resolution of Reasonable Doubt/Evaluation of evidence/Higher of two evaluations/Congenital or developmental defects

4.10 - 4.13 - Functional Impairment/Effect Change of Diagnosis

4.14 - 4.15 - Avoidance of Pyramiding/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 - 4.18 - Misconduct Etiology/Unemployability

4.19 - 4.21 - Age in Service-Connected Claims/Analogous Ratings/Application of Rating Schedule

4.22 - 4.23 - Rating of Disabilities Aggravated by Active Service/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 - A No-Percent Rating

Subpart B - Disability Ratings

The Musculoskeletal System

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 - 4.47 - Accurate Measurement/[Reserved]

4.48 - 4.49 - [Reserved]

4.50 - 4.51 - [Reserved]

4.52 - 4.53 - [Reserved]

4.54 - [Reserved]

4.55 - Principles of Combined Ratings for Muscle Injuries

4.56 - Evaluation of Muscle Disabilities

4.57 - 4.58 - Static Foot Deformities/Arthritis Due to Strain

4.59 - 4.60 - 4.61 - 4.62 - Painful Motion/[Reserved]/Examination/Circulatory Disturbances

4.63 - 4.64 - 4.65 - Loss of Use of Hand or Foot/Loss of Use of Both Buttocks/[Reserved]

4.66 - 4.67 - Sacroiliac Joint/Pelvic Bones

4.68 - 4.69 - 4.70 - Amputation Rule/Dominant Hand/Inadequate Examinations

4.71- Measurement of Ankylosis and Joint Motion

4.71a- Schedule of Ratings - Musculoskeletal System

4.71a-table-2 - Table II - Ratings for Multiple Losses or Extremities with Dictator's Rating Code and CFR Citation

4.73- Schedule of Ratings - Muscle Injuries

The Organs of Special Sense

4.75 - General considerations for evaluating visual impairment

4.76 - Visual Acuity

4.76a - Computation of Average Concentric Contraction of Visual Fields

4.76a figure - Chart of visual field showing normal field right eye and abnormal contraction visual field left eye

4.77- Visual Fields

4.77 figure - Goldmann Perimeter Chart

4.78- Muscle Function

4.79- Schedule of ratings-eye.

Impairment of Auditory Acuity

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

Infectious Diseases, Immune Disorders and Nutritional Deficiencies

4.88 - 4.88a - [Reserved]/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 - Rating for Inactive Nonpulmonary Tuberculosis in Effect on August 19, 1968

The Respiratory System

4.96 - Special Provisions Regarding Evaluation of Respiratory Conditions

4.97 - Schedule of Ratings - Respiratory System

The Cardiovascular System

4.100 - Necessity for Complete Diagnosis

4.104 - Schedule of Ratings - Cardiovascular

The Digestive System

4.110 - 4.111 - Ulcers/Postgastrectomy Syndromes

4.112 - 4.113 - Weight Loss/Coexisting Abdominal Conditions

4.114 - Schedule of Ratings - Digestive System

The Genitourinary System

4.115 - Nephritis

4.115a - Ratings of the Genitourinary System - Dysfunction

4.115b - Ratings of the Genitourinary System - Diagnoses

Gynecological Conditions and Disorders of the Breast

4.116- Schedule of Ratings - Gynecological Conditions and Disorders of the Breast

The Hemic and Lymphatic Systems

4.117- Schedule of Ratings - Hemic and Lymphatic Systems

The Skin

4.118- Schedule of Ratings - Skin

The Endocrine System

4.119- Schedule of Ratings - Endocrine System

Neurological Conditions and Convulsive Disorders

4.120 - 4.121 - Evaluations by Comparison/Identification of Epilepsy

4.122 - Psychom*otor Epilepsy

4.123 - 4.124 - Neuritis, Cranial or Peripheral/Neuralgia, Cranial or Peripheral

4.124a - Schedule of Ratings - Neurological Conditions and Convulsive Disorders

Mental Disorders

4.125 - Diagnosis of Mental Disorders

4.126 - Evaluation of Disability from Mental Disorders

4.127 - 4.128 - 4.129 - Mental Retardation and Personality Disorders/Convalescence Ratings Following Extended Hospitalization/Mental Disorders Due to Traumatic Stress

4.130 - Schedule of Ratings - Mental Disorders

Dental and Oral Conditions

4.149 - [Reserved]

4.150- Schedule of Ratings - Dental and Oral Conditions