Va disability 38 cfr

Yes, Back Pain is a VA disability. The VA rates Back Pain under CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Diseases and Injuries of the Spine. VA Ratings for Back Pain range from 10 percent to 100 percent, with breaks at 20 percent, 30 percent, 40 percent, and 50 percent.

Department of Veterans Affairs. Part 4. Authority: 38 U.S.C. 1155, unless otherwise noted. ... View the PDF for 38 CFR 4.40; These links go to the official, published CFR, which is updated annually. As a result, it may not include the most recent changes applied to the CFR. ... Disability of the musculoskeletal system is primarily the inability ...They almost certainly hatched out of eggs: A hairy creature called the Kayentatherium wellesi wasn't quite a mammal. There’s a wonderfully undone quality to Earth’s earliest mammal...Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ...Explore the best WordPress themes for tech bloggers and businesses to help you showcase your work in a clean, professional format. Trusted by business builders worldwide, the HubSp...38 CFR Part 4 Subpart B - The Respiratory System ... Department of Veterans Affairs. Part 4. Authority: 38 U.S.C. 1155, unless otherwise noted. Source: 29 FR 6718, May 22, 1964, unless otherwise noted. Enhanced Content - Details. Print/PDF. Enhanced Content - Print ... the appropriate disability rating shall be determined by mandatory VA ...

Yes, anxiety is a VA disability and can be rated at 0%, 10%, 30%, 50%, 70%, or 100% depending upon the frequency, severity, and duration of your symptoms. Anxiety disorders are most commonly rated under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 9400, Generalized Anxiety Disorder. The average VA disability rating …LII. Electronic Code of Federal Regulations (e-CFR) Title 38—Pensions, Bonuses, and Veterans' Relief. CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS. PART 4—SCHEDULE FOR RATING …Title 38. Displaying title 38, up to date as of 5/03/2024. Title 38 was last amended 4/30/2024. view historical versions. There have been changes in the last two weeks to Chapter I. view changes. Title 38. Chapter I. Previous. Next. Top.Title 38. Pensions, Bonuses, and Veterans' Relief. Part / Section. Chapter I. Department of Veterans Affairs. 0 – 199. Part 4. Schedule for Rating Disabilities. 4.1 – 4.150.

We would like to show you a description here but the site won’t allow us.(a) Total disability ratings for compensation may be assigned, where the schedular rating is less than total, when the disabled person is, in the judgment of the rating agency, unable to secure or follow a substantially gainful occupation as a result of service-connected disabilities: Provided That, if there is only one such disability, this ...38 CFR 3.400 Agency Department of Veterans Affairs. Subpart A of Part 3. Authority: 38 U.S ... the veteran files a claim for a retroactive award and establishes that a physical or mental disability, which was not the result of the veteran's own willful misconduct, was so incapacitating that it prevented him or her from filing a disability ...Amended Appendices A, B and C to reflect these changes. C-58–6. 2. On 10 April 2018, the VA published a final rule effective 13 May 2018, to revise the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye.VA offers disability benefits for service-connected TBIs, but the ratings are based on a unique subset of criteria that is critical to understand. Under Schedule of Ratings section 38 CFR § 4.124a, Diagnostic Code 8045 Residuals of traumatic brain injury (TBI), VA rates the residual symptoms of a TBI based on three different areas of a veteran’s functioning: …

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Title 38. Displaying title 38, up to date as of 5/03/2024. Title 38 was last amended 4/30/2024. view historical versions. There have been changes in the last two weeks to Chapter I. view changes. Title 38. Chapter I. Previous.This web page is a legal document that contains the schedule for rating disabilities under the Department of Veterans Affairs (DVA) rating system. It lists the criteria, standards, and procedures for rating various types of disabilities, such as service-connected, nonservice-connected, and occupational. It also provides links to the table of amendments, the numerical and alphabetical indices, and the authority citation.Yes, anxiety is a VA disability and can be rated at 0%, 10%, 30%, 50%, 70%, or 100% depending upon the frequency, severity, and duration of your symptoms. Anxiety disorders are most commonly rated under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 9400, Generalized Anxiety Disorder. The average VA disability rating …made to the parts of Title 38 covered by this book. Supplements will be numbered consecutively as issued. Modifications in this supplement include the following: 1. On 7 August 2018, the VA published a final rule / correction effective 13 August 2018, to amend its Schedule for Rating Disabilities regulations pertaining to the skin body system ...VA Disability Rating for Degenerative Disc Disease. VA rates degenerative disc disease under 38 CFR § 4.71a, Schedule of Ratings – Musculoskeletal System, diagnostic code 5242. The rating criteria for this diagnostic code is virtually the same as diagnostic code 5003, which is used to rate degenerative arthritis.A permanent and total disability rating under the provisions of §§ 4.15, 4.16 and 4.17 will not be precluded by reason of the coexistence of misconduct disability when: ( a) A veteran, regardless of employment status, also has innocently acquired 100 percent disability, or. ( b) Where unemployable, the veteran has other disabilities ...

Title 38. Displaying title 38, up to date as of 5/13/2024. Title 38 was last amended 5/13/2024. view historical versions. There are Federal Register documents that will modify this content. See the 'Cross Reference' blocks in the text of this content for more information. Title 38. Chapter I. Part 80.The Diagnostic Codes under 38 CFR § 4.73 for shoulder and arm conditions are split into six groups based on the limitation of motion of the different affected muscles. All of the criteria include severe, moderately severe, moderate, or slight and corresponds to a disability rating ranging from 0 to 40 percent. The disability rating … Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. See nerve involved for diagnostic code number and rating. The claim for retroactivity may be filed separately or included in the claim for disability pension, but it must be received by VA within one year from the date on which the veteran became permanently and totally disabled. Additional requirements for entitlement to a retroactive pension award are contained in § 3.400 (b) of this part.38 CFR Book B, Adjudication . Supplements; 3.1 - 3.43 - General; ... 3.330 Resumption of rating when veteran subsequently reports for Department of Veterans Affairs examination 3.331-3.339 [Reserved] ... 3.361 Benefits Under 38 U.S.C. 1151(a) for Additional Disability or death Due to Hospital Care, Medical or Surgical Treatment, ...The intent of the schedule is to recognize painful motion with joint or periarticular pathology as productive of disability. It is the intention to recognize actually painful, unstable, or malaligned joints, due to healed injury, as entitled to at least the minimum compensable rating for the joint. Crepitation either in the soft tissues such as ...10. Note (1): For the purposes of evaluation under 38 CFR 4.79, an incapacitating episode is an eye condition severe enough to require a clinic visit to a provider specifically for treatment purposes. Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular ...Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be …Find the official guidelines for evaluating and rating disabilities for veterans' compensation and pension benefits. Browse the subparts, appendices, and supplements of the Code of Federal Regulations (CFR) Book C. See more

Supplement frequency: This Book C (Schedule for Rating Disabilities) was originally supplemented four times a year, in February, May, August, and November. Beginning 1 August 1995, supplements will be issued every monthduring which a final rule addition or modification is made to the parts of Title 38 covered by this book.

If the veteran was discharged or released from service, the discharge or release must have been under conditions other than dishonorable. (Authority: 38 U.S.C. 101 (2), (13)) ( b) Disability compensation. ( 1) Basic entitlement for a veteran exists if the veteran is disabled as the result of a personal injury or disease (including aggravation ...Once VA receives a complete claim, VA will adjudicate as part of the claim entitlement to any ancillary benefits that arise as a result of the adjudication decision (e.g., entitlement to 38 U.S.C. Chapter 35 Dependents' Educational Assistance benefits, entitlement to special monthly compensation under 38 CFR 3.350, entitlement to adaptive ...Electronic Code of Federal Regulations (e-CFR) Title 38—Pensions, Bonuses, and Veterans' Relief; CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS; PART 3—ADJUDICATION; Subpart A—Pension, Compensation, and Dependency and Indemnity Compensation; Ratings and Evaluations; Service Connection § 3.340 Total and permanent total ratings and ...The straightforward answer is yes—VA disability benefits do cover incontinence. Urinary incontinence is defined as a lack of voluntary control of urination. It’s another way of saying “voiding dysfunction.” The VA rates these dysfunctions, like urinary incontinence, under 38 CFR § 4.115a. In this post, we’ll explore the urinary incontinence …The VA considers sciatica to be a nerve issue, which is grouped into three main categories under 38 CFR § 4.124a based on the severity of your symptoms and the nature of your disability. Paralysis The most severe category, paralysis refers to the loss of strength or control of muscles in the body.Permanent total disability ratings for pension purposes are authorized for disabling conditions not the result of the veteran's own willful misconduct whether or not they are service connected. (Authority: 38 U.S.C. 1502 (a)) ( b) Criteria. In addition to the criteria for determining total disability and permanency of total disability contained ...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.Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. Department of Veterans Affairs Veterans Benefits Administration Administration Mail Code: 20M33 810 Vermont Avenue, N.W. Washington DC 20420 Telephone: 202/273-7588 Fax: 202/275-5947 E-mail: [email protected] Questions concerning the FILING INSTRUCTIONS for this loose-leaf service, or the reporting of SUBSTANTIVE ERRORS in the text,

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Inquiry will be directed to these considerations: ( a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.). ( b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). ( c) Weakened movement (due to muscle injury, disease ...Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ... 60. Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m 2 for at least 3 consecutive months during the past 12 months. 30. GFR from 60 to 89 mL/min/1.73 m 2 and either recurrent red blood cell (RBC) casts, white blood cell (WBC) casts, or granular casts for at least 3 consecutive months during the past 12 months; or. Department of Veterans Affairs. 0 – 199. Part 4. Schedule for Rating Disabilities. 4.1 – 4.150. Subpart A. General Policy in Rating. 4.1 – 4.31. Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m 2 for at least 3 consecutive months during the past 12 months. 30. GFR from 60 to 89 mL/min/1.73 m 2 and either recurrent red blood cell (RBC) casts, white blood cell (WBC) casts, or granular casts for at least 3 consecutive months during the past 12 months; or.Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ...38 CFR Part 4 Subpart B - The Digestive System ... Department of Veterans Affairs. Part 4. Authority: 38 U.S.C. 1155, unless otherwise noted. Source: 29 FR 6718, May 22, 1964, unless otherwise noted. Enhanced Content - Details. Print/PDF. Enhanced Content - Print ... One year following discharge, the appropriate disability rating shall be ... 7520 Penis, removal of half or more. 1 30. 7521 Penis, removal of glans. 1 20. 7522 Erectile dysfunction, with or without penile deformity. 1 0. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522. Electronic Code of Federal Regulations (e-CFR) Title 38—Pensions, Bonuses, and Veterans' Relief; CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS; PART 4—SCHEDULE FOR RATING DISABILITIES; Subpart B—Disability Ratings Total disability will be considered to exist when there is present any impairment of mind or body which is sufficient to render it impossible for the average person to follow a substantially gainful occupation. Total disability may or may not be permanent. Total ratings will not be assigned, generally, for temporary exacerbations or acute ... ….

The Lockheed P-38 Lightning was one of the best-known World War II planes. Find photos, facts, and specifications for this classic fighter airplane. Advertisement During its time, ...38 CFR 3.340 Agency Department of Veterans Affairs. Subpart A of Part 3. Authority: 38 U.S.C. 501(a), unless otherwise noted. ... Permanent total disability ratings may not be granted as a result of any incapacity from acute infectious disease, accident, or injury, unless there is present one of the recognized combinations or permanent loss of ...38 CFR 4.88b Agency Department of Veterans Affairs. Part 4. Authority: 38 U.S.C. 1155, unless otherwise noted. Source: 29 FR 6718, May 22, 1964 ... Six months after discontinuance of such treatment, determine the appropriate disability rating by mandatory VA examination.Entrance and (if present) exit scars, small or linear, indicating short track of missile through muscle tissue. Some loss of deep fascia or muscle substance or impairment of muscle tonus and loss of power or lowered threshold of fatigue when compared to the sound side. ( 3) Moderately severe disability of muscles —. ( i) Type of injury. Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. See nerve involved for diagnostic code number and rating. Part 12 - Disposition of Veteran's Personal Funds and Effects. Part 14 - Legal Services, General Counsel, and Miscellaneous Claims. Part 15 - Enforcement of Nondiscrimination on the Basis of Handicap in Programs or Activities Conducted by the Department of Veterans Affairs. Part 16 - Protection of Human Subjects.38 CFR § 3.309(f) covers chronic conditions attributable to former reservist or National Guard veterans who were exposed to the contaminated water supply at Camp Lejeune during their time of service. If deemed presumptive, compensation will date back to March 14, 2017. Conditions: Proof of at least 30 days service at Camp Lejeune, North …Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ...38 CFR 4.88b Agency Department of Veterans Affairs. Part 4. Authority: 38 U.S ... Rate any residual disability of infection within the appropriate body system as indicated by the notes in the evaluation criteria. As applicable, consider the long-term health effects potentially associated with infectious diseases as listed in § 3.317(d) of this chapter, specifically … Va disability 38 cfr, Cross Reference. Link to an amendment published at 89 FR 19743, Mar. 20, 2024. For purposes of evaluating conditions in § 4.114, the term “substantial weight loss” means a loss of greater than 20 percent of the individual's baseline weight, sustained for three months or longer; and the term “minor weight loss” means a weight loss of 10 ..., The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. Conditions that are not in the general schedule can be rated “analogously” to …, Donating to disabled veterans is a powerful way to show support and gratitude for their service. However, finding the time and means to drop off donations at a designated location ..., 38 CFR 3.327 Agency Department of Veterans Affairs. Subpart A of Part 3. ... requested whenever VA determines there is a need to verify either the continued existence or the current severity of a disability. Generally, reexaminations will be required if it is likely that a disability has improved, or if evidence indicates there has been a ..., Amended Appendices A, B and C to reflect these changes. C-58–6. 2. On 10 April 2018, the VA published a final rule effective 13 May 2018, to revise the portion of the VA Schedule for Rating Disabilities (VASRD or rating schedule) that addresses the organs of special sense and schedule of ratings--eye. , 7520 Penis, removal of half or more. 1 30. 7521 Penis, removal of glans. 1 20. 7522 Erectile dysfunction, with or without penile deformity. 1 0. Note: For the purpose of VA disability evaluation, a disease or traumatic injury of the penis resulting in scarring or deformity shall be rated under diagnostic code 7522., As a disabled veteran, you may be eligible for home repair grants that can help you make necessary repairs to your home. These grants can help you improve the safety and accessibil..., Title 38 PART 4. CFR › Title 38 › Volume 1 › Chapter I › Part 4. Part 4 - Schedule For Rating Disabilities. PART 4 - SCHEDULE FOR RATING DISABILITIES . Authority: 38 U.S.C. 1155, unless otherwise noted. ... Numerical Index of Disabilities: 38:1.0.1.1.5.2.117.76.3: APPENDIX Appendix C, Note: For VA purposes: (1) Radical mastectomy means removal of the entire breast, underlying pectoral muscles, and regional lymph nodes up to the coracoclavicular ligament. (2) Modified radical mastectomy means removal of the entire breast and axillary lymph nodes (in continuity with the breast). Pectoral muscles are left intact., CFR. prev | next. § 3.151 Claims for disability benefits. (a) General. A specific claim in the form prescribed by the Secretary must be filed in order for benefits to be paid to any individual under the laws administered by VA. ( 38 U.S.C. 5101 (a) )., In service-connected cases, no periodic reexamination will be scheduled: ( i) When the disability is established as static; ( ii) When the findings and symptoms are shown by examinations scheduled in paragraph (b) (2) (i) of this section or other examinations and hospital reports to have persisted without material improvement for a period of 5 ..., Note: For VA purposes: (1) Radical mastectomy means removal of the entire breast, underlying pectoral muscles, and regional lymph nodes up to the coracoclavicular ligament. (2) Modified radical mastectomy means removal of the entire breast and axillary lymph nodes (in continuity with the breast). Pectoral muscles are left intact. , The consultant will be asked to evaluate the claim and provide an opinion as to the likelihood the disease is a result of exposure as claimed. ( 2) The request for opinion shall be in writing and shall include a description of: ( i) The disease, including the specific cell type and stage, if known, and when the disease first became manifest;, Find the official guidelines for evaluating and rating disabilities for veterans' compensation and pension benefits. Browse the subparts, appendices, and supplements of the Code of Federal Regulations (CFR) Book C., §4.15—Total disability ratings §4.14 Avoidance of pyramiding. The evaluation of the same disability under various diagnoses is to be avoided. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation ..., Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ... , In our example of a Veteran with a SMC-L designation, your total monthly payment amount would be: $5,012.08 (basic rate (1 spouse, 1 child) + 103.55 (second child under 18) + 103.55 (third child under 18) + 334.49 (1 child over 18, in a qualifying school program) + 191.14 (spouse who receives Aid and Attendance) Total $5,744.81., The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. Other total disability ratings are scheduled in the various bodily systems of this schedule., Supplement frequency: This Book C (Schedule for Rating Disabilities) was originally supplemented four times a year, in February, May, August, and November. Beginning 1 August 1995, supplements will be issued every monthduring which a final rule addition or modification is made to the parts of Title 38 covered by this book., The following will be considered to be permanent total disability: the permanent loss of the use of both hands, or of both feet, or of one hand and one foot, or of the sight of both eyes, or becoming permanently helpless or permanently bedridden. Other total disability ratings are scheduled in the various bodily systems of this schedule., Department of Veterans Affairs Veterans Benefits Administration Administration Mail Code: 20M33 810 Vermont Avenue, N.W. Washington DC 20420 Telephone: 202/273-7588 Fax: 202/275-5947 E-mail: [email protected] Questions concerning the FILING INSTRUCTIONS for this loose-leaf service, or the reporting of SUBSTANTIVE ERRORS in the text,, The Analogous diagnostic codes are used by the VA when a diagnosed condition is not directly listed in CFR Title 38, Part 4, the Schedule for Rating Disabilities. Conditions that are not in the general schedule can be rated “analogously” to …, For purposes of this section, the term examination includes periods of hospital observation when required by VA. ( a) Where there is a claim for disability compensation or pension but medical evidence accompanying the claim is not adequate for rating purposes, a Department of Veterans Affairs examination will be authorized. , This means: ( 1) Duty (other than full-time duty) prescribed for Reserves (including commissioned officers of the Reserve Corps of the Public Health Service) by the Secretary concerned under 37 U.S.C. 206 or any other provision of law; ( 2) Special additional duties authorized for Reserves (including commissioned officers of the Reserve Corps ... , 10. Note (1): For the purposes of evaluation under 38 CFR 4.79, an incapacitating episode is an eye condition severe enough to require a clinic visit to a provider specifically for treatment purposes. Note (2): Examples of treatment may include but are not limited to: Systemic immunosuppressants or biologic agents; intravitreal or periocular ... , 38 CFR § 4.59 is known as VA’s painful motion rule. If you have arthritis in any joint and experience pain on motion, you may be eligible to receive a separate 10 percent rating. VA examiners are supposed to test for pain on both active and passive motion, weight-bearing and non-weight-bearing, and if possible, within the range of the …, Inquiry will be directed to these considerations: ( a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.). ( b) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.). ( c) Weakened movement (due to muscle injury, disease ..., Disability in this field is ordinarily to be rated in proportion to the impairment of motor, sensory or mental function. Consider especially psychotic manifestations, complete or partial loss of use of one or more extremities, speech disturbances, impairment of vision, disturbances of gait, tremors, visceral manifestations, injury to the skull ..., Title 38. Displaying title 38, up to date as of 5/13/2024. Title 38 was last amended 5/13/2024. view historical versions. There are Federal Register documents that will modify this content. See the 'Cross Reference' blocks in the text of this content for more information. Title 38. Chapter I. Part 80., VA will review that veteran's disability rating to determine whether the veteran may be entitled to a higher disability rating under diagnostic code 8045., We would like to show you a description here but the site won’t allow us., Navigate by entering citations or phrases (eg: 1 CFR 1.1 49 CFR 172.101 Organization and Purpose 1/1.1 Regulation Y FAR). Choosing an item from citations and headings will bring you directly to the content. Choosing an item from full text search results will bring you to those results. Pressing enter in the search box will also bring you to ... , 38 CFR Part 4 Subpart B - The Respiratory System ... Department of Veterans Affairs. Part 4. Authority: 38 U.S.C. 1155, unless otherwise noted. Source: 29 FR 6718, May 22, 1964, unless otherwise noted. Enhanced Content - Details. Print/PDF. Enhanced Content - Print ... the appropriate disability rating shall be determined by mandatory VA ...