Vertebral fracture or dislocation VA . This surgery is often performed in individuals with spondylolisthesis and spinal stenosis. VA Form 21-0781 & 21-0781a: Statement in Support of Claim for PTSD. This means that a 10% VA disability rating for spinal stenosis plus 60% VA disability rating for peripheral nerve disability in an arm will produce an overall VA disability rating of 60%. Specifically, VA uses the General Rating Formula for Diseases and Injuries of the Spine as follows: 100% - unfavorable ankylosis of the entire spine Code O-2 ( 38 CFR 3.350 (e) (2)). A soldier who has Cervicalgia may be able to get compensation from the VA in one of these ways: If a normal spine rating indicates a grade of 10 percent, 20 percent, 30 percent, 40 percent, 50 percent, or 100 percent, and neck discomfort (neck pain) is classed as a secondary service link, the patient . No matter what the VA disability rating for your back injury might be, we can offer insight into your claim and offer guidance for your next step. For instance, the VA rating for favorable ankylosis of the entire cervical spine is 30%. Spinal fusion is a type of surgery that is performed to join two or more vertebrae together so that there is no movement between the two vertebrae. Fatigue #3. Your final rating for spinal conditions (neck, upper back, mid back, lower back) depends upon the Frequency, Severity, and Duration of symptoms to include Limitation of Range of Motion (ROM) and Painful Motion. The following spinal conditions are all rated under the same general rating formula: Lumbosacral or cervical strain (diagnostic code 5237): This would be the diagnostic code assigned to a Veteran experiencing pain in their neck or back. The same veteran with a 100% disability rating would receive $3,106.04. FREE Guide Books. 5241 - VA disability rating for spinal fusion: This is a surgery to remedy other spinal conditions by joining two or more vertebrae together to prevent movement. VA Form 21-0781 & 21-0781a: Statement in Support of Claim for PTSD. Note - The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. 40-percent: Unfavorable ankylosis of the cervical spine. In this post, we will be exploring how to get a VA disability rating for Degenerative Disc Disease. Follow; Follow; Follow; . It is better for your health to be diagnosed with favorable ankylosis but if you are diagnosed with unfavorable, you'll get more money to help you out. These ratings are added together using VA math for an overall VA disability rating for spinal stenosis. . For the range-of-motion ratings, the VA considers a "normal" cervical spine to be able to bend forward from standing straight (0-degrees) to a nod (45-degrees). The purpose of these forms is for you to describe the stressor that contributed to the development of your Post . Currently, VA rates neck pain severity on the following values: 0% rating Forward flexion of the cervical spine over 40 degrees. The Musculoskeletal System is vast and . Spinal fusion VA Ratings Spinal fusion is a type of surgery that is performed to join two or more vertebrae together so that there is no movement between the two vertebrae. I'll also reveal 3 new insider tips to increase your VA rating for Degenerate Disc Disease, even if you've already filed or been denied. combined VA rating and monthly payment. 5287 (ankylosis of cervical spine), 5288 (ankylosis of dorsal spine), 5289 (ankylosis of lumbar spine), 5290 (limitation of motion of . The Back and Spine Overview . Anterior cervical fusion c3-4, c4-5, c5-6 Cervical spine disectomy, fusion and titanium plate at C6-C7 Disc C5-C6-C7, I had successful surgery. This is rated under diagnostic code 5241. The VA rating for unfavorable ankylosis of the entire cervical spine is 40%. POSTED ON JUNE 4, 2022. General Rating Formula - Spinal Stenosis and Select Spinal Conditions. A soldier who has Cervicalgia may be able to get compensation from the VA in one of these ways: If a normal spine rating indicates a grade of 10 percent, 20 percent, 30 percent, 40 percent, 50 percent, or 100 percent, and neck discomfort (neck pain) is classed as a secondary service link, the patient should seek medical attention immediately. Other Conditions That Come With Fused Vertebrae More importantly, when both the lumbar spine and cervical spine are . POSTED ON JUNE 4, 2022. Use our VA disability calculator to estimate your. Your final VA Disability Rating for Neck and Shoulder Pain depends upon the Frequency, Severity, . Repeat Cervical Fusion Surgery? The VA uses ankylosis in providing ratings for the following conditions: 5235 Vertebral fracture or dislocation 5236 Sacroiliac injury and weakness 5237 Lumbosacral or cervical strain 5238 Spinal stenosis 5239 Spondylolisthesis or segmental instability 5240 Ankylosing spondylitis 5241 Spinal fusion There are a number of different back conditions that are subject to compensation under the VA disability system, including the following: -Mechanical back pain syndrome -Lumbosacral sprain/strain -Facet joint arthropathy (degenerative joint disease of lumbosacral spine) -Degenerative disc disease -Degenerative scoliosis CLAIMS The only problem is that I have had spinal fusion on my lower back on oct 8 2008, I was faxing the DAV all my information as I would get it from the doctors. 5235 Vertebral fracture or dislocation. This is rated under diagnostic code 5241. 855-855-8992. The VA uses ankylosis in providing ratings for the following conditions: 5235 Vertebral fracture or dislocation 5236 Sacroiliac injury and weakness 5237 Lumbosacral or cervical strain 5238 Spinal stenosis 5239 Spondylolisthesis or segmental instability 5240 Ankylosing spondylitis 5241 Spinal fusion For the cervical spine, here are the range-of-motion ratings: 100-percent: Unfavorable ankylosis of the entire spine (thoracolumbar and cervical). That means that if you can bend your neck forward enough to see your toes, the VA will probably consider you to have normal range of motion in your cervical spine. This document proposes to amend the Department of Veterans Affairs (VA) Schedule for Rating Disabilities by revising that portion of the Musculoskeletal System that addresses disabilities of the spine. Designated for electronic publication only . This surgery is often performed in individuals with spondylolisthesis and spinal stenosis. I was injured in Iraq on Nov 19 ,2007, I filed my claims when I got home from Iraq, the V/A called me yesterday and told me that I got a 60% rating for. However, you must show that your symptoms are severe. Where there are additional disabilities rated 50% or 100%, or anatomical or loss of use of a third extremity see 38 CFR 3.350 (f) (3), (4) or (5). VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran's claim. 10 % rating Forward flexion of the cervical spine over 30 degrees, but less than or equal to 40 degrees; or a combined range of . Flexion measures 15 degrees or less, OR entire cervical spine is frozen in a favorable position. UNITED STATES COURT OF APPEALS FOR VETERANS . There is also a lumbar fusion disability rating for individuals who only get surgery in their lower back. VA Disability Ratings for Neck and Shoulder Pain range from 10% to 100%, with breaks at 20%, 30%, 40%, and 50%. Disability Benefits by Percentage Rating and Dependent Status (As of 2020) Causes of Spinal Stenosis Causes can include herniated or bulging spinal discs. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the VA Ratings for Spondylosis Spondylosis is rated as a back condition, meaning it can be rated using any diagnostic code between Diagnostic Code 5235 and Diagnostic Code 5243. VA rates spinal fusion according to 38 CFR 4.71a, Schedule of Ratings, Musculoskeletal System (Diagnostic Code 5241) and the criteria is based largely on a veteran's range of motion. 5237 Lumbosacral or cervical strain. 30-percent: Forward flexion of the cervical spine 15 degrees or less. Free Case Evaluation. Specifically, VA uses the General Rating Formula for Diseases and Injuries of the Spine as follows: 100% - unfavorable ankylosis of the entire spine. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the Veteran's claim. Getting Disability for Cervical Neck Fusion You may qualify for Social Security disability benefits for your cervical neck fusion or impairments. CALL US TO GET STARTED. Lack of endurance Specifically, the condition will be rated on how it impacts the motion of the spine. Unfavorable Ankylosis does bring in higher VA Ratings than favorable. As is evident from the rating schedules below, the highest possible schedular rating for any single neck impairment is 60 percent for veterans with severe intervertebral disc syndrome (IVDS). It can cause difficulties in range of motion although it may reduce pain. Entire cervical spine is frozen in an unfavorable position. Weakness #4. Obtaining Cervicalgia VA Disability Ratings. 0% rating Forward flexion of the cervical spine over 40 degrees 10 % rating Forward flexion of the cervical spine over 30 degrees, but less than or equal to 40 degrees; or a combined range of motion of the cervical spine above 170 degrees but not causing abnormal spine contour or abnormal gait Note - The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. The VA assigns rating percentages based on the frequency of incapacitating episodes. 38 CFR 4.16 a ( "Schedular") - To be eligible for this form of TDIU, the veteran will need to have one condition rated at minimum 60 percent or two conditions that can be combined to reach at least 70 percent, with one condition being a minimum of 40 percent. 5236 Sacroiliac injury and weakness. O. Paraplegia with loss of use of both lower extremities and loss of anal and bladder sphincter control qualifies for subpar. A single veteran with no dependents and a total disability rating of 40% would receive $627.61 per month, as of 2020. This document proposes to amend the Department of Veterans Affairs (VA) Schedule for Rating Disabilities by revising that portion of the Musculoskeletal System that addresses disabilities of the spine. Spinal fusion VA Ratings. Flexion between 60 and 90 degrees, OR combined ROM between 150 and 240 degrees. The difference is more than $2,200 per year! VA disability ratings for Degenerative Disc Disease also depend upon "Functional Loss," which means impairment of spine function as determined by range of motion as reported in the physical examination and additional loss of range of motion after repetitive use caused by the following factors: #1. The purpose of these forms is for you to describe the stressor that contributed to the development of your Post . The VA rating for unfavorable ankylosis of the entire cervical spine is 40%. 5287 (ankylosis of cervical spine), 5288 (ankylosis of dorsal spine), 5289 (ankylosis of lumbar spine), 5290 (limitation of motion of . Pain in C2, C3, and C4 - possible fusion, anybody else with pain here? In order to apply for service-connection for PTSD, veterans need to need to complete VA Form 21-0781 & 21-0781a to support their claims. VA rates spinal fusion according to 38 CFR 4.71a, Schedule of Ratings, Musculoskeletal System (Diagnostic Code 5241) and the criteria is based largely on a veteran's range of motion. Contact an attorney at the Veterans Law Group at 888-811-0523. You could be entitled to compensation. Spinal stenosis (diagnostic code 5238): Spinal stenosis is when the spaces in the spine are narrowed and . Any generic spinal bone injury . . (Authority: 38 U.S.C. Note (6): Separately evaluate disability of the thoracolumbar and cervical spine segments, except when there is unfavorable ankylosis of both segments, which will be rated as a single disability. This rating criterion is primarily based on a range of motion measurements. It can cause difficulties in range of motion although it may reduce pain. Please advise must have another cervical fusion. If you are unhappy with the decision from the VA, an attorney can be your best advocate. You VA compensation for your cervical spine condition will be rated by range of motion of the neck. Additionally, they must keep you from working for at least 12 months. Pain #2. forward flexion of the cervical spine greater than 30 degrees but not greater than 40 degrees; or . . The following percentages are available under the rating criteria for rheumatoid arthritis: 100% if you are completely incapacitated and are confined to staying in bed 60% if there are severe incapacitating episodes that occur 4 or more times per year 30-percent: Favorable ankylosis of the cervical spine. I would guess it will fall at 20 or 30%. Vertebral fracture or dislocation VA Ratings I had fusion (internal, not surgical) of C4-5 and was awarded 30% based on loss of range of motion. This article will help you determine if you should claim your neck pain and what rating fits with your pain. For example, a cervical spine with forward flexion of 15 produces a VA disability percentage of 30% and a lumbar spine with a total ROM of 120 produces a VA disability percentage of 20%, for an overall VA disability rating of 40%. 1115 ) They must cause problems doing normal activities. Va rating of 60%. cervical Fusion on C4-C7 Post cervical spine . FAQs . 38 CFR 4.16 b ( "Extraschedular") - This form of TDIU is for . In order to apply for service-connection for PTSD, veterans need to need to complete VA Form 21-0781 & 21-0781a to support their claims. VA may obtain additional medical information, including an examination, if necessary, to complete VA's review of the The VA awards disability compensation for each Back and Spine condition that is service-connected.The DoD will also rate service-connected conditions as long as they also make the service member Unfit for Duty.For Reservists, the condition must have occurred in or resulted from an injury in the Line of Duty to qualify.. There is also a lumbar fusion disability rating for individuals who only get surgery in their lower back. DC 5241: Spinal fusionthe vertebrae are surgically fused together; DC 5235: Vertebral fracture or dislocationthe bones of the spine break or slip out of alignment due to a traumatic event like a car accident. Other neck conditions have maximum schedular ratings of 40 percent or lower. 5241 - VA disability rating for spinal fusion: This is a surgery to remedy other spinal conditions by joining two or more vertebrae together to prevent movement. VA Disability Calculator; VA Claims and Appeals Process; Has Your Claim Been Denied? Since you are already service connected for the cervical spine my suggestion is to simply wait until after you have the surgery and then submit a copy of your doctor's treatment notes or the operation report with a claim for a temporary surgical rating under Paragraph 30 of 38 CFR Part 4. The difference is more than $2,200 per year!
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