Custom Federal Regulations Service™

**This is supplemental material**

**for Book C of your set of**

**Federal Regulations**

Title 38, Part 4

*Schedule for Rating Disabilities*

**Veterans Benefits Administration**

Supplement No. 44

Covering period of *Federal Register* issues

through September 2, 2008

Copyright © 2008 Jonathan Publishing

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> **GENERAL INSTRUCTIONS**

Custom Federal Regulations Service™

**Supplemental Materials for *Book C***

**Code of Federal Regulations**

**Title 38, Part 4**

***Schedule for Rating Disabilities***

**Veterans Benefits Administration**

**Supplement No. 44**

5 September 2008

Covering the period of Federal Register issues

through September 2, 2008

When **Book C** was originally prepared, it was current through final
regulations published in the *Federal Register* of 24 March 1992. These
supple­mental materials are designed to keep your regulations up to date.
You should file the attached pages immediately, and record the fact that
you did so on the *Supplement Filing Record* which is at page C-8 of
Book C, *Schedule for Rating Disabilities*.

**To ensure accuracy and timeliness of your materials,**

**it is important that you follow these simple procedures:**

1\. Always file your supplemental materials immediately upon receipt.

2\. Before filing, always check the Supplement Filing Record (page C-8)
to be sure that all prior supplements have been filed. If you are
missing any supple­ments, contact the Veterans Benefits Administration at
the address listed on page C-2.

3\. After filing, enter the relevant information on the Supplement
Filing Record sheet (page C-8)---the date filed, name/initials of filer,
and date through which the *Federal Register* is covered.

4\. If as a result of a failure to file, or an undelivered supplement,
you have more than one supplement to file at a time, be certain to file
them in chronological order, lower number first.

5\. Always retain the filing instructions (simply insert them at the
back of the book) as a backup record of filing and for reference in case
of a filing error.

6\. Be certain that you *permanently discard* any pages indicated for
removal in the filing instructions in order to avoid confusion later.

To execute the filing instructions, simply remove *and throw away* the
pages listed under *Remove These Old Pages,* and replace them in each
case with the corres­pond­ing pages from this supplement listed under *Add
These New Pages*. Occasionally new pages will be added without removal
of any old material (reflecting new regulations), and occasionally old
pages will be removed with­out addition of any new material (reflecting
rescinded regulations)---in these cases the word *None* will appear in
the appropriate column.

> **FILING INSTRUCTIONS**

**Book C, Supplement No. 44**

**September 5, 2008**

*Remove these Add these Section(s)*

*[old pages]{.underline} [new pages]{.underline} [Affected]{.underline}*

**Do not file this supplement until you confirm that**

**all prior supplements have been filed**

[index]{.smallcaps}-33 to [index]{.smallcaps} --34
[index]{.smallcaps}-33 to [index]{.smallcaps} --34 Index

[index]{.smallcaps}-47 to [index]{.smallcaps} --48
[index]{.smallcaps}-47 to [index]{.smallcaps} --48 Index

[index]{.smallcaps}-55 to [index]{.smallcaps} --56
[index]{.smallcaps}-55 to [index]{.smallcaps} --56 Index

**Be sure to complete the**

***Supplement Filing Record* (page C-8)**

**when you have finished filing this material.**

> **HIGHLIGHTS**

**Book C, Supplement No. 44**

**September 5, 2008**

***Supplement* Highlights *references***: Where substantive changes are
made in the text of regulations, the paragraphs of *Highlights* sections
are cited at the end of the relevant section of text. Thus, if you are
reading §3.263, you will see a note at the end of that section which
reads: "Supplement *Highlights* references---6(2)." This means that
paragraph 2 of the *Highlights* section in Supplement No. 6 contains
information about the changes made in §3.263. By keeping and filing the
*Highlights* sections, you will have a reference source explaining all
substantive changes in the text of the regulations.

***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 month* during which a final rule
addition or modification is 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\. There are no substantive rule changes in this supplement.
Corrections of a housekeeping nature were made in the *Index*.

Musculoskeletal system---generally:

Accurate measurement 4.46

Amputation rule 4.68

Ankylosis and joint motion, measurement of 4.71

Arthritis due to strain 4.58

Bones, pelvic 4.67

Bones, the 4.44

Buttocks, loss of use of both 4.64

Circulatory disturbances 4.62

Combined ratings for muscle injuries, principles of 4.55

Complete medical examination of injury cases 4.42

Deformities, static foot 4.57

Dominant hand 4.69

Examination 4.61

Examination, complete medical of injury cases 4.42

Examinations, inadequate 4.70

Evaluation of muscle disabilities 4.56

Foot deformities, static 4.57

Foot or hand, loss of use of 4.63

Functional loss 4.40

Hand or foot, loss of use of 4.63

Hand, dominant 4.69

History of injury 4.41

Inadequate examinations 4.70

Injury, history of 4.41

Joint motion and ankylosis, measurement of 4.71

Joints, the 4.45

Loss of use of both buttocks 4.64

Loss of use of hand or foot 4.63

Loss, functional 4.40

Dominant hand 4.69

Measurement of ankylosis and joint motion 4.71

Measurement, accurate 4.46

Motion, painful 4.59

Osteomyelitis 4.43

Painful motion 4.59

Pelvic bones 4.67

Plates I--IV 4.71

Principles of combined ratings for muscle injuries 4.55

Ratings, combined for muscle injuries, principles of 4.55

Sacroiliac joint 4.66

Static foot deformities 4.57

Strain, arthritis due to 4.58

**[Musculoskeletal system---schedule of ratings:]{.smallcaps}**

**Acute, Subacute, or Chronic Diseases**

Arthritis:

Degenerative 5003 4.71a

Gonorrheal 5004 4.71a

Other types 5009 4.71a

Pneumococcic 5005 4.71a

Rheumatoid (atrophic) 5002 4.71a

Streptococcic 5008 4.71a

Syphilitic 5007 4.71a

Trauma, due to 5010 4.71a

Typhoid 5006 4.71a

Bones:

Caisson disease of, 5011 4.71a

New growths of, benign 5015 4.71a

New growths of, malignant 5012 4.71a

Bones and joints, tuberculosis of,

active or inactive 5001 4.71a

Bursitis 5019 4.71a

Fibromyalgia 5025 4.71a

Gout 5017 4.71a

Hydrarthrosis, intermittent 5018 4.71a

Myositis 5021 4.71a

Myositis ossificans 5023 4.71a

Osteitis deformans 5016 4.71a

Osteomalacia 5014 4.71a

Osteomyelitis, acute, subacute, or chronic 5000 4.71a

Osteoporosis, with joint manifestation 5013 4.71a

Periostitis 5022 4.71a

Synovitis 5020 4.71a

Tenosynovitis 5024 4.71a

**Amputations: Lower Extremity**

Thigh, amputation of:

Disarticulation, with loss of extrinsic

pelvic girdle muscles 5160 4.71a

Middle or lower thirds 5162 4.71a

Upper third 5161 4.71a

Leg, amputation of:

Amputation not improvable by prosthesis

controlled by natural knee action 5164 4.71a

At a lower level, permitting prosthesis 5165 4.71a

Foot, loss of use of 5167 4.71a

Forefoot 5166 4.71a

Toe, great, amputation of 5171 4.71a

Toes, all, amputation of 5170 4.71a

Toes, other than great, amputation of 5172 4.71a

Toes, three or four, amputation of 5173 4.71a

With defective stump, thigh, amputation

recommended 5163 4.71a

Pneumococcic arthritis 5005 4.71a

Pneumoconiosis (silicosis, anthracosis, etc.) 6832 4.97

Pneumonitis:

Desquamative interstitial 6826 4.97

Pulmonary, and fibrosis, drug-induced 6829 4.97

Hypersensitivity (extrinsic allergic

alveolitis) 6831 4.97

Pulmonary, and fibrosis, drug-induced 6829 4.97

Poliomyelitis, anterior 8011 4.124a

Polycystic disease 7533 4.115b

Polycythemia vera 7704 4.117

Postgastrectomy syndromes:

General 4.111

Rating 7308 4.114

Post-phlebitic syndrome of any etiology 7121 4.104

Post-surgical residual (lobectomy,

pneumonectomy, etc.) 6844 4.97

Post-traumatic stress disorder 9411 4.130

Pregnancy, surgical complications of 7623 4.116

Prestabilization rating from date of discharge

from service 4.28

Progressive muscular atrophy 8023 4.124a

Prolactin secreting pituitary dysfunction 7916 4.119

Prostate gland injuries, infections, hypertrophy,

post-operative residuals 7527 4.115b

Pruritus ani 7337 4.114

Psoriasis 7816 4.118

Psychotic disorders (*see* Mental Disorders---Schedule of Ratings)

Pterygium 6034 4.84a

Ptosis, unilateral or bilateral 6019 4.84a

Pulmonary alveolar proteinosis 6827 4.97

Pulmonary disease, obstructive, chronic 6604 4.97

Pulmonary pneumonitis and fibrosis:

Drug-induced 6829 4.97

Radiation-induced 6830 4.97

Pulmonary vascular disease 6817 4.97

Pyelonephritis, chronic 7504 4.115b

Pyramiding, avoidance of 4.14

**Q**

No entries

Neoplasms, skin

Benign 7819 4.118

Malignant 7818 4.118

Papulosquamous disorders (not listed elsewhere) 7822 4.118

Psoriasis 7816 4.118

Scars:

Other 7805 4.118

Other than head, face, or neck:

Deep or cause limited motion 7801 4.118

Superficial; do not cause limited motion 7802 4.118

Superficial:

Painful on examination 7804 4.118

Unstable 7803 4.118

Tuberculosis luposa, active or inactive 7811 4.118

Urticaria 7825 4.118

Vasculitis, primary cutaneous 7826 4.118

Vitiligo 7823 4.118

Skull:

Loss of part of, both inner and outer tables 5296 4.71a

Sleep apnea syndromes 6847 4.97

Smell, loss of sense of, complete 6275 4.87a

Social phobia 9403 4.130

Soft-tissue sarcoma (of vascular origin) 7123 4.104

Somatization disorder 9421 4.130

Somatoform disorders (*see* Mental Disorders---Schedule of Ratings)

Spinal cord:

Injury with respiratory insufficiency 6841 4.97

New growths of:

Benign 8022 4.124a

Malignant 8021 4.124a

Spine:

Ankylosing spondylitis 5240 4.71a

Degenerative arthritis of the spine

(see diagnostic code 5003) 5242 4.71a

Intervertebral disc syndrome 5243 4.71a

Lumbrosacral or cervical strain 5237 4.71a

Range of motion of cervical and

thoracolumbar spine Plate V 4.71a

Sacroiliac injury and weakness 5236 4.71a

Spinal fusion 5241 4.71a

Spinal stenosis 5238 4.71a

Spondylolisthesis or segmental instability 5239 4.71a

Vertebral fracture or dislocation 5235 4.71a

Spleen, injury of, healed 7707 4.117

Splenectomy 7706 4.117

Stomach:

Injury of 7310 4.114

Stenosis of 7309 4.114

Streptococcic arthritis 5008 4.71a

Stress (post-traumatic) disorder 9411 4.130

Stress (traumatic), mental disorders due to 4.129

Supination and pronation, impairment of 5213 4.71a

Supraventricular arrhythmias 7010 4.104

Symblepharon 6091 4.84a

Synovitis 5020 4.71a

Syphilis:

And other treponemal infections 6310 4.88b

Cerebrospinal 8013 4.124a

Meningovascular 8014 4.124a

Syphilitic arthritis 5007 4.71a

Syphilitic heart disease 7004 4.104

Syringomyelia 8024 4.124a