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**Federal Regulations**

Title 38, Part 4

*Schedule for Rating Disabilities*

**Veterans Benefits Administration**

Supplement No. 26

Covering period of *Federal Register* issues

from May 25, 1999, through June 24, 1999

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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. 26**

25 June 1999

Covering the period of Federal Register issues

from May 25, 1999, through June 24, 1999

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:**
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> 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.
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> 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.
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> 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.
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> 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. 26

**June 25, 1999**

*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**

**C-13 to C-14 C-13 to C-14 Contents**

[index]{.smallcaps}-9 to [index]{.smallcaps}-12 [index]{.smallcaps}-9 to
[index]{.smallcaps}-12 Index to Book C

[index]{.smallcaps}-49 to [index]{.smallcaps}-50 [index]{.smallcaps}-49
to [index]{.smallcaps}-50 Index to Book C

**4.71a-27 to 4.71a-28 4.71a-27 to 4.71a-28 §4.71a**

**4.149-1 to 4.150-1 4.149-1 to 4.150-1 §4.149 (removed)**

**Be sure to complete the**

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

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

> **HIGHLIGHTS**

**Book C, Supplement No. 26**

**June 25, 1999**

***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\. On 8 June 1999, the VA published a final rule, effective that same
date, to clarify requirements for service connection of dental
conditions and provide that the VA will consider certain dental
conditions as service-connected for treatment purposes if they are shown
in service after a period of 180 days. Change:

• Removed §4.149.

• *Note*: Changes were also made in 38 [cfr]{.smallcaps} Part 4 (Book
B---*Adjudication*) --- revised §3.381, and removed/reserved §3.382.

2\. On 17 June 1999, the VA published a final rule, effective that same
date, to adopt as final without change an interim final rule adding a
diagnostic code and evaluation criteria for fibromyalgia to the Schedule
for Rating Disabilities (the original rule was published at 61 Fed. Reg.
20438, May 7, 1996).

##  The Respiratory System

4.96 Special provisions regarding evaluation of respiratory conditions
4.96-1

4.97 Schedule of ratings---respiratory system 4.97-1

**The Cardiovascular System**

4.100 Necessity for complete diagnosis 4.100-1

4.101 Rheumatic heart disease 4.101-1

4.102 Varicose veins and phlebitis 4.102-1

4.103 \[Reserved\]

4.104 Schedule of ratings---cardiovascular 4.104-1

**The Digestive System**

4.110 Ulcers 4.110-1

4.111 Postgastrectomy syndromes 4.111-1

4.112 Weight loss 4.112-1

4.113 Coexisting abdominal conditions 4.113-1

4.114 Schedule of ratings---digestive system 4.114-1

**The Genitourinary System**

4.115 Nephritis 4.115-1

4.115a Ratings of the genitourinary system---dysfunction 4.115a-1

4.115b Ratings of the genitourinary system---diagnoses 4.115b-1

**Gynecological Conditions and Disorders of the Breast**

4.116 Schedule of ratings---gynecological conditions and

disorders of the breast 4.116-1

**The Hemic and Lymphatic Systems**

4.117 Schedule of ratings---hemic and lymphatic systems 4.117-1

**The Skin**

4.118 Schedule of ratings---skin 4.118-1

**The Endocrine System**

4.119 Schedule of ratings---endocrine system 4.119-1

**Neurological Conditions and Convulsive Disorders**

4.120 Evaluations by comparison 4.120-1

4.121 Identification of epilepsy 4.121-1

4.122 Psychomotor epilepsy 4.122-1

4.123 Neuritis, cranial or peripheral 4.123-1

4.124 Neuralgia, cranial or peripheral 4.124-1

4.124a Schedule of ratings---neurological conditions and

convulsive disorders 4.124a-1

**Mental Disorders**

4.125 Diagnosis of mental disorders 4.125-1

4.126 Evaluation of disability from mental disorders 4.126-1

4.127 Mental retardation and personality disorders 4.127-1

4.128 Convalescence ratings following extended hospitalization 4.128-1

4.129 Mental disorders due to traumatic stress 4.129-1

4.130 Schedule of ratings---mental disorders 4.130-1

**Dental and Oral Conditions**

4.149 \[Reserved\]

4.150 Schedule of ratings---dental and oral conditions 4.150-1

End of Section Number Index

**D**

Dacryocystitis 6031 4.84a

Degenerative arthritis 5003 4.71a

Delirium (*see* Mental Disorders---Schedule of Ratings)

Dermatitis exfoliativa 7817 4.118

Dementia (*see* Mental Disorders---Schedule of Ratings)

**[Dental and oral conditions---schedule of ratings:]{.smallcaps}**

Condyloid process, loss of, one or both sides 9908 4.150

Coronoid process, loss of 9909 4.150

Hard palate, loss of half or more 9911 4.150

Hard palate, loss of less than half of 9912 4.150

Mandible, loss of approximately one-half 9902 4.150

Mandible, loss of, complete, between angles 9901 4.150

Mandible, malunion of 9904 4.150

Mandible, nonunion of 9903 4.150

Maxilla or mandible, chronic osteomyelitis or

osteoradionecrosis of 9900 4.150

Maxilla, loss of half or less 9915 4.150

Maxilla, loss of more than half 9914 4.150

Maxilla, malunion or nonunion of 9916 4.150

Ramus, loss of less than one-half the substance

of, not involving loss of continuity 9907 4.150

Ramus, loss of whole or part of 9906 4.150

Teeth, loss of, due to loss of substance of body

of maxilla or mandible without loss of

continuity 9913 4.150

Temporomandibular articulation, limited

motion of 9905 4.150

Depersonalization disorder 9417 4.130

Depressive disorder, major 9434 4.130

Dermatophytosis 7813 4.118

Desquamative interstitial pneumonitis 6826 4.97

Developmental or congenital defects 4.9

Diabetes:

Insipidus 7909 4.119

Mellitus 7913 4.119

Diagnosis, change of, effect 4.13

Diagnostic code numbers, use of 4.27

Diaphragm:

Paralysis or paresis 6840 4.97

Rupture of, with herniation 5324 4.73

Diffuse interstitial fibrosis 6825 4.97

Digestive system:

Abdominal conditions, coexisting 4.113

Postgastrectomy syndromes 4.111

Ulcers 4.110

Weight loss 4.112

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

Amebiasis 7321 4.114

Ano, fistula in 7335 4.114

Cholangitis, chronic 7316 4.114

Cholecystitis, chronic 7314 4.114

Cholelithiasis, chronic 7315 4.114

Colitis, ulcerative 7323 4.114

Distomiasis, intestinal or hepatic 7324 4.114

Diverticulitis 7327 4.114

Dysentery, bacillary 7322 4.114

Enteritis, chronic 7325 4.114

Enterocolitis, chronic 7326 4.114

Esophagus, diverticulum of, acquired 7205 4.114

Esophagus, spasm of (cardiospasm) 7204 4.114

Esophagus, stricture of 7203 4.114

Gall bladder, injury of 7317 4.114

Gall bladder, removal of 7318 4.114

Gastritis, hypertrophic 7307 4.114

Hemorrhoids, external or internal 7336 4.114

Hepatitis, infectious 7345 4.114

Hernia hiatal 7346 4.114

Hernia, femoral 7340 4.114

Hernia, inguinal 7338 4.114

Hernia, ventral, postoperative 7339 4.114

Intestine, fistula of, persistent 7330 4.114

Intestine, large, resection of 7329 4.114

Intestine, small, resection of 7328 4.114

Irritable colon syndrome (spastic colitis,

mucous colitis, etc.) 7319 4.114

Lips, injuries of 7201 4.114

Liver, abscess of, residuals 7313 4.114

Liver, cirrhosis of 7312 4.114

Mouth, injuries of 7200 4.114

New growths, benign, any specified part of

digestive system, exclusive of skin

growths 7344 4.114

New growths, malignant, exclusive of

skin growths 7343 4.114

Pancreatitis 7347 4.114

Peritoneum, adhesions of 7301 4.114

Peritonitis, tuberculous, active or inactive 7331 4.114

Postgastrectomy syndromes 7308 4.114

Pruritus ani 7337 4.114

Rectum and anus, impairment of sphincter

control 7332 4.114

Rectum, prolapse of 7334 4.114

Rectum and anus, stricture of 7333 4.114

Stomach, injury of 7311 4.114

Stomach, stenosis of 7309 4.114

Tongue, loss of whole or part 7202 4.114

Ulcer, duodenal 7305 4.114

Ulcer, gastric 7304 4.114

Ulcer, marginal 7306 4.114

Vagotomy with pyloroplasty or

gastroenterostomy 7348 4.114

Visceroptosis, symptomatic, marked 7342 4.114

Diplopia 6090 4.84a

Diplopia, due to limited muscle function 6092 4.84a

Disabilities:

Aggravated by active service, rating of 4.22

Service-connected, requiring hospital

treatment or observation, ratings for 4.29

Disability:

Ratings, total 4.15

Ratings, total, for compensation based

on unemployability of the individual 4.16

Rating, total, for pension based on

unemployability and age of the individual 4.17

Disseminated intravascular coagulation with

renal cortical necrosis 7540 4.115b

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

Distomiasis, intestinal or hepatic 7324 4.114

Diverticulitis 7327 4.114

Drug-induced pulmonary pneumonitis

and fibrosis 6829 4.97

Dysentery, bacillary 7322 4.114

Dysthymic disorder 9433 4.130

**E**

**[Ear---Schedule of Ratings]{.smallcaps}**

Auricle, loss of 6207 4.87

Benign neoplasms of the ear 6209 4.87

Cholesteatoma 6200 4.87

Chronic nonsuppurative otitis media 6201 4.87

Chronic otitis externa 6210 4.87

Chronic suppurative otitis media 6200 4.87

Endolymphatic hydrops 6205 4.87

Malignant neoplasm of the ear 6208 4.87

Mastoiditis 6200 4.87

Meniere's syndrome 6205 4.87

Otosclerosis 6202 4.87

Peripheral vestibular disorders 6204 4.87

Tinnitus, recurrent 6260 4.87

Tympanic membrane, perforation of 6211 4.87

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

Ectropion 6020 4.84a

Eczema 7806 4.118

Effect of change of diagnosis 4.13

Elbow and Forearm:

Elbow, ankylosis of 5205 4.71a

Elbow, other impairment of Flail joint 5209 4.71a

Forearm, flexion limited to 100º

and extension to 45º 5208 4.71a

Forearm, limitation of extension of 5207 4.71a

Forearm, limitation of flexion of 5206 4.71a

Radius and ulna, nonunion of 5210 4.71a

Radius, impairment of 5212 4.71a

Supination and pronation, impairment of 5213 4.71a

Ulna, impairment of 5211 4.71a

Elbow:

Ankylosis of 5205 4.71a

Other impairment of Flail joint 5209 4.71a

Replacement (prosthesis) 5052 4.71a

Emphysema, pulmonary 6603 4.97

Encephalitis, epidemic, chronic 8000 4.124a

Endocarditis 7001 4.104

**[Endocrine system---Schedule of Ratings]{.smallcaps}**

Acromegaly 7908 4.119

Addison's disease (adrenal cortical

hypofunction) 7911 4.119

C-cell hyperplasia of the thyroid 7919 4.119

**R**

Radiation-induced pulmonary pneumonitis

and fibrosis 6830 4.97

Radius and ulna, nonunion of 5210 4.71a

Radius, impairment of 5212 4.71a

Ramus:

Loss of less than one-half the substance

of, not involving loss of continuity 9907 4.150

Loss of whole or part of 9906 4.150

Rating, no-percent 4.31

Rating of disabilities aggravated by active service 4.22

Rating officers, attitude of 4.23

Rating, prestabilization, from date of discharge

from service 4.28

Rating schedule, application of 4.21

Ratings table, combined Table I 4.25

Ratings, analogous 4.20

Ratings, convalescent 4.30

Ratings for service-connected disabilities requiring

hospital treatment or observation 4.29

Ratings, total disability 4.15

Raynaud's syndrome 7117 4.104

Reasonable doubt, resolution of 4.3

Rectum, prolapse of 7334 4.114

Rectum and anus:

Impairment of sphincter control 7332 4.114

Stricture of 7333 4.114

Relapsing fever 6308 4.88b

Renal cortical necrosis (disseminated

intravascular coagulation) 7540 4.115b

Renal disease:

Amyloid 7539 4.115b

Atherosclerotic 7534 4.115b

Chronic, requiring regular dialysis 7530 4.115b

Diabetes mellitus 7541 4.115b

Glycosurias 7532 4.115b

Sickle cell anemia 7541 4.115b

Systemic lupus erythematosus 7541 4.115b

Tubular acidosis 7532 4.115b

Tubular disorders 7532 4.115b

Vasculitis 7541 4.115b

Renal dysfunction 4.115a

Resolution of reasonable doubt 4.3

Respiratory system, special provisions 4.96

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

**Diseases of the Lungs and Pleura---Tuberculosis**

Tuberculosis, pulmonary, chronic (entitled on August 19, 1968):

Active, advancement unspecified 6704 4.97

Far advanced, active 6701 4.97

Far advanced, inactive 6721 4.97

Inactive, advancement unspecified 6724 4.97

Minimal, active 6703 4.97

Minimal, inactive 6723 4.97

Moderately advanced, active 6702 4.97

Moderately advanced, inactive 6722 4.97

Tuberculosis, pulmonary, chronic (evaluated after August 19, 1968):

Active 6730 4.97

Inactive 6731 4.97

**Diseases of the Nose and Throat**

Allergic or vasomotor rhinitis 6522 4.97

Aphonia, complete organic 6519 4.97

Bacterial rhinitis 6523 4.97

Granulomatous rhinitis 6524 4.97

Laryngectomy, total 6518 4.97

Laryngitis:

Chronic 6516 4.97

Tuberculous, active or inactive 6515 4.97

Larynx, stenosis of, including residuals 6520 4.97

Nose, loss of part of, or scars 6504 4.97

Pharynx, injuries to 6521 4.97

Rhinitis:

Allergic 6522 4.97

Bacterial 6523 4.97

Granulomatous 6524 4.97

Vasomotor 6522 4.97

Septum, nasal, deviation of 6502 4.97

Sinusitis:

Ethmoid, chronic 6511 4.97

Frontal, chronic 6512 4.97

Maxillary, chronic 6513 4.97

Pansinusitis, chronic 6510 4.97

Sphenoid, chronic 6514 4.97

**Diseases of the Trachea and Bronchi**

Asthma, bronchial 6602 4.97

Bronchiectasis 6601 4.97

Bronchitis, chronic 6600 4.97

Chronic obstructive pulmonary disease 6604 4.97

Emphysema, pulmonary 6603 4.97

Obstructive pulmonary disease, chronic 6604 4.97

**[The Skull]{.smallcaps}**

Rating

**5296** Skull, loss of part of, both inner and outer tables:

With brain hernia 80

Without brain hernia:

Area larger than size of a 50-cent piece or 1.140 in2 (7.355 cm2 ) 50

Area intermediate 30

Area smaller than the size of a 25-cent piece

or 0.716 in2 (4.619 cm2 ) 10

Note: Rate separately for intracranial complications.

**[The Ribs]{.smallcaps}**

Rating

**5297** Ribs, removal of:

More than six 50

Five or six 40

Three or four 30

Two 20

One or resection of two or more ribs without regeneration 10

Note (1): The rating for rib resection or removal is not to be applied
with ratings for purulent pleurisy, lobectomy, pneumonectomy or injuries
of pleural cavity.

Note (2): However, rib resection will be considered as rib removal in
thoracoplasty performed for collapse therapy or to accomplish
obliteration of space and will be combined with the rating for lung
collapse, or with the rating for lobectomy, pneumonectomy or the
graduated ratings for pulmonary tuberculosis.

**[The Coccyx]{.smallcaps}**

Rating

**5298** Coccyx, removal of:

Partial or complete, with painful residuals 10

Without painful residuals 0

\[29 FR 6718, May 22,1964, as amended at 34 FR 5062, Mar. 11, 1969; 40
FR 42536, Sept. 15, 1975; 41 FR 11294, Mar. 18, 1976; 43 FR 45350, Oct.
2, 1978; 51 FR 6411, Feb. 24, 1986; 61 FR 20439, May 7, 1996; 64 FR
32410, June 17, 1999\]

**Supplement *Highlights* references**: 16(1), 26(2).

**[Table II]{.smallcaps}**

# Ratings for Multiple Losses of Extremities with Dictator's Rating Code and 38 CFR Citation

Impairment of other extremity

+---------+---------+---------+---------+---------+---------+---------+
| Imp     | Ana     | Ana     | Ana     | Ana     | Ana     | Ana     |
| airment | tomical | tomical | tomical | tomical | tomical | tomical |
| of one  | loss or | loss or | loss or | loss or | loss    | loss    |
| ex      | loss of | loss of | loss of | loss of | near    | near    |
| tremity | use     | use     | use     | use     | s       | hip     |
|         | below   | below   | above   | above   | houlder | (pre    |
|         | elbow   | knee    | elbow   | knee    | (pre    | venting |
|         |         |         | (pre    | (pre    | venting | use of  |
|         |         |         | venting | venting | use of  | pros    |
|         |         |         | use of  | use of  | pros    | thesis) |
|         |         |         | pros    | pros    | thesis) |         |
|         |         |         | thesis) | thesis) |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     | M Codes | L Codes | M 1/2   | L 1/2   | N Code  | M Code  |
| tomical | M-1 a,  | L-1 d,  | Code    | Code    | N-3, 38 | M-3 c,  |
| loss or | b,      | e, f,   | M-5,    | L-2 c,  | CFR     | 38 CFR  |
| loss of |         |         |         |         | 3       | 3.3     |
| use     | or c,   | or g,   | 38 CFR  | 38 CFR  | .350(f) | 50(f)(1 |
| below   | 38 CFR  | 38 CFR  | 3.350(f | 3       | (1)(xi) | )(viii) |
| elbow   | 3.350(c | 3       | )(1)(x) | .350(f) |         |         |
|         | )(1)(i) | .350(b) |         | (1)(vi) |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     | 3       | L Codes | L 1/2   | L 1/2   | M Code  | M Code  |
| tomical | .350(b) | L-1 a,  | Code    | Code    | M-3 b,  | M-3 a,  |
| loss or |         | b,      | L-2 b,  | L-2 a,  |         |         |
| loss of |         |         |         |         | 38 CFR  | 38 CFR  |
| use     |         | or c,   | 38 CFR  | 38 CFR  | 3       | 3       |
| below   |         | 38 CFR  | 3.      | 3.350(f | .350(f) | .350(f) |
| knee    |         | 3.350   | 350(f)( | )(1)(i) | (1)(iv) | (l)(ii) |
|         |         | (b)     | 1)(iii) |         |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     |         |         | N Code  | M Code  | N 1/2   | M 1/2   |
| tomical |         |         | N-1,    | M-2 a,  | Code    | Code    |
| loss or |         |         |         |         | N-4     | M-4 c,  |
| loss of |         |         | 38 CFR  | 38 CFR  |         |         |
| use     |         |         | 3.35    | 3       | 38 CFR  | 38 CFR  |
| above   |         |         | 0(d)(1) | .350(c) | 3       | 3       |
| elbow   |         |         |         | (       | .350(f) | .350(f) |
| (pre    |         |         |         | 1)(iii) | (1)(ix) |         |
| venting |         |         |         |         |         | (1)(xi) |
| use of  |         |         |         |         |         |         |
| pros    |         |         |         |         |         |         |
| thesis) |         |         |         |         |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     |         |         |         | M Code  | M 1/2   | M 1/2   |
| tomical |         |         |         | M-2 a,  | Code    | Code    |
| loss or |         |         |         |         | M-4 b,  | M-4 a,  |
| loss of |         |         |         | 38 CFR  |         |         |
| use     |         |         |         | 3       | 38 CFR  | 38 CFR  |
| above   |         |         |         | .350(c) | 3       | 3       |
| knee    |         |         |         | (1)(ii) | .350(f) | .350(f) |
| (pre    |         |         |         |         |         |         |
| venting |         |         |         |         | (       | (1)(v)  |
| use of  |         |         |         |         | 1)(vii) |         |
| pros    |         |         |         |         |         |         |
| thesis) |         |         |         |         |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     |         |         |         |         | O Code  | N Code  |
| tomical |         |         |         |         | O-1,    | N-2 b,  |
| loss    |         |         |         |         |         |         |
| near    |         |         |         |         | 38 CFR  | 38 CFR  |
| s       |         |         |         |         | 3       | 3       |
| houlder |         |         |         |         | .350(e) | .350(d) |
| (pre    |         |         |         |         | (1)(i)  | (3)     |
| venting |         |         |         |         |         |         |
| use of  |         |         |         |         |         |         |
| pros    |         |         |         |         |         |         |
| thesis) |         |         |         |         |         |         |
+---------+---------+---------+---------+---------+---------+---------+
| Ana     |         |         |         |         |         | N Code  |
| tomical |         |         |         |         |         | N-2 a,  |
| loss    |         |         |         |         |         |         |
| near    |         |         |         |         |         | 38 CFR  |
| hip     |         |         |         |         |         | 3       |
| (pre    |         |         |         |         |         | .350(d) |
| venting |         |         |         |         |         | (2)     |
| use of  |         |         |         |         |         |         |
| pros    |         |         |         |         |         |         |
| thesis) |         |         |         |         |         |         |
+---------+---------+---------+---------+---------+---------+---------+

Note: Need for aid attendance or permanently bedridden qualifies for
subpar. L. Code L-1 h, i (38 CFR 3.350(b)). Paraplegia with loss of use
of both lower extremities and loss of anal and bladder sphincter control
qualifies for subpar. O. Code O-2 (38 CFR 3.350(e)(2). 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). (Authority: 38
U.S.C. 1115)

# Dental and Oral Conditions

4.149 (Reserved)

4.150 Schedule of ratings---dental and oral
conditions..................................4.150-1

S4.149 (reserved)

\[59 FR 2530, Jan. 18, 1994; removed and reserved 64 FR 30393, June 8,
1999\]

**Supplement Highlights reference:** 7(2), 26(l)

**§4.150 Schedule of ratings---dental and oral conditions.**

Rating

**9900** Maxilla or mandible, chronic osteomyelitis or
osteoradionecrosis of:

Rate as osteomyelitis, chronic under diagnostic code 5000.

**9901** Mandible, loss of, complete, between angles 100

**9902** Mandible, loss of approximately one-half:

Involving temporomandibular articulation 50

Not involving temporomandibular articulation 30

**9903** Mandible, nonunion of:

Severe 30

Moderate 10

Note: Dependent upon degree of motion and relative loss of masticatory

function.

**9904** Mandible, malunion of:

Severe displacement 20

Moderate displacement 10

Slight displacement 0

Note: Dependent upon degree of motion and relative loss of masticatory

function.

**9905** Temporomandibular articulation, limited motion of:

Inter-incisal range:

0 to 10 mm 40

11 to 20 mm 30

21 to 30 mm 20

31 to 40 mm 10

Range of lateral excursion:

0 to 4 mm 10

Note: Ratings for limited inter-incisal movement shall not be combined
with

ratings for limited lateral excursion.

**9906** Ramus, loss of whole or part of:

Involving loss of temporomandibular articulation:

Bilateral 50

Unilateral 30

Not involving loss of temporomandibular articulation:

Bilateral 30

Unilateral 20