Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:85:p1
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 85 (pt 1/3)
Character Range: 256878–260577

85            12.5         3.9          2.1           0.7
above 85      12.5         3.9          2.1           0.7

This is a table for making age adjustment

(The adjustments for presbyacusis in Table 7.1.9 have been modified from the adjustments provided by the National Acoustic Laboratories.)

 "Age" means the veteran's age in completed years at the date of the audiogram. The "Bilateral" column applies if there is accepted hearing loss in both ears.
 The "Unilateral" column applies if there is accepted hearing loss in only one ear.

Step 5: Determine the impairment rating for the accepted hearing loss using formula 7.1.

    Formula 7.1- Loss of function: Hearing

                           age adjusted hearing loss
              Impairment rating = 2

    Results from Formula 7.1 are to be rounded to the nearest integer (whole number). Thus 2.4 would be rounded to 2, and 2.6 would be rounded to 3. If the calculation gives an answer exactly half way between two integers, the answer is rounded up, for example 2.5 is to be rounded to 3.

    If the paired organs policy (see page 148) does not apply, Formula 7.1 gives the final impairment rating for loss of hearing. To determine whether the paired organs policy applies, proceed to Step 6.

anterior semicircular canal

lateral semicircular canal
posterior cochlea semicircular
canal vestibule

Step 6. Determine if the paired organs policy applies. If it applies, calculate the adjusted impairment rating.

 Use Table 7.1.10 to determine if the paired organs policy applies.

  Procedural
  Table 7.1.10

PAIRED ORGANS POLICY

                 Does the Paired
        Accepted Hearing Loss Organs Policy apply?

Type 1   Bilateral mixed deafness Right mixed deafness Left mixed deafness  No Yes Yes No
Type 2    Bilateral sensorineural deafness
Type 3    Bilateral sensorineural deafness
Type 4
Type 5
          with right conductive deafness                                       No
Type 6   Bilateral sensorineural deafness with left conductive deafness

                                                                               No
Type 7    Bilateral conductive deafness                                        No
Type 8   Bilateral conductive deafness with right sensorineural deafness

                                                                               No
Type 9   Bilateral conductive deafness with left sensorineural deafness

                                                                               No
Type 10  Left conductive  deafness with right sensorineural deafness

                                                                               No
Type 11  Right conductive  deafness with left sensorineural deafness

                                                                               No
Type 12   Right conductive deafness                                           Yes
Type 13   Right sensorineural deafness                                        Yes
Type 14   Left sensorineural deafness                                         Yes
Type 15   Left conductive deafness                                            Yes

 No age adjustment permitted for this table

The paired organs policy is to be applied by doubling the impairment rating for the age-adjusted PLH for the accepted hearing loss and comparing that with the impairment rating equivalent to the total bilateral hearing loss. The lesser of the two is to be taken as the impairment rating (adjusted for the paired organs policy) for the accepted hearing loss.

 The paired organ policy is the subject of Chapter 21.

    TINNITUS

    Tinnitus is to be assessed if:

    + tinnitus is