Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:228:p2
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 228 (pt 2/3)
Character Range: 370996–374099

causes marked embarrassment and results in the avoidance of many normal activities. For example, moderate facial disfigurement.
                     * A severe and marked condition which causes embarrassment and causes much avoidance of many public places and social intercourse. For example, severe facial disfigurement.
         FIFTEEN A particularly severe and marked condition which
causes extreme embarrassment and results in avoidance of public places and social intercourse to as great a degree as possible. For example, very severe facial disfigurement.

                  Only one rating is to be selected from this table for any condition
   No age adjustment permitted for this table

or group of conditions which contribute to disfigurement.

Both the objective and subjective components of a disfiguring condition are to be taken into account when applying Table 17.1. The objective component is the actual physical and/or temporal extent of the disfiguring condition as perceived by others. The subjective component is the veteran's own emotional and behavioural reactions to the disfigurement.

The two components will generally be aligned with one another. If the veteran has a noticeable condition that is objectively disfiguring but does not embarrass the veteran to the extent to which an average person of the same age, occupational and residential circumstances would be embarrassed, the assessment should be based on the average person's degree of embarrassment. The veteran's denial of his or her condition should not be taken into account when applying Table 17.1.

 Step 2: If non-accepted conditions have contributed to the disfigurement, apply Chapter 19 (Partially Contributing Impairment) to adjust the rating determined in Step 1.

 If non-accepted conditions have contributed to the disfigurement, Table 19.1 in Chapter 19 (Partially Contributing Impairment) is to be applied to adjust the impairment rating for the accepted conditions.

 The rating obtained in this step (or in Step 1 if partially contributing impairment is not applicable) is the final rating for disfigurement, and is to be included in the final combining of all impairment ratings.

                     Part C:

       Impairment Ratings: Combining, Apportioning, Partially Contributing

     Chapter 18
     Combined Values Chart

    INTRODUCTION

    After impairment ratings have been obtained for all accepted conditions they must be combined to a single value known as the combined impairment rating. The combining is not to be done by simple addition but is to be done by applying Table 18.1 (Combined Values Chart). The values in Table 18.1 (Combined Values Chart) are derived from the formula

                              A
    Combined value of A and B = [A + B (1 - 100 )] rounded to nearest integer

    where "A" and "B" are the impairment  ratings to be combined.

    This formula embodies a principle of combining ratings. The principle derives from the concept of whole person impairment (see page 6). The following example illustrates the