Document ID: chunk:federal_register_of_legislation:F2016L01332:reg:212:p2
Version: federal_register_of_legislation:F2016L01332
Segment Type: reg
Provision Reference: reg 212 (pt 2/6)
Character Range: 350635–353638

most respects, independence is retained.  Bed-rest is often necessary during an attack.
      IV  Major restrictions in many everyday activities. Capacity for
self-care is increasingly restricted, leading to partial dependence on others.
      V  Most everyday activities are prevented. Dependent on others
for many kinds of self-care. Able to be maintained at home only with considerable difficulty, or hospital admission is required.
VI        Total incapacity. Unconscious or delirious.  Self-care is impossible.

No age adjustment permitted for this table

Ratings are based on the activities that the veteran is physically unable to perform. For conditions in which it is common practice to lie down during attacks, it may be inappropriate to rate at level III if symptoms are mild and cause little restriction to activity.

 Attacks of some intermittent conditions necessitate hospital admission. Hospital admissions commonly, but not invariably, call for level V or VI rating. It is important to rate self-care capacity. To be rated at Level V severity, a condition must render the veteran incapable of caring for himself or herself.

 Hospital admission for surgery is not to be used as a basis for ratings from Table 15.1.

Step 6: Determine the rating for duration of the intermittent attacks using
Table 15.2.

    Attacks that last for more than 24 hours are to be classified as prolonged for the purposes of Table 15.2. Because they affect the veteran for more than one day per attack, the number of affected days per year will be greater than the number of attacks.

     SCALE
15.2

INTERMITTENT ATTACK DURATION

         Description Duration

         Transient Lasting up to and including five minutes.

         Short Lasting more than five minutes but less than
30 minutes.
         Medium  Lasting from 30 minutes to four hours. Prolonged  Lasting more than four hours.

No age adjustment permitted for this table

Step 7: Determine the intermittent grading code for the intermittent attack using Table 15.3.

      SCALE
15.3

INTERMITTENT GRADING CODE

         Description Severity Level
               0  I    II   III    IV    V   VI
Transient     A   A  A     B     C       C    F
Short         A   A  C     C     D       E    H
Medium        A   B  C     D     E       H  I
Prolonged     A   C  D     F     G     I    J

No age adjustment permitted for this table

Step 8: Determine the impairment rating for the intermittent attack by reference to the number of affected days per year and by using Table 15.4.

  Using the intermittent grading code determined in Step 7, determine the impairment rating appropriate to the intermittent grading code and frequency by applying Table 15.4.

Functional Loss
Table 15.4

   INTERMITTENT IMPAIRMENT Frequency (affected days/year)
2+    5+   10+   20+   40+   70+   100+

      Intermittent  Impairment Rating
      Grading Code
A   -    -    -     -     -        2  2
B     -    -    -     -     2      5  5