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DISEASES OF THE EYE-Continued

DISEASES OF THE EYE-Continued

Rating

Rat

ing

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NOTE: The 30 percent rating prescribed for
aphakia is a minimum rating to be applied to
the unilateral or bilateral condition and is not
to be combined with any other rating for
impaired vision. When only one eye is apha-
kic, the eye having poorer corrected visual
acuity will be rated on the basis of its acuity
without correction. When both eyes are apha-
kic, both will be rated on corrected vision.
The corrected vision of one or both aphakic
eyes will be taken one step worse than the
ascertained value, however, not better than
20/70 (6/21). Combined ratings for disabilities
of the same eye should not exceed the
amount for total loss of vision of that eye
unless there is an enucleation or a serious
cosmetic defect added to the total loss of
vision.

6030 Accommodation, paralysis of

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TABLE IV-TABLE FOR RATING BILATERAL BLINDNESS WITH DICTATOR'S RATING CODE AND VA

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TABLE IV-TABLE FOR RATING BILATERAL BLINDNESS WITH DICTATOR'S RATING CODE AND VA REGULATION-Continued

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Any of the above plus service connected total deafness one ear add 1⁄2 rate (limit O) code 322— § 3.350(1)(2)(v)(a). Any of the above plus bilateral deafness, 40% or more, at least one ear service connected add full step (Limit O) code 323§3.350(f)(2)(v)(b).

Any of the above plus service connected deafness, 60% or more, at least one ear service connected qualifies for Subpar O Code 231-3.350(e).

1 With need for aid and attendant qualifies for Subpar M code 211-83.350(c).

NOTE: No specific dictators rating code provided, code 305 through code 308 should be modified to fit the condition shown.

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IMPAIRMENT OF CENTRAL VISUAL ACUITYContinued

IMPAIRMENT OF CENTRAL VISUAL ACUITY—

Continued

6070 In the other eye 20/40 (6/12).

Vision in 1 eye 5/200 (1.5/60): 6071 In the other eye 5/200 (1.5/60) .. 6072 In the other eye 10/200 (3/60) .. 6072 In the other eye 15/200 (4.5/60). 6072 in the other eye 20/200 (6/60) 6073 In the other eye 20/100 (6/30). 6073 in the other eye 20/70 (6/21). 6073 in the other eye 20/50 (6/15) 6074 In the other eye 20/40 (6/12).

Vision in 1 eye 10/200 (3/60): 6075 in the other eye 10/200 (3/60)..

6075 In the other eye 15/200 (4.5/60). 6075 In the other eye 20/200 (6/60). 6076 In the other eye 20/100 (6/30)

6076 In the other eye 20/70 (6/21).

6076 In the other eye 20/50 (6/15) . 6077 In the other eye 20/40 (6/12). Vision in 1 eye 15/200 (4.5/60):

6075 In the other eye 15/200 (4.5/60). 6075 In the other eye 20/200 (6/60)

6076 In the other eye 20/100 (6/30). 6076 In the other eye 20/70 (6/21). 6076 In the other eye 20/50 (6/15).

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6077 In the other eye 20/40 (6/12). Vision in 1 eye 20/200 (6/60): 6075 in the other eye 20/200 (6/60). 6076 In the other eye 20/100 (6/30). 6076 In the other eye 20/70 (6/21) 6076 In the other eye 20/50 (6/15) 6077 In the other eye 20/40 (6/12). Vision in 1 eye 20/100 (6/30): 6078 In the other eye 20/100 (6/30). 6078 In the other eye 20/70 (6/21) 6078 In the other eye 20/50 (6/15). 6079 In the other eye 20/40 (6/12) Vision in 1 eye 20/70 (6/21): 6078 In the other eye 20/70 (6/21) 6078 In the other eye 20/50 (6/15) 6079 In the other eye 20/40 (6/12) Vision in 1 eye 20/50 (6/15): 6078 In the other eye 20/50 (6/15) 6079 In the other eye 20/40 (6/12) Vision in 1 eye 20/40 (6/12):

In the other eye 20/40 (6/12).

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Also entitled to special monthly compensation.
Add 10% if artificial eye cannot be worn; also entitled to

special monthly compensation.

TABLE V-RATINGS FOR CENTRAL VISUAL ACUITY IMPAIRMENT

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Also entitled to special monthly compensation.

*Add 10 percent if artificial eye cannot be worn; also entitled to special monthly compensation.

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Bilateral

Rating

30 10

68 8

30

Rate as 5/200 (1.5/60).

Producing diplopia in 17-18 rectangles..

Rate as 10/200 (3/60).

Producing diplopia in 14-16 rectangles...

Rate as 15/200 (4.5/60).

Producing diplopia in 12-13 rectangles..

Rat

ing

100

Unilateral..

88

20

10

Or rate as 20/50 (6/15).

Field, visual, concentric contraction of:

To 5°:

Bilateral

Unilateral.

880

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Or rate as 20/50 (6/15).

NOTE (1): Correct diagnosis reflecting disease or injury should be cited.

NOTE (2): Demonstrable pathology commensurate with the functional loss will be required. The concentric contraction ratings require contraction within the stated degrees, temporally; the nasal contraction may be less. The alternative ratings are to be employed when there is ratable defect of visual acuity, or a different impairment of the visual field in the other eye. Concentric contraction resulting from demonstrable pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 (1.5/60) or less for all purposes including entitlement under $3.350(b)(2) of this chapter, not however, for the purpose of $3.350(a) of this chapter. Entitlement on account of blindness requiring regular aid and attendance, §3.350(c) of this chapter, will continue to be determined on the facts in the individual case.

20

100

Rate as 20/200 (6/60).

Producing diplopia in 9-11 rectangles..
Rate as 20/100 (6/30).

Producing diplopia in 6-8 rectangles...
Rate as 20/70 (6/21).

Producing diplopia in 3-5 rectangles..
Rate as 20/50 (6/15).

Producing diplopia in 0-2 rectangles.
Rate as 20/40 (6/12).

NOTE (1): Correct diagnosis reflecting disease or
injury should be cited.

NOTE (2): The ratings under diagnostic code
6090 are to be applied only to the poorer eye
if both have ratable impairment of visual
acuity or visual field; if only one eye has a
ratable impairment, to that eye, but not in
combination with any other eye rating.
6091 Symblepharon.

Rate as limited muscle function, diagnostic
Code 6090.

6092 Diplopia, due to limited muscle function.
Rate as diagnostic Code 6090.

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§ 4.85 Hearing impairments reported as a result of regional office or authorized audiology clinic examinations.

(a) If the results of controlled speech reception tests are used, the letter, A through F, designating the impairment in efficiency of each ear separately, will be ascertained from table VI. Table VI indicates six areas of impairment in efficiency. The literal designation of impaired efficiency (A, B, C, D, E, or F) will be determined by intersecting the horizontal row appropriate for percentage of discrimination and the vertical column appropriate to the speech reception decibel loss; thus, with a speech reception decibel loss of 62 db and a percentage discrimination of 72 percent the literal designation is "D"; if the speech reception decibel loss is 62 db and the percentage discrimination is 70 percent, the literal designation is "E".

(b) The percentage evaluation will be found from table VII by intersecting the horizontal row appropriate for the literal designation for the ear having the better hearing and the vertical column appropriate to the literal designation for the ear having the

poorer hearing. For example, if the better ear has a literal designation of "B" and the poorer ear has a literal designation of "C", the percentage evaluation is in the second horizontal row from the bottom and in the third vertical column from the right and is 10 percent and the diagnostic code is 6293.

(c) If the results of pure tone audiometry are used, the equivalent literal designation for each ear, separately, will be ascertained from table VII, and the percentage evaluation determined in the same manner as for speech reception impairment in paragraph (b) of this section. For example, if the average pure tone decibel loss for the frequencies 500, 1,000 and 2,000 is not more than 57 db and there is no loss more than 70 db for any of these three frequencies, the equivalent literal designation is "C"; if in the other ear, the average is not more than 79 db, and there is no loss more than 90 db, the equivalent literal designation is "D". The percentage evaluation is therefore found in the horizontal row opposite "C", and in the vertical column under "D", and is 20 percent and the diagnostic code is 6289. Note that if in the first instance any of the 3 frequencies has a loss of more than 70 db, or in the second instance more than 90 db, the literal designation will be higher, i.e., further from "A" in the alphabetical series.

[43 FR 45358, Oct. 2, 1978]

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