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With less interference with vision

Rate as disfigurement.

6020 Ectropion

Bilateral..

Unilateral

6021 Entropion

Bilateral

20

10

20

Unilateral

10

6022 Lagophthalmos

Bilateral

20

10

Unilateral

10

6023 Eyebrows, loss of, complete, unilateral or bilateral_

10

100

6024 Eyelashes, loss of, complete, unilateral or bilateral___

10

6025 Epiphora (lacrymal duct, interference with, from any

cause)

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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 aphakic, the eye having poorer corrected visual acuity will be rated on the basis of its acuity without correction. When both eyes are aphakic, both will be rated on corrected vision. The corrected vision of one or both aphakic eyes will be taken one step less than the ascertained value, however, not better than 20/70. 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.

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6055 Blindness in both eyes having

6056 Blindness in both eyes having

6057 Blindness in both eyes having

6050 Blindness in both eyes having only light perception and anatomical loss of both hands and both feet----

6051 Blindness in both eyes having only light perception and

loss of use of both hands and both feet----.

6052 Blindness in both eyes having only light perception and anatomical loss of both hands_

6058 Blindness in both eyes having only light perception and anatomical loss of both feet--

only light perception and anatomical loss of one hand and one foot-----

only light perception and loss of use of both hands---

only light perception and loss of use of both feet-----

only light perception and loss of use of one hand and one foot

6058 Blindness in both eyes having only light perception and anatomical loss of one hand_ 6059 Blindness in both eyes having only light perception and anatomical loss of one foot-

only light perception and loss of use of one hand---.

only light perception and loss of use of one foot---

6069

6069

6069

100

6070

In the other eye 20/50 - . In the other eye 20/40-Blindness in one eye, having only light perception In the other eye 5/200---In the other eye 10/200---In the other eye 15/200---In the other eye 20/200---In the other eye 20/100---In the other eye 20/70-----In the other eye 20/50----In the other eye 20/40--Vision in one eye 5/200

• 50

40

100

90

80

570

$60

50

640

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6060 Blindness in both eyes having

6078 6078

6078

In the other eye 20/100---
In the other eye 20/70----
In the other eye 20/50--
In the other eye 20/40 ----
Vision in one eye 15/200

In the other eye 15/200-----
In the other eye 20/200---
In the other eye 20/100---
In the other eye 20/70----
In the other eye 20/50----
In the other eye 20/40------
Vision in one eye 20/200

In the other eye 20/200----
In the other eye 20/100------
In the other eye 20/70------
In the other eye 20/50------
In the other eye 20/40..
Vision in one eye 20/100

In the other eye 20/100------
In the other eye 20/70-----
In the other eye 20/50..

100

6079

6061 Blindness in both eyes having

In the other eye 20/40--. Vision in one eye 20/70

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80

70

60

40

80

40

80

20

60

40

80

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Or rate as 20/50.

NOTE. Demonstrable organic 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 organic pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 or less for all purposes including entitlement under subparagraph (1), 38 U.S.C. 314; not, however, for the purpose of subparagraph (k). Entitlement on account of blindness requiring regular aid and attendance, subparagraph (m), will tinue to be determined on the facts in the individual case.

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Large or centrally located____ RATINGS FOR IMPAIRMENT OF MUSCLE

FUNCTION

NOTE. Correct diagnosis reflecting disease or injury should be cited.

Muscle function, ocular, impairment of

Producing diplopia in 19-20 rectangles

Rate as 5/200.

Producing diplopia in 17-18

rectangles

Rate as 10/200.

Producing diplopia in 14-16

rectangles

Rate as 15/200.

Producing diplopia in 12-13

rectangles

Rate as 20/200.

Producing diplopia in 9-11

rectangles

Rate as 20/100.

Producing diplopia in 6-8

rectangles

Rate as 20/70.

Producing diplopia in 3-5

rectangles

Rate as 20/50.

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NOTE. 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 func-
tion, diagnostic Code 6090.

6092 Diplopia, due to limited muscle
function

Rate as diagnostic Code 6090. [29 FR 6718, May 22, 1964, as amended at 34 F.R. 5062, Mar. 11, 1969]

§ 4.84b Schedule of ratings- -ear.

DISEASES OF THE EAR

6200 Otitis media,

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paired 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 52 db and a percentage discrimination of 72 percent, the literal designation is "D"; if the speech reception decibel loss is 52 db and the percentage discrimination is 70 percent, the literal designation is "E".

(b) The percentage evaluation will be found from table II 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.

(c) If the results of pure tone audiometry (either pure tone air conduction or Galvanic Skin Response, PGSR) are used, the equivalent literal designation for each ear, separately, will be ascertained from table II, 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 45 db and there is no loss more than 60 db for any of these three frequencies, the equivalent literal designation is "C"; if in the other ear, the average is not more than 67 db, and there is no loss more than 80 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. Note that if in the first instance any of the 3 frequencies has a loss of more than 60 db, or in the second instance more than 80 db, the literal designation will be higher, i.e., further from "A" in the alphabetical series.

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Conversational voice in feet.

The column and row containing entries in feet will not be used for the purpose of determining service connection or evaluation except in the rating of those unusual cases where no other data are available. In those cases showing no loss by spoken voice on induction but showing loss by spoken voice on discharge,

100 о 2

evaluation will be deferred pending examination by controlled speech and pure tone apparatus. In those cases showing loss for spoken voice on induction, the footage equivalents on table II will be used to determine the extent of hearing loss at induction for comparison with the results of examination by controlled speech and pure tone.

TABLE I

Speech Reception Decibel Loss

46 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 100 100

96

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32

A

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B

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C

76

74

12

70

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64

-2

60

36

52

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00246 8 10 12 14 16 18 20 22 24 26 28 30 32 34 36 38 40 42 44 46 48 50 52 54 56 58 60 62 64 66 68 70 72 74 76 78 80 82 84 86 88 90 92 94 96 98 100

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76

72

70

68

66

64

62

60

58

56

54

52

50

Percentage of Discrimination

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