lumbosacral Diagnostic Code Criteria /diagnostic Code Criteria / 5010 Arthritis, Due To Trauma, Substantiated By X-ray Findings Rate As Arthritis, Degenerative. D

[mjofdagame]

Can anyone tell me what this means in the simplest form please.This came in the mail today.

Diagnostic Code Criteria

/

5010 Arthritis, due to trauma, substantiated by X-ray findings

Rate as arthritis, degenerative.

Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pet is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations...20

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups...10

Note (1): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.

Note(2): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic code 5013 to 5024, inclusive.

§4.45 The joints

As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. Inquiry will be directed to these considerations:

(a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.).

( More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.).

© Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.).

(d) Excess fatigability.

(e) Incoordination, impaired ability to execute skilled movements smoothly.

(f) Pain on movement, swelling, deformity or atrophy of disuse. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions.

/

5010 Arthritis, due to trauma, substantiated by X-ray findings

Rate as arthritis, degenerative.

Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pet is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations...20

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups...10

Note (1): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.

Note(2): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic code 5013 to 5024, inclusive.

§4.45 The joints

As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. Inquiry will be directed to these considerations:

(a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.).

( More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.).

© Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.).

(d) Excess fatigability.

(e) Incoordination, impaired ability to execute skilled movements smoothly.

(f) Pain on movement, swelling, deformity or atrophy of disuse. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions.

[Commander Bob]

Can anyone tell me what this means in the simplest form please.This came in the mail today.

Diagnostic Code Criteria

/

5010 Arthritis, due to trauma, substantiated by X-ray findings

Rate as arthritis, degenerative.

Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pet is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations...20

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups...10

Note (1): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.

Note(2): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic code 5013 to 5024, inclusive.

§4.45 The joints

As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. Inquiry will be directed to these considerations:

(a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.).

( B) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.).

© Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.).

(d) Excess fatigability.

(e) Incoordination, impaired ability to execute skilled movements smoothly.

(f) Pain on movement, swelling, deformity or atrophy of disuse. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions.

/

5010 Arthritis, due to trauma, substantiated by X-ray findings

Rate as arthritis, degenerative.

Degenerative arthritis established by X-ray findings will be rated on the basis of limitation of motion under the appropriate diagnostic codes for the specific joint or joints involved (DC 5200 etc.). When however, the limitation of motion of the specific joint or joints involved is noncompensable under the appropriate diagnostic codes, a rating of 10 pet is for application for each such major joint or group of minor joints affected by limitation of motion, to be combined, not added under diagnostic code 5003. Limitation of motion must be objectively confirmed by findings such as swelling, muscle spasm, or satisfactory evidence of painful motion. In the absence of limitation of motion, rate as below:

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups, with occasional incapacitating exacerbations...20

With X-ray evidence of involvement of 2 or more major joints or 2 or more minor joint groups...10

Note (1): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be combined with ratings based on limitation of motion.

Note(2): The 20 pet and 10 pet ratings based on X-ray findings, above, will not be utilized in rating conditions listed under diagnostic code 5013 to 5024, inclusive.

§4.45 The joints

As regards the joints the factors of disability reside in reductions of their normal excursion of movements in different planes. Inquiry will be directed to these considerations:

(a) Less movement than normal (due to ankylosis, limitation or blocking, adhesions, tendon-tie-up, contracted scars, etc.).

( B) More movement than normal (from flail joint, resections, nonunion of fracture, relaxation of ligaments, etc.).

© Weakened movement (due to muscle injury, disease or injury of peripheral nerves, divided or lengthened tendons, etc.).

(d) Excess fatigability.

(e) Incoordination, impaired ability to execute skilled movements smoothly.

(f) Pain on movement, swelling, deformity or atrophy of disuse. Instability of station, disturbance of locomotion, interference with sitting, standing and weight-bearing are related considerations. For the purpose of rating disability from arthritis, the shoulder, elbow, wrist, hip, knee, and ankle are considered major joints; multiple involvements of the interphalangeal, metacarpal and carpal joints of the upper extremities, the interphalangeal, metatarsal and tarsal joints of the lower extremities, the cervical vertebrae, the dorsal vertebrae, and the lumbar vertebrae, are considered groups of minor joints, ratable on a parity with major joints. The lumbosacral articulation and both sacroiliac joints are considered to be a group of minor joints, ratable on disturbance of lumbar spine functions.

It sounds like it hurts. Are you rated for your back also? What happened?

[LarryJ]

1. Why did you receive this in the mail? Did someone just send you a printed copy of this and nothing else?

2. This is the rating criteria for arthritis (degenerative joint disease) caused by prior trauma. It is telling you that this DJD will be examined by and established by X-ray findings and will be rated, percentage-wise, by limitation of motion as evidenced by painful expression, decreased flexibility of the joints upon manipulation, etc.

What you have posted here is the standard by which the VA will determine your arthritis disability rating.

3. Now, what was the question?

[Wings]

Who sent this to you, what VA Dept.? Didn't they send a cover page, and introduction or statment of the Issue(s)??? ~Wings

[rentalguy1]

sounds like you requested a specific rating and or a specific diagnostic code. If this is the case, they are instructed in M21-1MR to send you this information.

[mjofdagame]

sounds like you requested a specific rating and or a specific diagnostic code. If this is the case, they are instructed in M21-1MR to send you this information.

that is correct rental.

they took some x-rays of my knees,right foot,right ankle and my right big toe

And sent me this upon a request for an increase on my right knee which is s/c 10%,and my right big toe which is 0% s/c.They sent me that.

thanx you guys

[mjofdagame]

1. Why did you receive this in the mail? Did someone just send you a printed copy of this and nothing else?

2. This is the rating criteria for arthritis (degenerative joint disease) caused by prior trauma. It is telling you that this DJD will be examined by and established by X-ray findings and will be rated, percentage-wise, by limitation of motion as evidenced by painful expression, decreased flexibility of the joints upon manipulation, etc.

What you have posted here is the standard by which the VA will determine your arthritis disability rating.

3. Now, what was the question?

thank you larryj you answered my question?because I didn't know what it meant,but thank you very much.Sorry if my questions are so vague i just started fooling with these folks.Thanks again larryj