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Please Explain - I Need An Expert On Degenerative Arthritis
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carlie
After reading the regs below will someone try to explain to me how it's possible for VA to grant diagnostic code 5019 - Bursitis at 0 %.
The way I understand this reg. it would have to award a 10 % minimum, even if the LOM is noncompensable.
Thanks, carlie
5003 Arthritis, degenerative (hypertrophic or osteoarthritis):
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 pct 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 20
or 2 or more minor joint groups, with occasional
incapacitating exacerbations...............................
With X-ray evidence of involvement of 2 or more major joints 10
or 2 or more minor joint groups............................
Note (1): The 20 pct and 10 pct ratings based on X-ray
findings, above, will not be combined with ratings based on
limitation of motion.
Note (2): The 20 pct and 10 pct ratings based on X-ray
findings, above, will not be utilized in rating conditions
listed under diagnostic codes 5013 to 5024, inclusive.
5004 Arthritis, gonorrheal.
5005 Arthritis, pneumococcic.
5006 Arthritis, typhoid.
5007 Arthritis, syphilitic.
5008 Arthritis, streptococcic.
5009 Arthritis, other types (specify).
With the types of arthritis, diagnostic codes 5004 through
5009, rate the disability as rheumatoid arthritis.
5010 Arthritis, due to trauma, substantiated by X-ray findings:
Rate as arthritis, degenerative.
5011 Bones, caisson disease of: Rate as arthritis, cord
involvement, or deafness, depending on the severity of
disabling manifestations.
5012 Bones, new growths of, malignant 100
Note: The 100 percent rating will be continued for 1 year
following the cessation of surgical, X-ray, antineoplastic
chemotherapy or other therapeutic procedure. At this point,
if there has been no local recurrence or metastases, the
rating will be made on residuals.
5013 Osteoporosis, with joint manifestations.
5014 Osteomalacia.
5015 Bones, new growths of, benign.
5016 Osteitis deformans.
5017 Gout.
5018 Hydrarthrosis, intermittent.
5019 Bursitis.
5020 Synovitis.
5021 Myositis.
5022 Periostitis.
5023 Myositis ossificans.
5024 Tenosynovitis.
The diseases under diagnostic codes 5013 through 5024 will be
rated on limitation of motion of affected parts, as
arthritis, degenerative, except gout which will be rated
under diagnostic code 5002.
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