Va Rating For Patellofemoral Pain Syndrome
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Retropatellar syndrome is a generic term for conditions that cause pain in the center of the knee below the kneecap.
Va rating for patellofemoral pain syndrome. 5112b 6 West 2002. Ankylosis of the Knee Diagnostic Code 5256. Under Saunders veterans are now entitled to service-connected benefits for impairment caused by pain even though there is no pathology identified. Ruling overturns nearly 20 years of VA rating.
VA assigns a 0 10 20 or 30 percent disability rating for this knee pain condition based on the amount of instability present in the knee. Check out our Knee and Lower Leg Conditions Ratings page for the exact codes and ratings. When Saunders applied for disability benefits the VA denied her saying knee pain produced no true impairment. Military doctors diagnosed her with patellofemoral pain syndrome In short knee pain.
The rating criteria is as follows. A retrospective review of an orthopedic database including more than 30 million. The criteria for restoration of the rating of the Veterans right knee patellofemoral pain syndrome from 10 percent disabling to 20 percent disabling have been met. Left knee patellofemoral syndrome.
471a Diagnostic Code 5299-5261. Patellofemoral pain syndrome left knee previously rated as left knee patellofemoral syndrome 10. Abnormal stiffening and immobility of the knee can be assigned a 30 40 50 or 60 percent disability rating depending on the limitation of flexion. The different percentages available are 0 10 20 and 30.
These ratings are assigned based on how much the knee can bend. During service Saunders suffered a knee injury. In 2003 the VA provided a handbook for the raters who perform the CP evaluation. According to the rating criteria if the knee can straighten but cant bend all the way it is rated under 5260.
The diagnostic code for limitation of flexion is 5260. Patellofemoral pain syndrome right knee previously rated as right knee patellofemoral syndrome 10. E Complaint of mild or transient pain on performing some daily activities with correlative findings on physical examination for example pain on palpation or pain on stressing the joint but without X-ray or other imaging abnormalities 0. The VA uses the rules of the VASRD to rate knee and lower leg conditions based on pain limited motion damage to the bones diseases like arthritis etc.
Saunderss challenge at the Board is to prove that her patellofemoral pain syndrome meets the pain threshold to where it reaches a level of a functional impairment of earnings capacity. The Veterans service-connected bilateral patellofemoral pain syndrome has been assigned a 10 percent disability rating for each knee pursuant to the criteria set forth in 38 CFR. This 10 percent rating and the other partial ratings of 30 percent or less are to be combined with ratings for ankylosis limited motion nonunion or malunion shortening etc subject of course to the amputation rule. Ankylosis of the Knee DC 5256 Ankylosis ie.
Patellofemoral pain syndrome PFPS is a common cause of knee pain in adolescents and adults younger than 60 years. Under the law the VA awards benefits for disabilities not. Saunders suffered a knee injury while in service and was treated by military doctors and diagnosed with patellofemoral pain syndrome according. In order to get the highest evaluation the knee must be so unstable that it gives out or dislocates on a regular basis.