- Medical Criteria Needed to Qualify with Knee Replacement
- VA Issues Updated Guidelines for Partial Knee Replacements
- 100% Disability Rating for One Year After Joint Replacements
- Temporary disability rating after surgery or cast
Medical Criteria Needed to Qualify with Knee ReplacementPost Oct 29, 1 T Post Nov 04, 2 T Post Nov 04, 3 T Post Nov 04, 4 T Post Nov 05, 5 T Post Nov 15, 6 T Post Dec 10, 7 T Post Dec 17, 8 T Post Dec 17, 9 T Post Dec 20, 10 T Post Dec 23, 11 T Post Jan 25, 12 T Post Jan 25, 13 T Post Feb 01, 14 T Post Feb 01, 15 T Post Feb 09, 16 T Post Feb 09, 17 T Post Feb 09, 18 T Post Feb 11, 19 T Post Feb 13, 20 T Post Jan 30, 21 T Post Jun 16, 22 T Post Jun 17, 23 T Post Jul 25, 24 T Post Jul 25, 25 T Post Jul 25, 26 T Post Jul 28, 27 T Post Jul 28, 28 T Post Jul 31, 29 T Post Jul 31, 30 T Post Aug 01, 31 T Post Aug 07, 32 T Post Aug 07, 33 T Post Oct 28, 34 T Post Nov 06, 35 T Post Nov 07, 36 T Post Nov 07, 37 T Post Nov 07, 38 T
VA Issues Updated Guidelines for Partial Knee Replacements
We are still accepting new cases and working on our clients' cases. Much of the confusion stems from the fact that a veteran may be able to receive multiple ratings for the same knee, depending on the severity of his or her condition. In previous postswe discussed ratings for limitation of flexion and extension, instability, and meniscus injuries. Today we are going to discuss the ratings available for knee replacements. Before we get into knee replacements specifically, it is important to understand why exactly it is that multiple ratings are allowed for the knee. This means that separate disability ratings may be assigned to different conditions where none of the symptomatology for the separately rated conditions is duplicative or overlapping. This is particularly important for the knee, where one injury may cause many different issues, and these separate manifestations of that injury may all be entitled to separate ratings. Total knee replacements are rated under DC A veteran will receive a percent rating for a service-connected total knee replacement for 1 year following the implantation of the prosthesis. A 60 percent rating is warranted for chronic residuals consisting of severe painful motion or weakness in the affected extremity. Intermediate degrees of residual weakness, pain, or limitation of motion should be rated by analogy under DCs, or The minimum rating for a knee condition status post-knee replacement is 30 percent. Convalescence is defined as the act of regaining or returning to a normal or healthy state after a surgical operation or injury. The 1 year period for the percent rating under DC begins after the expiration of any convalescence ratings. It is important to note that a veteran may be eligible for a longer convalescence rating depending on his or her recovery from the surgery. There is no requirement that the veteran must be confined to his or her home, but there does need to be medical evidence that a longer convalescence is required. In fact, a veteran undergoing any surgery for a knee condition should always ask his or her doctor for a note regarding the applicable period of convalescence and be sure to get notes regarding any extensions for that convalescence period. A veteran can receive extensions for his or her convalescent rating for a total duration of up to 6 months, in increments of 1, 2, or 3 months. If a veteran has chronic residuals consisting of severe painful motion or weakness in the affected extremity, he or she should be awarded a 60 percent rating. Therefore, it is the best practice to always argue that residuals are severe. A veteran is competent to comment on his or her observable symptoms, so the veteran should submit a statement detailing the day-to-day residuals and how they affect functioning. As noted in past posts regarding rating knee conditions, a veteran should submit any lay statements he or she can from people who have witnessed these severe postoperative residuals. As noted above, the minimum rating for a knee condition status post knee replacement is 30 percent. If a veteran has intermediate degrees of residual weakness, pain, or limitation of motion, the condition should be rated analogously under DC, or For example, they cannot state that a certain limitation of motion or gait alteration is required. One last important thing to remember is that as of July 16,DC applies only to total knee replacements. The previous version of the regulation also applied to partial knee replacements. If a veteran has a claim for a partial knee replacement that was filed prior to July 16,DC will still be applied. For veterans whose claims were filed after July 16,they should still argue that a partial knee replacement should be evaluated analogously under DC Our firm was founded in in Orlando, Florida. Since that time, we have provided compassionate yet assertive representation for our clients. While we still have our home base in Florida, we represent clients nationwide. Learn more about us.
Extensions up to an additional 3 months may be granted in severe cases. If the surgery or procedure was at a VA facility, simply tell us when you apply and we will obtain the records for you. His VA physician has discussed the knee's deterioration and they have decided to operate. For more information on how to apply and for tips on making sure your claim is ready to be processed by VA, visit our How to Apply page. Veterans Crisis Line: Press 1. Complete Directory. If you are in crisis or having thoughts of suicide, visit VeteransCrisisLine. Attention A T users. To access the menus on this page please perform the following steps. Please switch auto forms mode to off. Hit enter to expand a main menu option Health, Benefits, etc. To enter and activate the submenu links, hit the down arrow. Get help from Veterans Crisis Line. Enter your search text Button to start search. Paul St. Eligibility Requirements You must be a Veteran. You must have had a surgical or other treatment performed by a VA or other approved hospital or outpatient facility for a service-connected disability. Evidence Requirements The evidence must show the surgery or treatment was for a service-connected disability, AND The surgery required convalescence of at least one month, OR The surgery resulted in severe postoperative residuals, such as incompletely healed surgical wounds, stumps of recent amputations, therapeutic immobilizations, house confinement, or required the use of a wheelchair or crutches, OR One major joint or more was immobilized by a cast without surgery. You can find your regional office on our Facility Locator page. Email Address Button to subscribe to email.
100% Disability Rating for One Year After Joint Replacements
Code : If the knee joint is frozen in place and cannot move at all, then it is rated depending on where it is frozen. This one is a bit odd and is probably only rarely used. Your condition may also qualify for additional compensation by the VA. Please see the Special Monthly Compensation page for more information. Return to Top. After the 1-year period, the condition is given a permanent rating. If the pain is not severe, but does limit the range of motion, then it is rated under code if it is frozen, or under codes ordiscussed below, if it is not frozen. Note: This code is only for total knee replacements. Partial replacements are rated on any symptoms that they cause, like limited motion. Code : If the knee is not frozen, but is limited in extension and cannot straighten all the way, then it is rated under this co de. Code : If the knee can straighten, but cannot bend all the way, then it is rated under this code. Now if the knee can move, but cannot either bend all the way or straighten all the way, then it can be rated TWICE—once under codeand once under this code Code : Genu recurvatum is a condition where the knee bends too far backward. This is sometimes a genetic condition that does not really cause any problems. In these cases, it is not ratable. Code 52 57 : The knee can also have too much motion instability from side to side or dislocate regularly. This can happen when the tendons and cartilage are damaged and can no longer support the knee joint properly. Note: Instability can be rated in addition to other ratings for the knee. So, if the knee has both limited motion an d instability, it can be rated for both. The meniscus is a cartilage that helps pad the knee joint. Any cartilage condition in the knee can be rated under these codes. Code : Any problems with the tibia or fibula bones in the lower leg are rated under this code. All other conditions are rated by how they affect the knee or ankle joint. Code : If the bones in the leg have been shortenedit is rated under this code. The shortening of the leg can occur because of trauma or surgery. This does not refer to amputation, which is rated under a different code. Only one or the other.