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§ 4.84a Schedule of ratings—eye.
Diseases of the Eye
6000 Uveitis
6001 Keratitis
6002 Scleritis
6003 Iritis
6004 Cyclitis
6005 Choroiditis
6006 Retinitis
6007 Hemorrhage, intra-ocular, recent
6008 Retina, detachment of
6009 Eye, injury of, unhealed:
The above disabilities, in chronic form, are to be rated from 10 percent to 100 percent for impairment of visual acuity or field loss, pain, rest-requirements, or episodic incapacity, combining an additional rating of 10 percent during continuance of active pathology. Minimum rating during active pathology........... 10
6010 Eye, tuberculosis of, active or inactive:
Active.................................................................................................. 100
Inactive: See §§4.88b and 4.89.
6011 Retina, localized scars, atrophy, or irregularities of, centrally located, with
irregular, duplicated enlarged or diminished image:
Unilateral or bilateral ........................................................................... 10
6012 Glaucoma, congestive or inflammatory:
Frequent attacks of considerable duration; during continuance of actual total
disability ........................................................................................... 100
Or, rate as iritis, diagnostic Code 6003.
6013 Glaucoma, simple, primary, noncongestive:
Rate on impairment of visual acuity or field loss. Minimum rating ..........10
6014 New growths, malignant (eyeball only):
Pending completion of operation or other indicated treatment..................... 100
Healed; rate on residuals.
6015 New growths, benign (eyeball and adnexa, other than superficial):
Rate on impaired vision, .....................................................minimum 10
Healed; rate on residuals.
6016 Nystagmus, central ..........................................................................10
6017 Conjunctivitis, trachomatous, chronic:
Active; rate for impairment of visual acuity; minimum rating
while there is active pathology. ........................................................30
Healed; rate on residuals, if no residuals............................................ 0
6018 Conjunctivitis, other, chronic:
Active, with objective symptoms ................................................... 10
Healed; rate on residuals, if no residuals .......................................... 0
6019 Ptosis, unilateral or bilateral:
Pupil wholly obscured. Rate equivalent to 5/200 (1.5/60).
Pupil one-half or more obscured. Rate equivalent to 20/100 (6/30).
With less interference with vision. Rate as disfigurement.
6020 Ectropion:
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
6021 Entropion:
Bilateral ...............................................................................................20
Unilateral .............................................................................................10
6022 Lagophthalmos:
Bilateral ..............................................................................................20
Unilateral ............................................................................................10
6023 Eyebrows, loss of, complete, unilateral or bilateral ...............................10
6024 Eyelashes, loss of, complete, unilateral or bilateral ...............................10
6025 Epiphora (lacrymal duct, interference with, from any cause):
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
6026 Neuritis, optic:
Rate underlying disease, and combine impairment of visual acuity or field loss.
6027 Cataract, traumatic:
Preoperative. Rate on impairment of vision.
Postoperative. Rate on impairment of vision and aphakia.
6028 Cataract, senile, and others:
Preoperative. Rate on impairment of vision.
Postoperative. Rate on impairment of vision and aphakia.
6029 Aphakia:
Bilateral or unilateral...................................................................... 30
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 worse than the ascertained value, however, not better than 20/70 (6/21). 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.
6030 Accommodation, paralysis of 20
6031 Dacryocystitis. Rate as epiphora.
6032 Eyelids, loss of portion of: Rate as disfigurement. (See diseases of the skin.)
6033 Lens, crystalline, dislocation of: Rate as aphakia.
6034 Pterygium: Rate for loss of vision, if any.
6035 Keratoconus: To be evaluated on impairment of corrected visual acuity using
contact lenses.
Note: When contact lenses are medically required for keratoconus, either uni­lateral or bilateral, the minimum rating will be 30 percent.
Impairment of Central Visual Acuity
Rating
6061 Anatomical loss both eyes ........................................................1005
6062 Blindness in both eyes having only light perception ....................1005
Anatomical loss of 1 eye:
6063 In the other eye 5/200 (1.5/60)................................................ 1005
6064 In the other eye 10/200 (3/60) ...................................................906
6064 In the other eye 15/200 (4.5/60) ................................................806
6064 In the other eye 20/200 (6/60) ...................................................706
6065 In the other eye 20/100 (6/30) ...................................................606
6065 In the other eye 20/70 (6/21) .....................................................606
6065 In the other eye 20/50 (6/15) .....................................................506
6066 In the other eye 20/40 (6/12) .....................................................406
Blindness in 1 eye, having only light perception:
6067 In the other eye 5/200 (1.5/60)....................................................... 1005
6068 In the other eye 10/200 (3/60) ..........................................................905
6068 In the other eye 15/200 (4.5/60)....................................................... 805
6068 In the other eye 20/200 (6/60) ..........................................................705
6069 In the other eye 20/100 (6/30).......................................................... 605
6069 In the other eye 20/70 (6/21)............................................................ 505
6069 In the other eye 20/50 (6/15) ............................................................405
6070 In the other eye 20/40 (6/12) ............................................................305
Vision in 1 eye 5/200 (1.5/60):
6071 In the other eye 5/200 (1.5/60) ..................................................... 1005
6072 In the other eye 10/200 (3/60) ..........................................................90
6072 In the other eye 15/200 (4.5/60) .......................................................80
6072 In the other eye 20/200 (6/60) ..........................................................70
6073 In the other eye 20/100 (6/30) ..........................................................60
6073 In the other eye 20/70 (6/21) ............................................................50
6073 In the other eye 20/50 (6/15) ............................................................40
6074 In the other eye 20/40 (6/12) ............................................................30
Vision in 1 eye 10/200 (3/60):
6075 In the other eye 10/200 (3/60) ..........................................................90
6075 In the other eye 15/200 (4.5/60)....................................................... 80
6075 In the other eye 20/200 (6/60) ..........................................................70
6076 In the other eye 20/100 (6/30) ..........................................................60
6076 In the other eye 20/70 (6/21) ............................................................50
6076 In the other eye 20/50 (6/15) ............................................................40
6077 In the other eye 20/40 (6/12) ............................................................30
Vision in 1 eye 15/200 (4.5/60):
6075 In the other eye 15/200 (4.5/60) .......................................................80
6075 In the other eye 20/200 (6/60) ..........................................................70
6076 In the other eye 20/100 (6/30).......................................................... 60
6076 In the other eye 20/70 (6/21) ............................................................40
6076 In the other eye 20/50 (6/15)............................................................ 30
6077 In the other eye 20/40 (6/12) ............................................................20
Vision in 1 eye 20/200 (6/60):
6075 In the other eye 20/200 (6/60) ........................................................ 70
6076 In the other eye 20/100 (6/30)......................................................... 60
6076 In the other eye 20/70 (6/21) ...........................................................40
6076 In the other eye 20/50 (6/15) ...........................................................30
6077 In the other eye 20/40 (6/12) ...........................................................20
Vision in 1 eye 20/100 (6/30):
6078 In the other eye 20/100 (6/30) .........................................................50
6078 In the other eye 20/70 (6/21) ...........................................................30
6078 In the other eye 20/50 (6/15) ...........................................................20
6079 In the other eye 20/40 (6/12) ...........................................................10
Vision in 1 eye 20/70 (6/21):
6078 In the other eye 20/70 (6/21) ..........................................................30
6078 In the other eye 20/50 (6/15) ..........................................................20
6079 In the other eye 20/40 (6/12) ..........................................................10
Vision in 1 eye 20/50 (6/15):
6078 In the other eye 20/50 (6/15) ..........................................................10
6079 In the other eye 20/40 (6/12) ..........................................................10
Vision in 1 eye 20/40 (6/12):
In the other eye 20/40 (6/12) ....................................................................0
5Also entitled to special monthly compensation.
6Add 10% if artificial eye cannot be worn; also entitled to special monthly com­pen­sation.
Ratings for Impairment of Field of Vision
Rating
6080 Field vision, impairment of:
Homonymous hemianopsia ...............................................................30
Field, visual, loss of temporal half:
Bilateral ............................................................................................30
Unilateral ..........................................................................................10
Or rate as 20/70 (6/21).
Field, visual, loss of nasal half:
Bilateral ........................................................................................20
Unilateral ......................................................................................10
Or rate as 20/50 (6/15).
Field, visual, concentric contraction of:
To 5º:
Bilateral ...........................................................................................100
Unilateral ...........................................................................................30
Or rate as 5/200 (1.5/60).
To 15º but not to 5°:
Bilateral ..............................................................................................70
Unilateral ........................................................................................... 20
Or rate as 20/200 (6/60).
To 30º but not to 15º:
Bilateral .............................................................................................50
Unilateral ...........................................................................................10
Or rate as 20/100 (6/30).
To 45º but not to 30º:
Bilateral .............................................................................................30
Unilateral ...........................................................................................10
Or rate as 20/70 (6/21):
To 60º but not to 45º:
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
Or rate as 20/50 (6/15).
Note (1): Correct diagnosis reflecting disease or injury should be cited.
Note (2): Demonstrable 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 pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 (1.5/60) or less for all purposes including entitlement under §3.350(b)(2) of this chapter; not however, for the purpose of §3.350(a) of this chapter. Entitlement on account of blindness requiring regular aid and attendance, §3.350(c) of this chapter, will continue to be determined on the facts in the individual case.
6081 Scotoma, pathological, unilateral:
Large or centrally located, minimum ........................................................10
Note: Rate on loss of central visual acuity or impairment of field vision. Do not combine with any other rating for visual impairment.
Ratings for Impairment of Muscle Function
Equivalent
Degree of Diplopia visual acuity
6090 Diplopia (double vision).
(a) Central 20º 5/200
(b) 21º to 30º:
(1) Down 15/200
(2) Lateral 20/100
(3) Up 20/70
(c) 31º to 40º :
(1) Down 20/200
(2) Lateral 20/70
(3) Up 20/40
Notes: (1) Correct diagnosis reflecting disease or injury should be cited.
(2) The above ratings will be applied to only one eye. Ratings will not be applied for both diplopia and decreased visual acuity or field of vision in the same eye. When diplopia is present and there is also ratable impairment of visual acuity or field of vision of both eyes the above diplopia ratings will be applied to the poorer eye while the better eye is rated according to the best corrected visual acuity or visual field.
(3) When the diplopia field extends beyond more than one quadrant or more than one range of degrees, the evaluation for diplopia will be based on the quadrant and degree range that provide the highest evaluation.
(4) When diplopia exists in two individual and separate areas of the same eye, the equivalent visual acuity will be taken one step worse, but no worse than 5/200.
6091 Symblepharon.
Rate as limited muscle function, diagnostic code 6090.
6092 Diplopia, due to limited muscle function.
Rate as diagnostic code 6090.
Diseases of the Eye
Rating
6001 Keratitis
6002 Scleritis
6003 Iritis
6004 Cyclitis
6005 Choroiditis
6006 Retinitis
6007 Hemorrhage, intra-ocular, recent
6008 Retina, detachment of
6009 Eye, injury of, unhealed:
The above disabilities, in chronic form, are to be rated from 10 percent to 100 percent for impairment of visual acuity or field loss, pain, rest-requirements, or episodic incapacity, combining an additional rating of 10 percent during continuance of active pathology. Minimum rating during active pathology........... 10
6010 Eye, tuberculosis of, active or inactive:
Active.................................................................................................. 100
Inactive: See §§4.88b and 4.89.
6011 Retina, localized scars, atrophy, or irregularities of, centrally located, with
irregular, duplicated enlarged or diminished image:
Unilateral or bilateral ........................................................................... 10
6012 Glaucoma, congestive or inflammatory:
Frequent attacks of considerable duration; during continuance of actual total
disability ........................................................................................... 100
Or, rate as iritis, diagnostic Code 6003.
6013 Glaucoma, simple, primary, noncongestive:
Rate on impairment of visual acuity or field loss. Minimum rating ..........10
6014 New growths, malignant (eyeball only):
Pending completion of operation or other indicated treatment..................... 100
Healed; rate on residuals.
6015 New growths, benign (eyeball and adnexa, other than superficial):
Rate on impaired vision, .....................................................minimum 10
Healed; rate on residuals.
6016 Nystagmus, central ..........................................................................10
6017 Conjunctivitis, trachomatous, chronic:
Active; rate for impairment of visual acuity; minimum rating
while there is active pathology. ........................................................30
Healed; rate on residuals, if no residuals............................................ 0
6018 Conjunctivitis, other, chronic:
Active, with objective symptoms ................................................... 10
Healed; rate on residuals, if no residuals .......................................... 0
6019 Ptosis, unilateral or bilateral:
Pupil wholly obscured. Rate equivalent to 5/200 (1.5/60).
Pupil one-half or more obscured. Rate equivalent to 20/100 (6/30).
With less interference with vision. Rate as disfigurement.
6020 Ectropion:
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
6021 Entropion:
Bilateral ...............................................................................................20
Unilateral .............................................................................................10
6022 Lagophthalmos:
Bilateral ..............................................................................................20
Unilateral ............................................................................................10
6023 Eyebrows, loss of, complete, unilateral or bilateral ...............................10
6024 Eyelashes, loss of, complete, unilateral or bilateral ...............................10
6025 Epiphora (lacrymal duct, interference with, from any cause):
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
6026 Neuritis, optic:
Rate underlying disease, and combine impairment of visual acuity or field loss.
6027 Cataract, traumatic:
Preoperative. Rate on impairment of vision.
Postoperative. Rate on impairment of vision and aphakia.
6028 Cataract, senile, and others:
Preoperative. Rate on impairment of vision.
Postoperative. Rate on impairment of vision and aphakia.
6029 Aphakia:
Bilateral or unilateral...................................................................... 30
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 worse than the ascertained value, however, not better than 20/70 (6/21). 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.
6030 Accommodation, paralysis of 20
6031 Dacryocystitis. Rate as epiphora.
6032 Eyelids, loss of portion of: Rate as disfigurement. (See diseases of the skin.)
6033 Lens, crystalline, dislocation of: Rate as aphakia.
6034 Pterygium: Rate for loss of vision, if any.
6035 Keratoconus: To be evaluated on impairment of corrected visual acuity using
contact lenses.
Note: When contact lenses are medically required for keratoconus, either uni­lateral or bilateral, the minimum rating will be 30 percent.
Impairment of Central Visual Acuity
Rating
6061 Anatomical loss both eyes ........................................................1005
6062 Blindness in both eyes having only light perception ....................1005
Anatomical loss of 1 eye:
6063 In the other eye 5/200 (1.5/60)................................................ 1005
6064 In the other eye 10/200 (3/60) ...................................................906
6064 In the other eye 15/200 (4.5/60) ................................................806
6064 In the other eye 20/200 (6/60) ...................................................706
6065 In the other eye 20/100 (6/30) ...................................................606
6065 In the other eye 20/70 (6/21) .....................................................606
6065 In the other eye 20/50 (6/15) .....................................................506
6066 In the other eye 20/40 (6/12) .....................................................406
Blindness in 1 eye, having only light perception:
6067 In the other eye 5/200 (1.5/60)....................................................... 1005
6068 In the other eye 10/200 (3/60) ..........................................................905
6068 In the other eye 15/200 (4.5/60)....................................................... 805
6068 In the other eye 20/200 (6/60) ..........................................................705
6069 In the other eye 20/100 (6/30).......................................................... 605
6069 In the other eye 20/70 (6/21)............................................................ 505
6069 In the other eye 20/50 (6/15) ............................................................405
6070 In the other eye 20/40 (6/12) ............................................................305
Vision in 1 eye 5/200 (1.5/60):
6071 In the other eye 5/200 (1.5/60) ..................................................... 1005
6072 In the other eye 10/200 (3/60) ..........................................................90
6072 In the other eye 15/200 (4.5/60) .......................................................80
6072 In the other eye 20/200 (6/60) ..........................................................70
6073 In the other eye 20/100 (6/30) ..........................................................60
6073 In the other eye 20/70 (6/21) ............................................................50
6073 In the other eye 20/50 (6/15) ............................................................40
6074 In the other eye 20/40 (6/12) ............................................................30
Vision in 1 eye 10/200 (3/60):
6075 In the other eye 10/200 (3/60) ..........................................................90
6075 In the other eye 15/200 (4.5/60)....................................................... 80
6075 In the other eye 20/200 (6/60) ..........................................................70
6076 In the other eye 20/100 (6/30) ..........................................................60
6076 In the other eye 20/70 (6/21) ............................................................50
6076 In the other eye 20/50 (6/15) ............................................................40
6077 In the other eye 20/40 (6/12) ............................................................30
Vision in 1 eye 15/200 (4.5/60):
6075 In the other eye 15/200 (4.5/60) .......................................................80
6075 In the other eye 20/200 (6/60) ..........................................................70
6076 In the other eye 20/100 (6/30).......................................................... 60
6076 In the other eye 20/70 (6/21) ............................................................40
6076 In the other eye 20/50 (6/15)............................................................ 30
6077 In the other eye 20/40 (6/12) ............................................................20
Vision in 1 eye 20/200 (6/60):
6075 In the other eye 20/200 (6/60) ........................................................ 70
6076 In the other eye 20/100 (6/30)......................................................... 60
6076 In the other eye 20/70 (6/21) ...........................................................40
6076 In the other eye 20/50 (6/15) ...........................................................30
6077 In the other eye 20/40 (6/12) ...........................................................20
Vision in 1 eye 20/100 (6/30):
6078 In the other eye 20/100 (6/30) .........................................................50
6078 In the other eye 20/70 (6/21) ...........................................................30
6078 In the other eye 20/50 (6/15) ...........................................................20
6079 In the other eye 20/40 (6/12) ...........................................................10
Vision in 1 eye 20/70 (6/21):
6078 In the other eye 20/70 (6/21) ..........................................................30
6078 In the other eye 20/50 (6/15) ..........................................................20
6079 In the other eye 20/40 (6/12) ..........................................................10
Vision in 1 eye 20/50 (6/15):
6078 In the other eye 20/50 (6/15) ..........................................................10
6079 In the other eye 20/40 (6/12) ..........................................................10
Vision in 1 eye 20/40 (6/12):
In the other eye 20/40 (6/12) ....................................................................0
5Also entitled to special monthly compensation.
6Add 10% if artificial eye cannot be worn; also entitled to special monthly com­pen­sation.
Ratings for Impairment of Field of Vision
Rating
6080 Field vision, impairment of:
Homonymous hemianopsia ...............................................................30
Field, visual, loss of temporal half:
Bilateral ............................................................................................30
Unilateral ..........................................................................................10
Or rate as 20/70 (6/21).
Field, visual, loss of nasal half:
Bilateral ........................................................................................20
Unilateral ......................................................................................10
Or rate as 20/50 (6/15).
Field, visual, concentric contraction of:
To 5º:
Bilateral ...........................................................................................100
Unilateral ...........................................................................................30
Or rate as 5/200 (1.5/60).
To 15º but not to 5°:
Bilateral ..............................................................................................70
Unilateral ........................................................................................... 20
Or rate as 20/200 (6/60).
To 30º but not to 15º:
Bilateral .............................................................................................50
Unilateral ...........................................................................................10
Or rate as 20/100 (6/30).
To 45º but not to 30º:
Bilateral .............................................................................................30
Unilateral ...........................................................................................10
Or rate as 20/70 (6/21):
To 60º but not to 45º:
Bilateral .............................................................................................20
Unilateral ...........................................................................................10
Or rate as 20/50 (6/15).
Note (1): Correct diagnosis reflecting disease or injury should be cited.
Note (2): Demonstrable 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 pathology to 5 degrees or less will be considered on a parity with reduction of central visual acuity to 5/200 (1.5/60) or less for all purposes including entitlement under §3.350(b)(2) of this chapter; not however, for the purpose of §3.350(a) of this chapter. Entitlement on account of blindness requiring regular aid and attendance, §3.350(c) of this chapter, will continue to be determined on the facts in the individual case.
6081 Scotoma, pathological, unilateral:
Large or centrally located, minimum ........................................................10
Note: Rate on loss of central visual acuity or impairment of field vision. Do not combine with any other rating for visual impairment.
Ratings for Impairment of Muscle Function
Equivalent
Degree of Diplopia visual acuity
6090 Diplopia (double vision).
(a) Central 20º 5/200
(b) 21º to 30º:
(1) Down 15/200
(2) Lateral 20/100
(3) Up 20/70
(c) 31º to 40º :
(1) Down 20/200
(2) Lateral 20/70
(3) Up 20/40
Notes: (1) Correct diagnosis reflecting disease or injury should be cited.
(2) The above ratings will be applied to only one eye. Ratings will not be applied for both diplopia and decreased visual acuity or field of vision in the same eye. When diplopia is present and there is also ratable impairment of visual acuity or field of vision of both eyes the above diplopia ratings will be applied to the poorer eye while the better eye is rated according to the best corrected visual acuity or visual field.
(3) When the diplopia field extends beyond more than one quadrant or more than one range of degrees, the evaluation for diplopia will be based on the quadrant and degree range that provide the highest evaluation.
(4) When diplopia exists in two individual and separate areas of the same eye, the equivalent visual acuity will be taken one step worse, but no worse than 5/200.
6091 Symblepharon.
Rate as limited muscle function, diagnostic code 6090.
6092 Diplopia, due to limited muscle function.
Rate as diagnostic code 6090.