<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/3fd94cd1-5abd-4bb6-ad6d-3538e7e66398/CFR_Regulations.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/3fd94cd1-5abd-4bb6-ad6d-3538e7e66398/CFR_Regulations.png" width="40px" /> 38 C.F.R. 4.40 - 4.73

4.40 - Functional Loss 4.41 - History of Injury 4.42 - Complete Medical Examination of Injury Cases 4.43 - Osteomyelitis 4.44 - The Bones 4.45 - The Joints 4.46 - 4.47 - Accurate Measurement/[Reserved] 4.48 - 4.49 - [Reserved] 4.50 - 4.51 - [Reserved] 4.52 - 4.53 - [Reserved] 4.54 - [Reserved] 4.55 - Principles of Combined Ratings for Muscle Injuries 4.56 - Evaluation of Muscle Disabilities 4.57 - 4.58 - Static Foot Deformities/Arthritis Due to Strain 4.59 - 4.60 - 4.61 - 4.62 - Painful Motion/[Reserved]/Examination/Circulatory Disturbances 4.63 - 4.64 - 4.65 - Loss of Use of Hand or Foot/Loss of Use of Both Buttocks 4.66 - 4.67 - Sacroiliac Joint/Pelvic Bones 4.68 - 4.69 - 4.70 - Amputation Rule/Dominant Hand/Inadequate Examinations 4.71 - Measurement of Ankylosis and Joint Motion 4.71a- Schedule of Ratings - Musculoskeletal System 4.71a-table-2 - Table II - Ratings for Multiple Losses or Extremities with Dictator's Rating Code and CFR Citation 4.73 - Schedule of Ratings - Muscle Injuries

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/6e31e878-d456-49d5-b1cf-e4cea4757d81/exam_512px.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/6e31e878-d456-49d5-b1cf-e4cea4757d81/exam_512px.png" width="40px" /> Rating Criteria

Ankle

Arthritis

Elbow & Forearm

Foot

Hand & Fingers

Hip

Knee & Lower Leg

Shoulder & Arm

Spine (Cervical & Thoracolumbar)

Wrist

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<aside> <img src="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/5e68154f-5b9d-4be4-910e-08d70177e4a4/bindersonshelf.png" alt="https://s3-us-west-2.amazonaws.com/secure.notion-static.com/5e68154f-5b9d-4be4-910e-08d70177e4a4/bindersonshelf.png" width="40px" /> Resources

Medical Research Backlink (1)

M21-1MR Backlink (1)

Secondary Conditions Backlink (1)

Attacking the Comp & Pen Exam

Case Law

Lay Evidence

Medical Evidence

Convalescence Claims

Webinars

C&P Terminology from Case Law (sharedfedtraining.org)

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💬 Advocacy Advice 💬

<aside> 🗣 Orthopedic claims should be rated based on the symptoms, not the diagnosis. Each set of symptoms gets its own separate rating:

• Too much motion or dislocation (DC 5257) or meniscus/cartilage frequently dislocates or is removed (DC 5258 or 5259)
• Limitation of Extension (DC 5260)
• Limitation of Flexion (DC 5261)

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Spine (Cervical & Thoracolumbar) (1)