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Eyes

Vision loss, eye disorders, and visual impairment.

Aphakia and Lens Dislocation
Diagnostic code 6029

Aphakia (absence of the natural lens) and dislocation of the crystalline lens are rated under diagnostic code 6029 on visual impairment with a minimum rating of 30 percent, whether one eye or both are affected.

Blepharospasm
Diagnostic code 6019

Blepharospasm is rated by analogy under 38 CFR 4.79 (eye, lacrimal apparatus) at 0 to 30 percent based on functional impact.

Cataracts (Postoperative)
Diagnostic code 6027

Postoperative cataract residuals are rated under diagnostic code 6027 based on visual acuity and field loss using the general impairment of vision criteria.

Chronic Blepharitis
Diagnostic code 6018

Chronic blepharitis is rated under diagnostic code 6018 at 10 percent when active pathology is documented.

Chronic Conjunctivitis
Diagnostic code 6018

Chronic conjunctivitis is rated under diagnostic code 6018: 10 percent while active with objective findings such as red, thick conjunctivae or mucous secretion. When inactive, it is rated on residuals such as visual impairment or disfigurement, and 0 percent when there are none.

Chronic Keratitis
Diagnostic code 6001

Keratitis (inflammation of the cornea) is rated under diagnostic code 6001 using the eye formula: on visual impairment or on incapacitating episodes over the past 12 months, whichever is higher, from 10 percent for at least one treatment visit up to 60 percent for seven or more.

Corneal Transplant Residuals
Diagnostic code 6036

Status post corneal transplant is rated under diagnostic code 6036 on visual impairment, with a minimum rating of 10 percent. The vision tables control above the floor, and complications such as graft rejection episodes count under the eye formula's incapacitating episodes.

Diabetic Retinopathy
Diagnostic code 6011

Diabetic retinopathy is rated as a secondary condition to diabetes mellitus under the visual impairment criteria of 38 CFR 4.79, based on residual visual acuity and field loss.

Diplopia (Double Vision)
Diagnostic code 6090

Diplopia is rated under diagnostic code 6090 using equivalent visual acuity: double vision in the central 20 degrees rates as 5/200 in the poorer eye, with downward and lateral gaze zones rating progressively less. The equivalent acuity is then run through the standard vision tables, and only one eye's rating is adjusted.

Dry Eye Syndrome
Diagnostic code 6025

Dry eye disease is rated under diagnostic code 6025 at 10 percent when active pathology of the lacrimal apparatus is documented, with separate ratings for any visual impairment.

Eyelid Conditions (Ectropion, Entropion, Lagophthalmos)
Diagnostic code 6020

Ectropion (diagnostic code 6020), entropion (6021), and lagophthalmos (6022) each rate 10 percent for one eye and 20 percent for both. Epiphora (constant tearing from lacrimal duct interference, 6025) carries the same 10 and 20 percent tiers.

Glaucoma
Diagnostic code 6013

Glaucoma is rated under diagnostic code 6013 with a minimum 10 percent for treatment requirement. Visual field loss and impaired central vision are rated separately under the visual impairment criteria.

Keratoconus
Diagnostic code 6035

Keratoconus is rated under diagnostic code 6035 based on residual visual acuity with the best corrective lens.

Loss of an Eye (Enucleation)
Diagnostic code 6063

Anatomical loss of one eye with normal vision in the other rates 40 percent under the visual impairment tables, climbing as the remaining eye's vision falls; anatomical loss of both eyes rates 100 percent. Loss of an eye also qualifies for Special Monthly Compensation, and a disfigurement rating can apply to the orbit.

Macular Degeneration
Diagnostic code 6006

Macular degeneration is rated under the visual impairment criteria of 38 CFR 4.79 based on residual visual acuity and central field loss.

Nystagmus
Diagnostic code 6016

Central nystagmus is rated under diagnostic code 6016 at 10 percent. Visual impairment it causes is rated separately under the acuity tables, and vestibular nystagmus is usually rated as part of the underlying balance disorder.

Optic Neuritis
Diagnostic code 6026

Optic neuritis residuals are rated under diagnostic code 6026 with separate visual impairment ratings under 38 CFR 4.79 for any residual visual loss.

Ptosis (Drooping Eyelid)
Diagnostic code 6019

Ptosis of the eyelid is rated under diagnostic code 6019 based on visual impairment when the lid obscures the pupil, or as disfigurement (diagnostic code 7800) when it does not. Vision based ratings follow the visual acuity tables and can be significant when the pupil is covered.

Retinal Detachment Residuals
Diagnostic code 6008

Retinal detachment is rated under diagnostic code 6008 using the General Rating Formula for Diseases of the Eye: whichever is higher of (1) the visual impairment the condition actually causes, using the acuity and field tables, or (2) documented incapacitating episodes, meaning treatment visits for the eye condition, from 10 percent for 1 to 2 visits up to 60 percent for 7 or more in the past 12 months.

Retinitis Pigmentosa and Retinal Dystrophies
Diagnostic code 6006

Retinitis pigmentosa and other retinopathies are rated under diagnostic code 6006 using the eye formula: on visual impairment (acuity and visual fields) or incapacitating episodes, whichever is higher. Because the disease destroys peripheral vision first, the visual field tables usually control, and concentric contraction to 5 degrees or less rates as 100 percent blindness levels.

Strabismus (Eye Misalignment)
Diagnostic code 6090

Strabismus is rated under 38 CFR 4.79 DC 6090 by analogy at 10 percent or higher when it causes diplopia (double vision) that impairs function.

Uveitis and Iritis
Diagnostic code 6000

Uveitis (diagnostic code 6000) and iritis (6003) are rated under the General Rating Formula for eye diseases: on visual impairment, or on incapacitating episodes over the past 12 months, whichever is higher, from 10 percent for at least one treatment visit up to 60 percent for seven or more.

Visual Impairment
Diagnostic code 6066

Visual impairment is rated based on visual acuity using a precise table that converts best corrected vision into a percentage.

Printed from The Veteran Benefit Desk - https://veteranbenefitdesk.com/conditions/body-system/eyes. Figures reflect this page as published. Rates change each December; confirm current amounts at veteranbenefitdesk.com before relying on them.
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