M21-1 and 38 CFR changes, week of Feb 8, 2021

Added

• Impairment of one extremity | Impairment of other extremity
• Anatomical loss or loss of use below elbow | M Codes M-1 a, b, or c, 38 CFR 3.350 (c)(1)(i) | L Codes L-1 d, e, f, or g, 38 CFR 3.350(b) | M1/2 Code M-5, 38 CFR 3.350 (f)(1)(x) | L1/2 Code L-2 c, 38 CFR 3.350 (f)(1)(vi) | N Code N-3, 38 CFR 3.350 (f)(1)(xi) | M Code M-3 c, 38 CFR 3.350 (f)(1)(viii)
• Anatomical loss or loss of use below knee | | L Codes L-1 a, b, or c, 38 CFR 3.350(b) | L1/2 Code L-2 b, 38 CFR 3.350 (f)(1)(iii) | L1/2 Code L-2 a, 38 CFR 3.350 (f)(1)(i) | M Code M-3 b, 38 CFR 3.350 (f)(1)(iv) | M Code M-3 a, 38 CFR 3.350 (f)(1)(ii)
• Anatomical loss or loss of use above elbow (preventing use of prosthesis) | | | N Code N-1, 38 CFR 3.350 (d)(1) | M Code M-2 a, 38 CFR 3.350 (c)(1)(iii) | N1/2 Code N-4, 38 CFR 3.350 (f)(1)(ix) | M1/2 Code M-4 c, 38 CFR 3.350 (f)(1)(xi)
• Anatomical loss or loss of use above knee (preventing use of prosthesis) | | | | M Code M-2 a, 38 CFR 3.350 (c)(1)(ii) | M1/2 Code M-4 b, 38 CFR 3.350 (f)(1)(vii) | M1/2 Code M-4 a, 38 CFR 3.350 (f)(1)(v)
• Anatomical loss near hip (preventing use of prosthesis) | | | | | | N Code N-2 a, 38 CFR 3.350 (d)(2)

and 43 more added passages

Removed

• Acute, Subacute, or Chronic Diseases | Rating
• Prosthetic Implants and Resurfacing | Rating
• Table II - Ratings for Multiple Losses of Extremities With Dictator's Rating Code and 38 CFR CitationImpairment of one extremity | Impairment of other extremity
• Anatomical loss or loss of use below elbow | M Codes M-1 a, b, or c, 38 CFR 3.350 (c)(1)(i) | L Codes L-1 d, e, f, or g, 38 CFR 3.350(b) | M
• 1/2 Code M-5, 38 CFR 3.350 (f)(1)(x) | L
• 1/2 Code L-2 c, 38 CFR 3.350 (f)(1)(vi) | N Code N-3, 38 CFR 3.350 (f)(1)(xi) | M Code M-3 c, 38 CFR 3.350 (f)(1)(viii)
• Anatomical loss or loss of use below knee | | L Codes L-1 a, b, or c, 38 CFR 3.350(b) | L
• 1/2 Code L-2 b, 38 CFR 3.350 (f)(1)(iii) | L

and 47 more removed passages

Added

• See §§ 4.88c and 4.89 |
• 5002 Multi-joint arthritis (except post-traumatic and gout), 2 or more joints, as an active process:
• Examples of conditions rated using this diagnostic code include, but are not limited to, rheumatoid arthritis, psoriatic arthritis, and spondyloarthropathies.
• For chronic residuals, rate under diagnostic code 5003.
• The ratings for the active process will not be combined with the residual ratings for limitation of motion, ankylosis, or diagnostic code 5003.

and 123 more added passages

Removed

• Link to an amendment published at 85 FR 76460, Nov.
• Link to a correction published at 85 FR 85523, Dec.
• Link to a correction published at 86 FR 8142, Feb.
• See §§ 4.88b and 4.89.
• 5002 Arthritis rheumatoid (atrophic) As an active process:

and 79 more removed passages

Added

• Ratings of slight, moderate, moderately severe, or severe for diagnostic codes 5301 through 5323 will be determined based upon the criteria contained in § 4.56.
• 5330 Rhabdomyolysis, residuals of:
• Rate each affected muscle group separately and combine in accordance with § 4.25 |
• Separately evaluate any chronic renal complications within the appropriate body system.
• 5331 Compartment syndrome:

and 6 more added passages

Removed

• Link to an amendment published at 85 FR 76464, Nov.
• [62 FR 30239, June 3, 1997]

and 2 more removed passages