va finger disability percentage

What are the VA ratings for Hiatal Hernia? Type 2 Diabetes is the #16 most common VA disability claim. between the thumb pad and the fingers, with the thumb attempting to oppose the fingers. Its often accompanied by nausea, vomiting, and extreme sensitivity to light and sound. Yourankleis an intricate network of bones, ligaments, tendons, and muscles, which is strong enough bear your body weight and enable you to move. However, the most commonCarpal Tunnel Syndrome ratingis 10%, which is mild incomplete paralysis of the median nerve.. Any vein may become varicosed although the veins most affected are those in your legs. The VA rates Tinnitus under CFR Title 38, Part 4, Schedule for Rating Disabilities, Diagnostic Code (DC) 6260, Tinnitus, Recurrent. The VA rates Vertigo under CFR 38, Part 4, VA Schedule of Ratings, using one of two Diagnostic Codes, depending on the severity of your symptoms: DC 6204, Peripheral Vestibular Disorders or DC 6205 Menieres Syndrome. Pro Tip: If your Asthma was not diagnosed in-service, youll almost certainly be denied service connection without a Nexus Letter. Plantar Fasciitisis a painful conditioncaused by inflammation of the thick band of tissue (the Plantar Fascia) at the bottom of your foot that runs from your heel to your toes. The Carpal Tunnel is a narrow passageway surrounded by bones and ligaments on the palm side of your hand. Contact the attorneys at Petro Cohen, P.C. Chronic Adjustment Disorder is the #21 most common VA disability claim. An enlarged prostate gland can cause uncomfortable urinary symptoms, such as blocking the flow of urine out of the bladder. There is no separate Diagnostic Code (DC) for ED; however, its most commonly assigned a 0% service-connected VA rating underSpecial Monthly Compensation (SMC) Category (K) or SMC-K, for Loss of Use of a Creative Organ.. VA Disability Ratings for Depressionrange from 0 percent to 100 percent with breaks at 10 percent, 30 percent, 50 percent, and 70 percent. Thereafter, the residual effects of hypothyroidism shall be rated under the appropriate diagnostic code(s) within the appropriate body system(s) (e.g., eye, digestive, and mental disorders). The VA rates Hiatal Hernia under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code(DC)7246, Hernia, Hiatal. Copyright 2023 VA Claims Insider, LLC. Many veterans with service-connected cancer obtain a 100% VA disability rating. Hiatal Hernia is the #40 most claimed VA disability condition and rounds out the Top 40 VA Disability Claims. $612.40 (Veteran with 1 Parent and 1 Child) + $29.35 (additional child 1) + $29.35 (additional child 2). Degenerative Disc Disease is one of the most common causes of low back (lumbar), mid back (thoracic), and neck pain (cervical) in veterans. What are the VA ratings for Prostate Gland conditions? VA ratings for GERD are 10%, 30%, or 60%. The maximum scheduler rating for Hemorrhoids is 20 percent. The VA uses CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Mental Disorders to rate Somatic Symptom Disorder (its a mental health condition). If one testicle is atrophied, then it is rated 0%. Benefit Rates - Compensation - Veterans Affairs Various forms of Arthritis are another common VA claim, which we have at #27. Three episodes of rheumatoid arthritis flareups each year can increase your disability rating to 40%. Its the #1 best way to prove you have Eczema and how much of your body they cover. Flat Feet occurs when the arches on the inside of your feet are flattened, which allow the entire soles of your feet to touch the floor. Size - based on the total area of scar tissue. What are the VA ratings for Somatic Symptom Disorder? 100% VA Rating Criteria for Adjustment Disorder: Total occupational and social impairment. Amigraineis a type of headache that can cause severe throbbing pain or a pulsing sensation, usually on one side of the head, but sometimes both. The highest scheduler VA rating for Anemia is 100 percent. Limited Motion of the Jaw, also known as Temporomandibular Disorder (TMD), is the #39 VA disability compensation claim. Somatic Symptom Disorder (Chronic Pain Syndrome), #23. Also note that its highly unlikely to receive a separate rating for PTSD if youre already rated for another mental health condition due to theavoidance of pyramiding, and the overlap of symptoms across multiple diagnoses. Specifically, the VA examines ranges of motion for the cervical spine, or the neck and upper back, and the thoracolumbar spine or lower back. Learn more about the VA Claims Insider Elite program now. The Hand Military Disability Made Easy The VA rates Radiculopathy most often rated underCFR 38, Part 4, VA Schedule of Ratings, diagnostic codes 8510, 8610, and 8710 for the upper and middle radicular groups. According to the VAs published statistics, 1,257,940 disabled veterans have a service-connected VA disability rating for PTSD. Make the doctor stop as soon as you feel pain! The average VA rating for Somatic Symptom Disorder is 70 percent. If you qualify for SMC-K, the VA automatically adds $118.33 per month to your basic disability compensation pay rate. The VA rates Migraines (headaches) under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 8100, Migraines. If you have an adjustment disorder, you continue to have emotional or behavioral reactions that can contribute to feeling anxious or depressed. ). The highest scheduler rating for Sinusitis is 50 percent. The VA rates Fibromyalgia under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 5025, Fibromyalgia (fibrositis, primary fibromyalgia syndrome). 5153 Index finger. For your convenience, we have offices in . (thank you Eric and menards) bad part is I have spent an extra 40 hours and 3000 which I'm out. 840,514 disabled veterans are service-connected and rated for ankle disabilities. What are the VA disability ratings for Flat Feet? The most common type of Prostate Gland disabilities is Benign Prostatic Hyperplasia (BPH), also called prostate gland enlargement, and is a very common condition as men age. The highest scheduler rating for Asthma is 100%, which has very severe symptoms to include: Forced Expiratory Volume-1 less than 40-percent predicted, or; FEV-1/FVC less than 40 percent, or; more than one attack per week with episodes of respiratory failure, or; requires daily use of systemic (oral or parenteral) high dose corticosteroids or immuno-suppressive medications. As you may know, the VA uses a sliding scale from 0 to 100 to determine the monetary benefit amount they will pay to a veteran for a claimed disorder, disease, injury or illness for service-connected disability compensation.The percentage rating that the VA will assign depends on the severity of the claimed condition. Pro Tip: Many veterans suffer from various service connected back conditions, which can affect your upper back, middle back, and/or lower back. Ischemic Heart Disease, also called Myocardial Ischemia, occurs when blood flow to your heart is reduced, preventing the heart muscle from receiving enough oxygen. The highest scheduler VA rating for Somatic Symptom Disorder is 100 percent. Answer: No, your age cannot affect your service connected VA disability benefits! If you need help, well get you squared away with one of our VA Claim Expert Coaches. With chronic residuals consisting of severe, painful motion or weakness in the affected extremity. VA Ratings for Limited Range of Motion of the Jaw are 10 percent, 20 percent, 30 percent, 40 percent, and 50 percent. Brian Reese here, Air Force service-disabled Veteran and Founder @ VA Claims Insider. VA Ratings for Peripheral Neuropathy range from 10 percent to 80 percent, with breaks at 20 percent, 40 percent, and 60 percent. Hypothyroidism is the #44 most common VA claim. 50/40% - incomplete paralysis; severe. The maximum scheduler rating for Migraine headaches is 50 percent, which has symptoms such as: Very frequent and completely prostrating (you must lay down) with prolonged attacks productive of severe economic inadaptability (your headaches affect your work and ability to produce). 10/10% - incomplete paralysis; mild. If only one testicle is removed, it is rated 0%. The VA rates Urinary Incontinence under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Codes for Voiding Dysfunction or Urinary Frequency, whichever is worse. Citation Nr: 1648512 Decision Date: 12/29/16 Archive Date: 01/06/17 DOCKET NO. Pro Tip:Perhaps the single most important word that can make or break your VA rating for migraines is the word Prostrating. The reason its so important is because the 30% and 50% VA ratings criteria contain the word Prostrating in reference to both frequency and severity of your headaches. Radiculopathy is a painful condition that results from nerve roots in your spine becoming pinched or damaged. VA Disability Benefits for Respiratory Conditions - YouTube For example, under DC 7339 Hernia, Ventral, Postoperative, if a veteran has massive, persistent, severe diastasis of recti muscles or extensive diffuse destruction or weakening of muscular and fascial support of abdominal wall to be inoperable, rate at 100 percent. Pro Tip: Were you exposed to Burn Pits? The more blood your heart pumps and the narrower your arteries, the higher your blood pressure. If youre stuck, frustrated, underrated, and currently rated between 0%-90%, VA Claims Insider Elite is for you! VA Ratings for Migrainesrange between 0 percent and 50 percent, with interim breaks at 10 percent, and 30 percent. 20,000+ disabled veterans served in our membership programs since 2016. What are the VA disability ratings for Eczema? The highest scheduler rating for Hiatal Hernia is 60%. The 0 percent PTSD rating has no symptoms or continues medication keeps your symptoms in-check. Best outcome for this claim is service connected at zero percent. Fmla SedgwickPursuant to an arrangement in which Defendant Sedgwick Brian Reeseis a VA benefits expert, author of the #1 Amazon Bestseller You Deserve It: The Definitive Guide to Getting the Veteran Benefits Youve Earned, andfounder of VA Claims InsiderThe Most Trusted Name in Education-Based Resources for Veterans.. This post is The Ultimate Guide to the Top 50 VA Disability Percentages for Conditions. Plantar Fasciitis, or heel pain, is the #26 most common VA claim. VA Ratings for Hiatal Hernia are 10 percent, 30 percent, and 60 percent. The VA rates Sinusitis under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 6510, Sinusitis, pansinusitis, chronic. Click HERE to read a helpful guide about VA claims for sleep apnea. 20. Common symptoms of PTSD include flashbacks, nightmares, severe anxiety, depression, or uncontrollable thoughts about the event. Hearing Loss is the #3 top VA disability claim. The VA ratings for Asthma are 10%, 30%, 60%, and 100%. What are the VA disability ratings for Knee Pain? For 1 year following implantation of prosthesis. VA disability ratings for Sleep Apnea are 0%, 30%, 50%, and 100%. If you need help, well get you squared away with one of our VA Claim Expert Coaches. Anxiety Disorders are the #18 most common VA claim. The average VA rating for anxiety is 70 percent. If it can open between 30 and 34 mm (about 1.2 to 1.3 inches), it is rated 30% when restricted to full liquid and pureed foods only, 20% when limited to soft and semi-solid foods only, and 10% whenable to eat normally. Average salaries for Sedgwick Fmla Coordinator: $18. This long-term (chronic) condition results in too much sugar circulating in the bloodstream. Pro Tip: There are three primary to get a VA rating for Flat Feet: #1:Direct Service Connection for Flat Feetrated either unilateral or bilateral, with VA ratings of 0%, 10%, 20%, 30%, or 50%. The VA rates Sciatica under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 8520, Paralysis of the Sciatic Nerve. Pro Tip: Get a medical diagnosis for Menieres Syndrome before you try to file a VA claim. Ankylosis and Limitation of Motion of Digits of the Hands The highest scheduler rating for neck pain is 100 percent, which means your entire spine is frozen in an unfavorable position. VA Disability Ratings for the Armrange between 0% and 40%, with breaks at 10% and 20%. Note: Widespread pain means pain in both the left and right sides of the body, that is both above and below the waist, and that affects both the axial skeleton (i.e., cervical spine, anterior chest, thoracic spine, or low back) and the extremities. What are the VA disability ratings for Peripheral Neuropathy? The VA rates Flat Feet under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 5276, Flatfoot, Acquired. Prostate Glandconditions and bladder outlet obstruction are rated under this code (DC 7527) either as urinary tract infections or under theUrinary Rating System, whichever better defines the symptoms of the condition. If you have a mental health condition, such as Somatic Symptom Disorder, youll get a medical diagnosis, nexus opinion, and documentation of symptoms. Knee pain may be the result of an injury, such as a ruptured ligament or torn cartilage. This 20 percent rating or the 10 percent rating, when applicable, will be assigned once only to cover disability at all sites of previously active infection with a future ending date in the case of the 20 percent rating. The highest scheduler rating for Hearing Loss is 100 percent, which means you have total deafness in both ears. However, the average VA rating for Scars is 10%. Apr 08, 2010 #22. To calculate additional compensation, use the respective "additional" rows at the end of each table. It listsObstructive Sleep Apnea as aCAUSEof secondary hypertension, with resistant hypertension being one of the clinical indications. VA Ratings for Carpal Tunnel range from 10% to 70%, with breaks at 20%, 30%, 40%, 50%, and 60%, with lower or higher ratings for non-dominant (Minor) versus dominant (Major) hand. We know the pain of feeling stuck, frustrated, and alone, and we want to make this process as easy and painless as possible for you. IBS is the #24 most claimed VA disability. Coronary Artery Disease is the buildup of plaque in the arteries that supply blood to your heart. Youll also be better prepared for your C&P exam for mental health conditions. With a gap of one to two inches (2.5 to 5.1 cm.) Pro Tip:In accordance with the Painful Motion principle, if you have pain upon flexion or extension of your knee, the VA is required to award the minimum compensable rating for the condition, which is 10 percent. Sleep Apnea is the #12 most claimed VA disability condition. What are the VA disability ratings for GERD? Bone and Joints Disability Rating Table - Dr. David Anaise, MD Knee painis a common complaint that affects veterans of all ages. Pro Tip: Symptoms of mental health conditions and symptoms of TBI are virtually the same. The highest scheduler rating for Varicose Veins is 100 percent. Symptoms often begin after an event, such as physical trauma, surgery, infection, or significant psychological stress. Its also recommended that you get a Nexus Letter from a private provider, especially if you werent diagnosed with a Prostate Gland condition in the military. The highest scheduler rating for TMD is 50%. The highest scheduler rating for TBI is 100 percent, which means total impairment in one or more facets, including the three primary categories of Cognitive impairment, Emotional and Behavioral impairment, and/or Physical impairment. In total, 2,500,581 disabled veterans are service-connected for Tinnitus. Pro Tip: If your sleep apnea wasnt diagnosed in the military or within the first 12 months of leaving service, youll almost certainly be denied direct service connection. However, the most common Carpal Tunnel Syndrome rating is 10%, which is "mild incomplete paralysis of the median nerve.". Carpal Tunnel Syndrome, or CTS, is a painful condition that results from pressure on the median nerve in the hand. If you require the use of a breathing device, such as a CPAP machine, youll get a 50 percent rating for Sleep Apnea. The experienced VA disability attorneys on our team understand how VA claims work and are dedicated to helping Veterans get the compensation they are entitled to. The American Heart Association (AHA) has said that as many as50% of all patients with sleep apnea may have underlying hypertension, and many patients with hypertension, particularly resistant hypertension, may also have OSA. Thebest definition we could find for Prostratingcomes from Dictionary.com: To lay oneself flat on the ground face downward, especially in reverence or submission. Prostrating is further defined as weakness, fatigue, distress, exhaustion, or illness. Type 2 Diabetes is a condition that affects the way the body regulates and uses sugar (glucose) as a fuel. Youll also be better prepared for your C&P exam for mental health conditions. Varicose Veins are the #42 most claimed VA disability. Notably, a thumb is rated higher than a finger. Tinnitus, otherwise known as Ringing-in-the-Ear-Syndrome is the #1 most common VA disability. VA ratings for cancer will continue so long as your cancer as active, to include 6 months or 12 months after successful treatment or surgery. Make the doctor stop as soon as you feel pain! A veterans disability for Hypertension can be rated at 10%, 20%, 40%, or 60% depending on the severity of your symptoms. For example, if veterans are taking SSRIs to help manage their PTSD symptoms, perhaps youre suffering fromside effects of those SSRI medications, which can lead to digestive system issues. The severity of symptoms ranges from occasionally leaking urine when you cough or sneeze to having such an urge to urinate that you cant reach a toilet in time. The VA rates Chronic Adjustment Disorder under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 9440, Chronic Adjustment Disorder. If you dont have a diagnosis of Vertigo, youll be denied VA disability benefits. VA has denied about 78% of disability claims from burn pits VA Ratings for Limitation of Flexion of the Kneerange from 0 percent to 30 percent with interim breaks at 10 percent and 20 percent. Chronic Fatigue Syndrome (CFS) is the #31 most claimed VA disability. Thus, veterans can get a GERD VA rating secondary to PTSD. Neck muscles can be strained from poor posture, carrying heavy things, deployments, leaning over your computer, etc. Moderate paralysis leads to a 30% or 20% rating, while a mild paralysis is 10% in either hand. The VA rates Depression under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 9434 Major Depressive Disorder and DC 9435, Unspecified Depressive Disorder. Pro Tip: You should consider getting an independent evaluation for mental health from a private medical provider. Prostate Gland conditions are the #47 most common VA claim. Receive Compensation for Trigger Finger - Petro Cohen The highest scheduler rating for a disability of the arm is 40 percent, which means your dominant arm has limitation flexion and/or abduction at 25 from the side; with the same symptoms of the non-dominant arm, rate at 30 percent. VA Disability Ratings for Arthritis are 10 percent, 20 percent, 30 percent, 40 percent, 50 percent, and 100 percent. If you dont have a diagnosis, youll be denied VA disability benefits. The average VA rating for Depression is 70 percent. Thus, you can get service-connected for ED Secondary to PTSD. The VA has recognizedmedically unexplained illnesses, more commonly referred to as Gulf War Syndrome, and certaininfectious diseases to include Chronic Fatigue Syndrome. Pro Tip: Gulf War Veterans who developMyalgic Encephalomyelitis / Chronic Fatigue Syndrome (ME/CFS) do not have to prove a connection between their illnesses and service to be eligible to receive VA disability compensation, although at VA Claims Insider we still recommend getting a Medical Nexus Letter (Independent Medical Opinion), especially since Gulf War Syndrome is commonly misunderstood by C&P examiners and VA Raters. The maximum scheduler rating for Anxiety is 100 percent. Make sure to keep the mental health symptoms separate (if you can), especially if youre already rated for a mental health condition. However, if the veteran has actual loss of use of the foot, the rating is 40%. At the 100 percent rating for Sleep Apnea, you have very severe symptoms, including chronic respiratory failure with carbon dioxide retention or cor pulmonale, or; requires tracheostomy. If it can open between 11 and 20 mm (about 0.4 to 0.8 of an inch), it is rated 40% when only able to eat mechanically altered food, and 30% when able to eat normally. Current VA Disability Compensation Rates | Veterans Affairs The VA rates Scars under CFR Title 38, Part 4, Schedule for Rating Disabilities, DC 7801, 7802, and 7805. VA Disability for Scars - Hill & Ponton, P.A. Scars are the #7 most common VA disability claim. If you need help, well get you squared away with one of our VA Claim Expert Coaches. 100. The VA rates Hypothyroidism under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code(DC)7903, Hypothyroidism. Cancer refers to any one of many diseases characterized by the development of abnormal cells that divide uncontrollably and can infiltrate and destroy normal body tissue. Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or, At least 5 percent, but less than 20 percent, of exposed areas affected; or. Browse this gallery of . Pro Tip: The evaluations above are for involvement of a single extremity. Pro Tip: Hernia conditions can be rated as high as 100% under other Diagnostic Codes. Learn more about the VA Claims Insider Elite program now. The VA will select the Diagnostic Code that most accurately describes your Vertigo symptoms in terms of frequency, severity, and duration. Schedule a FREE no-obligation VA Claim Strategy Call today. For example, To reduce (someone) to extreme physical weakness.. Because of the legal concept ofAvoidance of Pyramiding(aka, stacking similar disabilities and various diagnoses on top of each other is to be avoided). Only you can hear Subjective Tinnitus, and you either have it or you dont. Varicose Veins are spider-like, enlarged veins, and can even become discolored. The VA uses CFR Title 38, Part 4, Schedule for Rating Disabilities, General Rating Formula for Mental Disorders to rate Adjustment Disorders. #2:Secondary ServiceConnection for Flat Feetrated either unilateral or bilateral, with VA ratings of 0%, 10%, 20%, 30%, or 50%. What are the VA disability ratings for Sciatica? . the flooring looked nice in store when we received flooring the color wasn't even close and you can peel the hardwood off with finger nails. High Blood Pressure is a common condition in veterans whereby the long-term force of the blood against your artery walls is too high, which can cause health problems such as heart disease. This is the same DC that the VA uses to rate GERD and other forms of epigastric distress by analogy. i was given a 60% rating and 10% for scarring. The main symptoms of arthritis are joint pain and stiffness, which typically worsen with age. Asthma is a respiratory condition in which your airways narrow and swell and may produce extra mucus. At Chisholm Chisholm & Kilpatrick LTD, our priority is to help injured and disabled veterans struggling with orthopedic disabilities receive the benefits to which they are entitled. Minimum rating. Ischemic Heart Disease is the #48 most common VA claim. Thus, you should write a strong Statement in Support of a Claim for TBI and explain the in-service event or injury that led to your brain injury. Okay Brian, let's get right to it: Is age a factor in VA claims? Our law firm submitted an Appeal January 25, 2012 and on February 22, 2012. The most trusted name in education-based resources for Veterans. In fact, veterans with PTSD experience higher rates of sexual dysfunction. How to File a Claim on VA.gov (step-by-step)! 5154 Long finger. A single evaluation will be assigned under the diagnostic code which reflects the predominant disability picture, with elevation to the next higher evaluation where the severity of the overall disability warrants such elevation. For example, a Veteran with a 30% disability rating, a spouse and three children under 18 would receive $671.10 each month. Vertigo is the #49 most claimed VA disability. As of December 2019, the VA disability compensation rates for a single veteran with no dependents are: 0 percent disability rating: $0 per month; 10 percent disability rating: $142.29 per month; 20 percent disability rating: $281.27 per month; 30 percent disability rating: $435.69 per month; 40 percent disability rating: $627.61 per month If accepted into our ELITE membership program, youll get free up-front access and permission to use $13,119 worth of proprietary VA claim resources, including access to our network of independent medical professionals for medical examinations, disability evaluations, and credible Medical Nexus Letters, which could help you get a HIGHER VA rating in LESS time. According to VA statistics, 992,770 disabled veterans have a VA disability rating for scars. See 38 CFR 3.317(e)(1). VA Disability Ratings for PTSDrange from 0 percent to 100 percent with breaks at 10 percent, 30 percent, 50 percent, and 70 percent. Today, VA announced its next update: The musculoskeletal system and muscle injuries. The highest scheduler VA rating for Menieres Syndrome with hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without Tinnitus is 100 percent. Hernia with symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health, Hernia with persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health, Hernia with two or more of the symptoms for the 30% evaluation of less severity. You may have trouble doing normal day-to-day activities, and sometimes you may feel as if life isnt worth living. The VA disability ratings for loss of one arm are outlined in the chart below. This makes it nearly impossible for providers to know which symptoms are attributable to each diagnosis. Peripheral Neuropathy is the result of damage to the nerves located outside of the brain and spinal cord (peripheral nerves). VA Ratings for Degenerative Arthritis of the Spine are 10 percent, 20 percent, 30 percent, 40 percent, 50 percent, and 100 percent. How to Get a 100 Percent VA Rating (if deserved)! What are the VA ratings for Menieres Syndrome? This can make it difficult to breathe, and even trigger coughing bouts, such as wheezing and shortness of breath. Gastroesophageal Reflex Disease (GERD), #37. Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period. 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Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries, Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting, Hearing impairment with attacks of vertigo and cerebellar gait occurring more than once weekly, with or without tinnitus, Hearing impairment with attacks of vertigo and cerebellar gait occurring from one to four times a month, with or without tinnitus, Hearing impairment with vertigo less than once a month, with or without Tinnitus, Workload of 3.0 METs or less results in heart failure symptoms, Workload of 3.1-5.0 METs results in heart failure symptoms, Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging), Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control.