The nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) (see Sec. 4.125 for availability information). Rating agencies must be thoroughly familiar with this manual to properly implement the directives in Sec. 4.125 through Sec. 4.129 and to apply the general rating formula for mental disorders in Sec. 4.130. The schedule for rating for mental disorders is set forth as follows: 9201 Schizophrenia9202 [Removed]9203 [Removed]9204 [Removed]9205 [Removed]9208 Delusional disorder9210 Other specified and unspecified schizophrenia spectrum and other
psychotic disorders9211 Schizoaffective disorder9300 Delirium9301 Major or mild neurocognitive disorder due to HIV or other
infections9304 Major or mild neurocognitive disorder due to traumatic brain injury9305 Major or mild vascular neurocognitive disorder9310 Unspecified neurocognitive disorder9312 Major or mild neurocognitive disorder due to Alzheimer's disease9326 Major or mild neurocognitive disorder due to another medical
condition or substance/medication-induced major or mild
neurocognitive disorder9327 [Removed]9400 Generalized anxiety disorder9403 Specific phobia; social anxiety disorder (social phobia)9404 Obsessive compulsive disorder9410 Other specified anxiety disorder9411 Posttraumatic stress disorder9412 Panic disorder and/or agoraphobia9413 Unspecified anxiety disorder9416 Dissociative amnesia; dissociative identity disorder9417 Depersonalization/Derealization disorder9421 Somatic symptom disorder9422 Other specified somatic symptom and related disorder9423 Unspecified somatic symptom and related disorder 9424 Conversion disorder (functional neurological symptom disorder)9425 Illness anxiety disorder9431 Cyclothymic disorder9432 Bipolar disorder9433 Persistent depressive disorder (dysthymia)9434 Major depressive disorder9435 Unspecified depressive disorder9440 Chronic adjustment disorder
General Rating Formula for Mental Disorders------------------------------------------------------------------------
Rating------------------------------------------------------------------------Total occupational and social impairment, due to such 100
symptoms as: gross impairment in thought processes or
communication; persistent delusions or hallucinations;
grossly inappropriate behavior; persistent danger of hurting
self or others; intermittent inability to perform activities
of daily living (including maintenance of minimal personal
hygiene); disorientation to time or place; memory loss for
names of close relatives, own occupation, or own name.Occupational and social impairment, with deficiencies in most 70
areas, such as work, school, family relations, judgment,
thinking, or mood, due to such symptoms as: suicidal
ideation; obsessional rituals which interfere with routine
activities; speech intermittently illogical, obscure, or
irrelevant; near-continuous panic or depression affecting
the ability to function independently, appropriately and
effectively; impaired impulse control (such as unprovoked
irritability with periods of violence); spatial
disorientation; neglect of personal appearance and hygiene;
difficulty in adapting to stressful circumstances (including
work or a worklike setting); inability to establish and
maintain effective relationships.Occupational and social impairment with reduced reliability 50
and productivity due to such symptoms as: flattened affect;
circumstantial, circumlocutory, or stereotyped speech; panic
attacks more than once a week; difficulty in understanding
complex commands; impairment of short- and long-term memory
(e.g., retention of only highly learned material, forgetting
to complete tasks); impaired judgment; impaired abstract
thinking; disturbances of motivation and mood; difficulty in
establishing and maintaining effective work and social
relationships.Occupational and social impairment with occasional decrease 30
in work efficiency and intermittent periods of inability to
perform occupational tasks (although generally functioning
satisfactorily, with routine behavior, self-care, and
conversation normal), due to such symptoms as: depressed
mood, anxiety, suspiciousness, panic attacks (weekly or less
often), chronic sleep impairment, mild memory loss (such as
forgetting names, directions, recent events).Occupational and social impairment due to mild or transient 10
symptoms which decrease work efficiency and ability to
perform occupational tasks only during periods of
significant stress, or symptoms controlled by continuous
medication.A mental condition has been formally diagnosed, but symptoms 0
are not severe enough either to interfere with occupational
and social functioning or to require continuous medication.------------------------------------------------------------------------ 9520 Anorexia nervosa9521 Bulimia nervosa
Rating Formula for Eating Disorders------------------------------------------------------------------------
Rating------------------------------------------------------------------------Self-induced weight loss to less than 80 percent of expected 100
minimum weight, with incapacitating episodes of at least six
weeks total duration per year, and requiring hospitalization
more than twice a year for parenteral nutrition or tube
feeding.Self-induced weight loss to less than 85 percent of expected 60
minimum weight with incapacitating episodes of six or more
weeks total duration per year.Self-induced weight loss to less than 85 percent of expected 30
minimum weight with incapacitating episodes of more than two
but less than six weeks total duration per year.Binge eating followed by self-induced vomiting or other 10
measures to prevent weight gain, or resistance to weight
gain even when below expected minimum weight, with diagnosis
of an eating disorder and incapacitating episodes of up to
two weeks total duration per year.Binge eating followed by self-induced vomiting or other 0
measures to prevent weight gain, or resistance to weight
gain even when below expected minimum weight, with diagnosis
of an eating disorder but without incapacitating episodes.------------------------------------------------------------------------Note 1: An incapacitating episode is a period during which bed rest and
treatment by a physician are required.Note 2: Ratings under diagnostic codes 9201 to 9440 will be evaluated
using the General Rating Formula for Mental Disorders. Ratings under
diagnostic codes 9520 and 9521 will be evaluated using the General
Rating Formula for Eating Disorders. (Authority: 38 U.S.C. 1155) [79 FR 45100, Aug. 4, 2014]
Dental and Oral Conditions Sec. 4.149 [Reserved]