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The bilateral factor will apply as long as the veteran has disabilities affecting the left and right upper extremities or the left and right lower extremities. VA disability ratings look at whether an upper extremity (such as the arm), or a lower extremity (such as the leg) are affected by a disability. It is important to note that a veteran does not have to have the same disability on both sides in order for the bilateral factor to apply.
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The bilateral factor’s purpose is to compensate a veteran for the additional loss of their ability to function as a result of both sides of their body being affected. However, a veteran with a disability in both arms is able to do far less. A veteran with a disability affecting only his left arm has his right arm to use for daily tasks. If a veteran has a disabling condition affecting his right arm, and then his left arm becomes disabled, he is severely limited in his ability to function. What is the reason behind the bilateral factor? The law recognizes that these situations are much more limiting on a veteran. Specifically, the bilateral factor is defined by statute as existing when “a partial disability results from disease or injury of both arms, or of both legs, or of paired skeletal muscles, the ratings for the disabilities of the right and left sides will be combined as usual, and 10% of this value will be added before proceeding with further combinations.” When a veteran has a disability that affects both arms, both legs, or paired skeletal muscles, their overall combined rating must reflect what’s known as the bilateral factor. This guide will break down the basics of the bilateral factor and how it relates to your VA disability claim. And if you have a disability on both sides of your body, the VA will use what’s known as the bilateral factor in these calculations.
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So, it’s important that the VA calculates your disability rating accurately through the use of diagnostic code numbers. When rating a veteran’s disability for monthly compensation benefits, the Department of Veterans Affairs considers a number of factors.
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This means the veteran is initially considered 50% disabled and 50% efficient. In this case, the VA takes 100 (representing a whole efficient person) and subtracts the highest individually rated condition (TBI at 50%). This is how the combined ratings table works.
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Normally, 50% plus 50% would equal 100%, but this veteran’s total disability rating is listed as 80%. This means that a person’s efficiency is determined first by the most disabling-or highest individually rated condition-and then by less disabling conditions ranked in order of severity.Ī veteran may receive a letter from VA notifying them that they have two service-connected disabilities, TBI and a back injury, rated at 50% each. One of the major misconceptions is that combined simply means added together, which is not true as the VA uses what is known as a combined ratings table. This rating for multiple conditions is called a “combined” rating. If VA rates a single condition, your rating is the rating for that single condition, but most veterans are rated for multiple conditions. Below we will show you how VA calculates disability ratings so you can be better informed when discussing and making decisions about your claim. One of the most confusing aspects of filing for service-connected disability compensation is figuring out how the Department of Veterans Affairs establishes a rating.