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  • Va Form 21 0960m 12

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Ient is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. VA will consider the information you provide on this questionnaire as part of their evaluation in processing the veteran's claim. SECTION I - DIAGNOSIS 1A. DOES THE VETERAN NOW HAVE OR HAS HE OR SHE EVER BEEN DIAGNOSED WITH OSTEOMYELITIS? YES NO (If "No," complete Item 1B) 1B. PROVIDE ONLY DIAGNOSES THAT PERTAIN TO OSTEOMYELITIS DIAGNOSIS # 1 - ICD CODE - DATE OF DIAGNOSIS DIAGNOSIS # 2 - ICD CODE -.

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Related content

VA Form 21-0960M-12 - Reginfo.gov
VA FORM. JAN 2011. 21-0960M-12. SECTION IV - INITIAL RANGE OF MOTION (ROM) MEASUREMENTS...
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Appendix M: Neck (Cervical Spine) Conditions...
Published by the Department of Veterans Affairs. See...
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You can get a 20%, 30%, 40%, or 50% rating for a torn rotator cuff. The VA might also use diagnostic code 5304 to assign the rating if the injury affects the shoulder muscles. The ratings are 0%, 10%, 20%, and 30% depending on severity and whether the injury is to your dominant or non-dominant arm.

The criteria are based largely on a veteran's range of motion and functional loss. Specifically, VA will determine the severity of a veteran's back condition based on both the range of motion measurements provided by an examiner and the point at which the veteran starts to experience pain.

You can file for a rating increase if your pain has worsened, or you can also apply for total disability based on individual unemployability (TDIU). TDIU requires that you have one condition with at least a 60% rating or two disabilities that add up to 70%.

Once you file a disability benefits claim, the VA will often schedule a C&P exam. During your appointment, you will meet with a doctor and other healthcare professionals who will gather information about your back pain. This often involves both an interview and a physical examination.

Generally speaking, veterans will attend a Compensation & Pension (C&P) examination and the examiner will measure how far they can bend forwards, backwards, and side to side, using a goniometer.

Most often, VA rates this condition as 10 or 20 percent disabling. If shoulder replacement surgery takes place, a higher rating may be warranted.

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© Copyright 1997-2025
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Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232