| 0% | 6012 Angle-closure glaucoma … In every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. | You have glaucoma but your visual acuity and visual fields are within normal or near-normal limits. |
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What supports this level- Glaucoma diagnosis
- Visual acuity within normal limits
- Visual fields within normal limits
- Intraocular pressure managed
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| 10% | 6012 Angle-closure glaucoma … Evaluate under the General Rating Formula for Diseases of the Eye. Minimum evaluation if continuous medication is required | You have glaucoma that requires continuous medication to control. This is the minimum rating when medication is needed. |
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What supports this level- Continuous medication (eye drops) required
- Regular monitoring by ophthalmologist
- Intraocular pressure readings documented
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| 20% | General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation … With documented incapacitating episodes requiring at least 3 but less than 5 treatment visits for an eye condition during the past 12 months | This eye condition required three or four documented treatment visits in the past 12 months. Under the General Rating Formula for Diseases of the Eye an incapacitating episode is a clinic visit to a provider specifically for treatment — a flare-up you rode out at home does not count. The VA evaluates on the visit count OR on your measured visual impairment, whichever is higher. |
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What supports this level- Clinic visit records for three or four treatment visits, each with a date and the treatment given
- Laser treatment (trabeculoplasty, iridotomy) or injection records
- Alternatively, corrected visual acuity of 20/200 in one eye with 20/40 or better in the other
- Visual acuity and visual field measured in BOTH eyes at each visit
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| 30% | Concentric contraction of visual field: … With remaining field of 31 to 45 degrees: … Bilateral | Your glaucoma has caused moderate visual field loss — concentric contraction of the visual field to 31 to 45 degrees in both eyes. |
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What supports this level- Bilateral concentric contraction to a remaining field of 31 to 45 degrees on Goldmann or Humphrey perimetry
- Perimetry printouts for BOTH eyes
- Optic nerve damage documented on imaging (OCT, fundus photography)
- Alternatively, corrected visual acuity of 20/70 in both eyes
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| 40% | General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation … With documented incapacitating episodes requiring at least 5 but less than 7 treatment visits for an eye condition during the past 12 months | This eye condition required five or six documented treatment visits in the past 12 months. Under the General Rating Formula for Diseases of the Eye an incapacitating episode is a clinic visit to a provider specifically for treatment — a flare-up you rode out at home does not count. The VA evaluates on the visit count OR on your measured visual impairment, whichever is higher. |
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What supports this level- Clinic visit records for five or six treatment visits, each with a date and the treatment given
- Surgical management (trabeculectomy, tube shunt) and post-operative visits documented
- Alternatively, corrected visual acuity of 20/200 in one eye with 20/70 in the other
- Visual acuity and visual field measured in BOTH eyes at each visit
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| 50% | Concentric contraction of visual field: … With remaining field of 16 to 30 degrees: … Bilateral | Your glaucoma has caused severe visual field loss — concentric contraction of the visual field to 16 to 30 degrees in both eyes. |
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What supports this level- Bilateral concentric contraction to a remaining field of 16 to 30 degrees on perimetry
- Perimetry printouts for BOTH eyes
- Progressive optic nerve damage on serial imaging
- Alternatively, corrected visual acuity of 20/100 in both eyes
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| 60% | General Rating Formula for Diseases of the Eye: Evaluate on the basis of either visual impairment due to the particular condition or on incapacitating episodes, whichever results in a higher evaluation … With documented incapacitating episodes requiring 7 or more treatment visits for an eye condition during the past 12 months | This eye condition required seven or more documented treatment visits in the past 12 months. Under the General Rating Formula for Diseases of the Eye an incapacitating episode is a clinic visit to a provider specifically for treatment — a flare-up you rode out at home does not count. The VA evaluates on the visit count OR on your measured visual impairment, whichever is higher. |
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What supports this level- Clinic visit records for seven or more treatment visits, each with a date and the treatment given
- Ongoing surgical or procedural management documented
- Alternatively, corrected visual acuity of 20/200 in one eye with 20/100 in the other
- Visual acuity and visual field measured in BOTH eyes at each visit
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| 100% | Concentric contraction of visual field: … With remaining field of 5 degrees: 1 … Bilateral | Your glaucoma has caused total blindness in both eyes or near-total loss of visual field. |
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What supports this level- Total or near-total blindness
- Visual acuity 5/200 or worse in both eyes
- Concentric contraction of visual field to 5 degrees or less
- Loss of light perception
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