| 0% | 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 recovered from Guillain-Barré syndrome and examination finds no ascertainable residuals — no numbness or tingling in the hands or feet, full strength, and normal balance — so the minimum rating for residuals under the anterior poliomyelitis code this condition is rated by analogy to is not available. This code prints no 0% rung of its own; § 4.31 supplies it: no monthly payment, but the condition is on record and a later increase runs from it. The lowest compensable level under this code is 10 percent. |
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What supports this level- Full strength on neurological examination
- Normal sensation in the hands and feet
- Normal balance and coordination
- EMG/nerve conduction studies showing complete recovery
- A dated record of the condition so that a later increase claim has a starting point
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| 10% | Poliomyelitis, anterior: Rate residuals, minimum: 10 percent. Note: It is required for the minimum ratings for residuals under diagnostic codes 8000-8025, that there be ascertainable residuals. | You have mild residuals from Guillain-Barré syndrome. You may have mild numbness or tingling in your hands or feet, slight weakness, or minor balance problems. |
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What supports this level- Confirmed history of Guillain-Barré syndrome
- Mild residual numbness or tingling in extremities
- Slight weakness on neurological examination
- Minor balance or coordination difficulties
- EMG/NCS showing mild residual nerve damage
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| 30% | With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves. | You have moderate residuals. You have noticeable weakness in your arms or legs, moderate numbness, and difficulty with activities that require balance or coordination. |
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What supports this level- Moderate weakness in one or more extremities
- Moderate sensory deficits documented on examination
- Difficulty with balance or coordination affecting walking
- Fatigue with moderate exertion
- EMG/NCS showing moderate residual nerve damage
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| 60% | With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves. | You have severe residuals. You have significant weakness or paralysis in your arms or legs that limits your ability to walk, use your hands, or care for yourself. |
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What supports this level- Significant weakness or paralysis in multiple extremities
- Severe sensory deficits
- Requires assistive devices for walking (cane, walker, wheelchair)
- Difficulty with fine motor tasks
- Significant fatigue limiting daily activities
- EMG/NCS showing severe residual nerve damage
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| 100% | Poliomyelitis, anterior: As active febrile disease: 100 percent. With the exceptions noted, disability from the following diseases and their residuals may be rated from 10 percent to 100 percent in proportion to the impairment of motor, sensory, or mental function. With partial loss of use of one or more extremities from neurological lesions, rate by comparison with the mild, moderate, severe, or complete paralysis of peripheral nerves. | You have total disability from Guillain-Barré syndrome. You may still have ascending paralysis requiring ventilation, be unable to walk or use your arms, or be totally incapacitated and dependent on others for all daily activities. |
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What supports this level- Total or near-total paralysis of extremities
- History of ventilator dependence or ICU stay
- Inability to walk or perform activities of daily living
- Requires full-time assistance or institutional care
- Persistent severe autonomic dysfunction
- EMG/NCS showing severe widespread nerve damage
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