Index and long — VA Rating Criteria (38 CFR DC 5146)

The VA rates Index and long under Diagnostic Code 5146 at the following tiers: 30%, 40%. The minimum 30% rating requires: 40. The maximum 40% rating requires: 30.

Diagnostic Code 5146 is the VA rating identifier for Index and long within 38 CFR 38 CFR § 4.71a. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Index and long under DC 5146 is 40%. This tier requires: 30. Veterans who cannot secure substantially gainful employment due to Index and long alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Index and long is rated under 38 CFR 38 CFR § 4.71a, Diagnostic Code 5146. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Index and long may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Index and long requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.