For example, if you have both severe bilateral flat feet and severe bilateral plantar fasciitis, the VA Rater should grant the 50% rating for pes planus because it's the higher of the two ratings (the maximum scheduler rating for severe bilateral plantar fasciitis is 30%). 4.71a, Diagnostic Code 5276. The Veteran is applying to the U.S. Department of Veterans Affairs (VA) for disability benefits. Flatfoot Symptoms & Signs. Having Flat Feet (Pes Planus) or Fallen Arches can lead to following medical condition: Nerve impingement or entrapment of calcaneus. Specific injuries that can lead to pes planus include fractures of the navicular, first metatarsal, or calcaneal bones, and/or trauma to the Lisfranc joint, plantar fascia, and deltoid/spring ligament. On August 28, 2014, the Court, by a single judge . Pes Planus is a deformed foot in which the position of the bones relative to each other has been altered, with lowering of the longitudinal arch. In February, 2021, the VA specifically created a new rating code for Plantar Fasciitis, 5269 which when bilateral and you get no relief from both non-surgical and surgical treatment is 30%. any expenses or cost incurred in the process of completing and/or submitting this form. Acquired pes cavus (claw foot) Hallux rigidus Hallux valgus Hammer toes Metatarsalgia Morton's neuroma Flat foot (pes planus) Malunion/nonunion of tarsal/ metatarsal bones Plantar fasciitis (If checked, complete all of Section I, Section II, and Section III) (If checked, complete all of Section I, Section II, and Section IV) To file a claim for plantar fasciitis veterans should fill out and submit VA Form 21-526 Application for Disability Compensation and Related Compensation Benefits. The nodules may grow slowly, undetected for months or even years at a time, followed by sudden, rapid growth. If you are experiencing symptoms of flat feet, it is important to seek medical attention. Plantar fasciitis typically develops in people between the ages of 40 and 60, but it affects women more often than men. provide only diagnoses that pertain to flatfoot: omb approved no. 4. Describe the functional loss of the foot/feet due to plantar fasciitis: SECTION V - MORTON'S . For the purposes of this guideline, acquired and congenital Pes Planus will be addressed. 2011) case opinion from the US Court of Appeals for the Federal Circuit While the degree of depression of the longitudinal arch is important, it is not the key feature considered during evaluation. The rating then rounds up to a 50% combined rating. To proceed with a VA Claim it is necessary to have the following things in order. By that I mean that each foot should be evaluated separately rather than both feet as a single disability. flatfoot (pes planus) disability benefits questionnaire. The Bilateral Factor adds 10% of 44% which is 4.4%. Under 38 CFR 4.71a, the VA rates plantar fasciitis depending on the severity of the condition. What Should I Expect at a Flat Feet VA C&P Exam? In cases where the veteran loses use of the foot as a result of the pain, the VA rates the condition at 40 percent. Foot Conditions, Including Flatfoot (Pes Planus) Disability Benefits Questionnaire . Rate the underlying condition, minimum rating: 10 5278 Claw foot (pes cavus), acquired: Marked contraction of plantar fascia with dropped forefoot, all toes hammer toes, very painful callosities, marked varus deformity: . The 2022 edition of ICD-10-CM M21.40 became effective on October 1, 2021. In 1990, the RO added to Scott's service connection hallux valgus deformity (angulation of the big toe toward the . I did not realize the range to which a Veteran can get service-connected for this condition. Acquired Pes Planus means a deformed foot in which the . Most veterans do not show any signs or symptoms that are associated with flat feet. 38 C.F.R. This aggravated the pes planus in the same leg and now I have peroneal tendinitis and plantar fasciitis. bilateral pes planus and bilateral plantar fasciitis. M21.40 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. (b) the correct procedure when applying the bilateral factor to disabilities affecting both upper extremities and both lower extremities is to combine the ratings of the disabilities affecting the 4 extremities in the order of their individual severity and apply the bilateral factor by adding, not combining, 10 percent of the combined value thus Plantar Fasciitis is a common condition among Veterans and is rated by VA on a scale of 10 to 40%. Pes planus, flatfoot, is rated for acquired flatfoot. When this happens, the body is telling the person to rest. Restricted movement of the joints around the injury due to the tight muscles and fascia we mentioned a second ago. leg cramps, muscle pain (aching or fatigue) in the foot or leg, pain in the arch, ankle, heel or outside of the foot, and. Historically these conditions have been rated under the same code in the 38CFR (code of federal regulations), which is the schedule for rating disabilities. Acquired flatfoot can happen bilaterally, meaning in both feet. . Foot Condition Ratings. However, if the veteran has actual loss of use of the foot, the rating is 40%. Despite the significant difference with the . Plantar fasciitis. entitlement to service connection for a foot cond ition, including bilateral pes planus and bilateral plantar fasciitis, and remanded the remainder of the claims at issue for further consideration and . Depending on how severe your pain and disability from plantar fasciitis is, the VA benefit will rank your condition on a scale from 10-100 (with 100 being the most severe and eligible for the most benefits). Pes planus is a disability characterized by the arches of your feet flattening. The September 2019 VA examination noted that Appellant had pain on use of the feet, swelling occurring on use of the feet, and characteristic calluses on the left foot. It starts at a rating of 0% and goes up to 50%. Plantar Fasciitis can cause inflammation of the Plantar Fascia ligament and can be treated with mild stretches, physical therapy, supportive footwear, and medications. Plantar fasciitis can be exacerbated by sudden weight gain or obesity, long-distance running, flat fee or high arches and wearing shoes with too little arch support. SMALLS V DVA, No. What would have rounded down to 40% (or $635.77 per month) is now a 50% rating which is worth $905.04! For a single veteran with no dependents, that is about a $245 per month difference. What is Pes Planus? please read the privacy act and respondent burden information on reverse before completing form. There will be swelling along the arches and inside of the ankle. name of patient/veteran patient/veteran's social security number. 5. This aggravated the pes planus in the same leg and now I have peroneal tendinitis and plantar fasciitis. Flat foot (pes planus) SUPERSEDES VA FORM 21-0960M-5, OCT 2012 AND . Page 1 21-0960M-6, OCT 2012, WHICH WILL NOT BE USED. Despite finding no tenderness to the plantar fascia of either foot on the C&P examination, the VARD dated 23 May 2006, modified the diagnosis to bilateral pes planus and plantar fasciitis, coupled both the left and right ankle conditions and assigned a rating of 30% for posterior tibial tendon dysfunction bilaterally, plantar fasciitis . Pes Planus, otherwise known as flat feet, is a common condition where the arches on the inside of the foot are flattened leaving the entire sole of your foot touching the ground when you stand. The pain may include spasms that feel like a stretching rubber band down the underside of the foot, and always includes sharp pain in the heel. Greatly appreciated. TDIU for Plantar Fasciitis TDIU stands for total disability individual unemployability. How to Get a VA Disability Rating for Flat Feet and Plantar Fasciitis If you have yet to claim VA disability for flat feet and plantar fasciitis, you should do so without delay. Toe Deformities. The purpose of VA hearings is "to permit the . initial disability rating greater than 50% for bilateral plantar fasciitis with pes planus for the period beginning July 26, 2013.2 Record (R.) at 2-15. R. at 270. Reasons or bases - bilateral pes planus a. DC 5257 The Board failed to address whether a higher unilateral rating was warranted for pes planus. Bilateral Pes Planus With Plantar Fasciitis Va Rating Overview Bilateral Pes Planus With Plantar Fasciitis Va Rating Plantar Fasciitis, an overview of the problem: Plantar Fasciitis (Heel Pain) is a very common problem that seems to be "incurable" to most doctors and physical therapists. It is a unilateral rating. In lay terms, it is a fallen arch of the foot that caused the whole foot to make contact with the surface the individual is standing on. Under 38 CFR 4.71a, the VA evaluates pes planus based on the severity of the condition. It can occur due to posterior tibial tendon dysfunction though this is not the only cause. Pain in the foot, and particularly in the areas of the heels and arches. The VA has recently changed their guidelines for service-connection of the foot conditions plantar fasciitis and flat foot. Both pes planus rigid and flexible feet had increased second metatarsal length (p = .0047) and an increased LTM angle (p < .0001). Having said that, here is what I suspect the Rating VSR did. The VA is adding this code because plantar fasciitis is a common enough condition that it should be given its own rating system. In 1973, the VA Regional Office (RO) awarded Scott service connection for bilateral pes planus (flatfoot) and granted him a 0% disability rating under DC (diagnostic code) 5276. reimburse . The pain increases with activity, and the person will get tired easily. If you experience plantar fasciitis you might experience stiffness, pain, aching, burning or a sharp dull pain that generally gets worse if you exercise, climb stairs or stand and . While serving in the Navy, Scott developed a bilateral foot disability caused by prolonged standing. For an individual whose plantar fasciitis (either unilateral or bilateral) is responsive to treatment (either non-surgical or surgical), VA proposes a 10 percent disability rating. 6. Here are some of the symptoms like -. I was wondering if they will keep these ratings separate or pyramid them together with my L foot fracture and just rate my R foot Pes Planus independently? Neither of those are "referred conditions" on NARSUM. bilateral flat foot and bilateral plantar fasciitis. (Pain when touched) Bilateral Pes Planus With Plantar Fasciitis Va Rating 5. I actually don't have Pes Planus, but Pas Cavus (high arches) and was told I'm more prone to foot problems by the Physical Therapist. Its your choice now that you know the truth and the truth will set you free. What is the VA disability rating for pes planus? That's an increase of almost $300 per month thanks to the bilateral factor. Anyone experience anything similar? R. at 1383. . VA FORM . Bilateral Pes Planus With Plantar Fasciitis Va Rating Overview Bilateral Pes Planus With Plantar Fasciitis Va Rating Plantar Fasciitis, an overview of the problem: Plantar Fasciitis (Heel Pain) is a very common problem that seems to be "incurable" to most doctors and physical therapists. For the purposes of this guideline, acquired and congenital Pes Planus will be . Plantar calcaneal enthesophytes occur at the calcaneal attachment point of the flexor digitorum brevis, a muscle that flexes the toes, and the abductor hallucis, a muscle that moves the big toe sideways away from the rest of the toes, according to the American Journal of Roentgenology 1. This condition can develop later on in life can be caused by a veteran's military service or aggravated by military service. If you have bilateral plantar fasciitis, you could be eligible to receive a VA disability rating for foot pain of 50%. A VA regional office (RO) denied his disability compensation claim for a groin injury . As time passes and the nodules grow, walking may become uncomfortable or painful. It is also important to note that pes planus can be service-connected bilaterally. 2. If it develops into something worse like plantar fasciitis or pes planus over time, then it can get difficult for them to walk or carry out routine activities. R. at 795-802. This condition can develop later on in life can be caused by a veteran's military service or aggravated by military service. section i - diagnosis. When symptoms do occur, these can include. Attention instead focuses on the anatomical changes, as compared to normal, in the relationship between the foot and the leg. This is the American ICD-10-CM version of M21.40 - other international versions of ICD-10 M21.40 may differ. Additionally, there are secondary benefit claims . Without the additional benefit for the bilateral factor calculation, the veteran would have been stuck at 40%. COMBINED RATING: 0% COMBINED RATING OF ALL VA CONDITIONS: 50% . Flat foot [pes planus] (acquired), unspecified foot. In June 2006, the RO continued the noncompensable evaluation for bilateral pes planus and denied service connection for bilateral plantar fasciitis. The pes planus rigid feet had decreased hallux dorsiflexion (p < .0001), as well as higher levels of hallux valgus and hallux limitus (p = .027 and .0099, respectively). . In this particular example, that extra 3.7% was just enough to push the overall combined rating increased to 50%. In August 2018, he also submitted additional evidence and argument to the . Feet tiring out easily Aches or pains in the areas of the arches or heels Foot swelling Difficulty performing certain foot movements, such as standing on your toes Leg and back pain The effects of flat feet can vary greatly from case to case. If you are new to VA disability, bilateral simply means that it affects both sides. For veterans who are unable to work as a result of their plantar fasciitis, they qualify for a total disability based on individual . 4. Neither of those are "referred conditions" on NARSUM. The max rating for bilateral pes planus is 50% the max rating for bilateral plantar fasciitis is 30%. VA Ratings came in - Condition 1 was rated 10% and Condition 2 was rated 10% However, VA also rated me 50% for severe bilateral pes planus and 10% for painful scars around the surgical sites. Depending on several factors that determine the severity of the service member's Plantar Fasciitis, they could be eligible for up to 50% coverage. A flatfoot may not cause symptoms or signs other than the change in the shape of the foot. The VA diagnostic code (a 4 or 8 digit code the VA uses to rate your disability) for flat feet is 5726. Veterans with plantar fasciitis receive higher VA ratings . [R. at 227-28]. Sometimes the pain worsens with activity. So, in order to safely transmit the load of the body to the floor without harming other body parts like hip, knee, low back, or calf muscles, etc., structure of the feet should be intact. Pes planus is normally rated with a diagnostic Code 5276 and on the other hand Plantar Fasciitis is rated under the diagnostic Code 5284. To proceed with a VA Claim it is necessary to have the following things in order. diagnosis # 3 - important - the department of veterans . I am going to challenge this belief and show you what _____ All codes for Muscle Ratings remain the same except for the addition of the following two new codes: They also occur above the sturdy tissue . Some veterans can experience foot pain and swelling. 21-0960M-6 MAY 2013 . The purpose of VA hearings is "to permit the . The highest possible schedular VA disability rating for bilateral plantar fasciitis is now 30% (not 50%), which includes symptoms such as no relief from both non-surgical (orthopedic shoes or appliances) and surgical treatment. VA should round that 47% up to 50%. To provide even more value to our veterans, this page is only available with an All-Access Membership. Similar to the SSA, a VA disability claim for plantar fasciitis will need to be submitted to the VA and evaluated, so the more you and . Ms. Flippen filed a Notice of Disagreement as to this decision and requested decision review officer (DRO) review. His claims relating to bilateral pes planus, bilateral plantar fasciitis, and a bilateral knee disorder were denied in a September 2005 regional office (RO) rating decision (R. at 247-52), a February 2006 Statement of the Case (SOC) (R. at 207-23), and a June 2006 Supplemental SOC (R. at 178- . _____ Codes 5296-5298 for skull conditions, rib conditions, and conditions of the coccyx remain the same. 5. hallux valgus foot injuries (specify) icd code: claw foot (pes cavus) icd code: date of . Plantar Fasciitis. Pes Planus, otherwise known as flat feet, is a common condition where the arches on the inside of the foot are flattened leaving the entire sole of your foot touching the ground when you stand. Bilateral pes planus with forefoot abduction in a . 2900-0776 respondent burden: 15 minutes. The VA determines a pes planus rating depending on the severity of the injury. This guideline does not include anterior flat foot. va form jan 2011 . In March 2018, the appellant submitted argument to VA asserting CUE in the May 1980 rating decision. Some other common symptoms of pes planus other than a tarsal coalition. Pes planus also known as flat foot is the loss of the medial longitudinal arch of the foot, heel valgus deformity, and medial talar prominence. Entitlement to an increased rating for bilateral pes planus with chronic plantar fasciitis and right plantar spur, status post right plantar fasciectomy and left plantar fascia release with scars, currently evaluated as 30 percent disabling. Plantar fibromatosis, also known as Ledderhose's disease, is a condition that causes benign, slow-growing nodules to form along the fascia of the foot. Learn more about flatfoot . The new changes have separated these conditions into two rating codes meaning they can be rated individually. Technically speaking (as if I could speak "technically" ) plantar fasciitis should NOT be rated as a bilateral condition. This condition is one of the most common causes of heel pain and involves inflammation of a thick band of tissue that runs across the bottom of the foot and connects the heel bone to the toes. VA Disability Hello, I broke my Left foot (5th Metatarsal) which is SC'd and was recently diagnosed with Bilateral Pes Planus with Plantar Fasciitis. Instead, you can apply for plantar fasciitis as a secondary condition to pes planus and have them consider both. I am going to challenge this belief and show you what The VA conferred separate right and left ratings of 0% for plantar fasciitis, coded 5099-5020 (analogous to synovitis), citing "the absence of objective evidence of painful motion on C&P examination." Additionally the VA rated bilateral pes planus at 0%, coded 5276 (pes planus), based on the C&P examination and specifying the absence of . The VA will only give a single rating for the overall condition of the entire foot, so both pes planus and plantar fasciitis cannot be rated separately. VETERANS AFFAIRS CANADA FEBRUARY 2005 ENTITLEMENT ELIGIBILITY GUIDELINES PES PLANUS MPC 01328 ICD-9 734, 754.6 DEFINITION Pes Planus is a deformed foot in which the position of the bones relative to each other has been altered, with lowering of the longitudinal arch. Generally, plantar fasciitis develops gradually and occurs in only one foot. Precise Location. Updated on November 30, 2020 ~v20_2 Released January 2022. . 11-7089 (Fed. Dysfunction of the posterior tibial tendon(PTT) leads to pes planus of various degrees. Become an All-Access Member to access this page, other exclusive content, the ability to our Military Disability Experts, course discounts, and more! I wonder though if it's just plantar fasciitis and not tarsal tunnel syndrome as I get the pain ranging from my achilles almost into my toes. While the disability can be serious, inhibiting your range of motion and ability to walk, it is typically painless. R. at 788. Pes planus can cause more pressure to be put on a veteran's heel, thus causing or exacerbating plantar fasciitis. . If you're service-connected for bilateral pes planus, that's likely the higher rating due to the addition of the bilateral factor (when you have a condition on both sides of your body) which works essential like another 10% combined in - so 10% + 10% = 19% because of VA math. Finally, consistent with other foot injuries and disabilities, VA intends to include a note with DC 5285 that would instruct rating personnel to assign a 40 percent . The Podiatrist indicated that surgery was not recommended and diagnosed pes planus, bilateral feet; plantar fasciitis, bilateral feet; posterior tibial tendon dysfunction (stage I), bilateral feet; and equinus deformity, bilateral ankles. Entitlement to an increased rating for a low back strain currently evaluated as 10 percent disabling. To file a claim for plantar fasciitis veterans should fill out and submit VA Form 21-526 Application for Disability Compensation and Related Compensation Benefits. the department of veterans affairs (va) will not pay.