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The Department of Veterans Affairs (VA) proposes to amend the portion of the Schedule for Rating Disabilities (VASRD) that addresses the genitourinary system. The purpose of this change is to update current medical terminology, incorporate medical advances that have occurred since the last review, and provide well-defined criteria in accordance with actual, standard medical clinical practice. The proposed rule reflects the most up-to-date medical knowledge and clinical practice of nephrology and urology specialties, as well as comments from subject matter experts and the public garnered during a public forum held January 27-28, 2011.

Statement of Need:

VA is updating its Schedule for Rating Disabilities (VASRD, or Rating Schedule) to better reflect modern medicine. The VASRD, which is part 4 of title 38, Code of Federal Regulations, governs how claims processors evaluate the severity of disabilities. While VA has routinely updated parts of the VASRD, this proposal is the first time VA is working to update the entire VASRD since 1945. In 2009, a formal project management plan was created to outline how to update the VASRD. A working group of specialized physicians (VA and non-VA), stakeholders, and claims processors reviews each of the 15-body systems and provides analysis to assist VA in developing updates. The public has 60 days to provide VA with comments. VA will introduce the proposed updates to the VASRD incrementally and is committed to an update of the entire VASRD.

Summary of the Legal Basis:

38 U.S.C. 1155

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