Osteomyelitis is a severe bone infection that can result in significant health challenges for veterans. This article explores the VA rating process for osteomyelitis, service connection requirements, and what veterans need to know about securing disability benefits.
Symptoms may vary depending on the location and severity of the infection. Common symptoms include:
- Fever, chills, and general fatigue.
- Pain, swelling, and tenderness over the affected bone.
- Redness and warmth in the area.
If left untreated, osteomyelitis can lead to:
- Amputation
- Permanent bone damage
- Sepsis (life-threatening infection in the bloodstream)
VA Disability Rating for Osteomyelitis
VA Diagnostic Code 5000 outlines the ratings for osteomyelitis:
- 100% Rating: Active osteomyelitis in the pelvis, vertebrae, or major joints, or with multiple sites or severe systemic symptoms.
- 60% Rating: Frequent episodes with systemic symptoms.
- 30% Rating: Presence of sequestrum or involucrum, even without sinus discharge.
- 20% Rating: Evidence of active infection or discharging sinus within the past five years.
- 10% Rating: No active infection in the past five years.
Service Connection for Osteomyelitis
To establish a service connection, veterans must provide evidence of:
- Nexus: A medical opinion linking the osteomyelitis to the service-related event or injury.
- Current Diagnosis: A medical diagnosis of osteomyelitis.
- In-Service Event: Documentation of an event or injury during service that caused or contributed to the condition.
Osteomyelitis and Military Service
Veterans may develop osteomyelitis from service-related trauma, such as fractures, surgeries, or open wounds. Conditions like diabetes or sickle cell anemia—if service-connected—can also increase the likelihood of developing osteomyelitis.
Compensation and Pension Exam (C&P)
The VA often requires a Compensation and Pension (C&P) exam to confirm the diagnosis and severity of osteomyelitis. This exam may include:
- Lab tests or imaging (e.g., x-rays).
- Review of medical history.
- Physical examination.
Treatment for Osteomyelitis
Treatment typically involves antibiotics and, in some cases, surgical intervention. The primary goal is to eliminate the infection and prevent complications.
TDIU for Osteomyelitis
Veterans who are unable to work due to osteomyelitis may qualify for Total Disability Individual Unemployability (TDIU). This benefit allows veterans to receive 100% compensation if their disability prevents meaningful employment, even if their VA rating is below 100%.
Denied a Claim for Osteomyelitis?
If your claim was denied or you believe your rating is too low, don’t give up. Our experienced team can help you appeal and fight for the benefits you deserve. Get a Free Case Evaluation
