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    What is the code sheet in a VA rating decision?

    Last verified August 1, 2026 · Reviewed by Esteban Magallon, VA-Accredited Claims Agent

    Details

    • Diagnostic codes with a hyphen (for example 5299-5237) mean an unlisted condition rated by analogy under 38 CFR § 4.20.
    • The combined evaluation on the code sheet is calculated under the § 4.25 table, not by simple addition.
    • The bilateral factor under 38 CFR § 4.26 applies when both arms or both legs are involved and adds 10% of the combined value of those disabilities.
    • Effective dates on the code sheet control back pay — an incorrect one is often the most valuable issue in a decision.
    • The code sheet is not always mailed with the narrative decision; it can be requested from VA or found in the claims file.

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    This is general educational information about VA claims — not legal or medical advice. Individual outcomes depend on the record. Oakridge Claims is a private VA-Accredited Claims Agent practice and is not affiliated with the U.S. Department of Veterans Affairs.

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