In assigning an evaluation for TMJ or any other dental disability on the basis f. Avoiding Pyramiding of limited motion of temporomandibular articulation under , assign do not With separate evaluations for limited inter-incisal motion involving each side of the Conditions jaw. Doing so is pyramiding. Only evaluation may be assigned. one Rated on Motion If both sides of the jaw are affected, use the limitation of motion on the side that affords the highest evaluation. Inter-incisal motion is limited to 35 mm on the right and 25 mm on Example: the left. Assign a single 20-percent evaluation under . assign separate Do not 10-and 20-percent evaluations. For more information on the prohibition against pyramiding, see . Reference: 4. Rating for Medical Care This topic contains information on rating for medical care, including Introduction RO role in eligibility determinations for medical care, and taking rating action for medical care purposes. Change Date March 10, 2016
f. Avoiding Pyramiding With Conditions Rated on Motion In assigning an evaluation for TMJ or any other dental disability on the basis of limited motion of temporomandibular articulation under , do not assign separate evaluations for limited inter-incisal motion involving each side of the jaw. Doing so is pyramiding. Only one evaluation may be assigned. If both sides of the jaw are affected, use the limitation of motion on the side that affords the highest evaluation. Example: Inter-incisal motion is limited to 35 mm on the right and 25 mm on the left. Assign a single 20-percent evaluation under . Do not assign separate 10-and 20-percent evaluations. Reference: For more information on the prohibition against pyramiding, see . 4. Rating for Medical Care Introduction This topic contains information on rating for medical care, including RO role in eligibility determinations for medical care, and taking rating action for medical care purposes. Change Date March 10, 2016
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