Award SMC for LOU of both buttocks when there is severe damage by g. Awarding SMC for LOU disease or injury to muscle group XVII (the gluteus maximus, gluteus medius, of Both and gluteus minimus), bilaterally, which renders the Veteran unable to Buttocks complete the following actions rise from a seated or stooped position, and maintain postural stability. performing the physical actions listed includes the use Note: Assistance of the person’s own hands or arms and a special appliance for postural stability. For more information on LOU of the buttocks, see Reference: . h. Awarding Award SMC for deafness of both ears, having absence of air and bone SMC for conduction, if the SC bilateral hearing loss warrants a 100-percent evaluation Deafness under the evaluation criteria in and for hearing impairment. A Veteran with bilateral SC hearing impairment, numerically designated as XI, is entitled to SMC, regardless of whether or not measurable hearing impairment was noted on entrance into service and SC was awarded based on aggravation of a pre-existing disability. Notes: A numeric designation of hearing impairment of XI in both ears the Veteran to SMC, and entitles less than XI in either ear entitlement to SMC. precludes Base disability ratings on an examination conducted in a only authorized audiology clinic using current testing criteria. Hearing loss justifying an award of SMC must be permanent in nature. i. Awarding Award SMC for complete organic aphonia if a disability of the organs of SMC for speech exists that constantly precludes communication by speech and Complete Organic the Veteran is unable to communicate by voice or whisper through the Aphonia normal organs of speech, and the disability is constant and of organic origin. Notes: Complete organic aphonia most frequently results from loss or paralysis of an organ of speech such as the tongue or larynx. The use of other organs of the body or prosthetic devices to provide voice sounds does preclude entitlement to SMC. not The assignment of total schedular ratings under , and , generally entitles the Veteran to SMC.
g. Awarding SMC for LOU of Both Buttocks Award SMC for LOU of both buttocks when there is severe damage by disease or injury to muscle group XVII (the gluteus maximus, gluteus medius, and gluteus minimus), bilaterally, which renders the Veteran unable to complete the following actions rise from a seated or stooped position, and maintain postural stability. Note: Assistance performing the physical actions listed includes the use of the person’s own hands or arms and a special appliance for postural stability. Reference: For more information on LOU of the buttocks, see . h. Awarding SMC for Deafness Award SMC for deafness of both ears, having absence of air and bone conduction, if the SC bilateral hearing loss warrants a 100-percent evaluation under the evaluation criteria in and for hearing impairment. A Veteran with bilateral SC hearing impairment, numerically designated as XI, is entitled to SMC, regardless of whether or not measurable hearing impairment was noted on entrance into service and SC was awarded based on aggravation of a pre-existing disability. Notes: A numeric designation of hearing impairment of XI in both ears entitles the Veteran to SMC, and less than XI in either ear precludes entitlement to SMC. Base disability ratings only on an examination conducted in a audiology clinic using current testing criteria. Hearing loss justifying an award of SMC must be permanent in nature. i. Awarding SMC for Complete Organic Aphonia Award SMC for complete organic aphonia if a disability of the organs of speech exists that constantly precludes communication by speech and the Veteran is unable to communicate by voice or whisper through the normal organs of speech, and the disability is constant and of organic origin. Notes: Complete organic aphonia most frequently results from loss or paralysis of an organ of speech such as the tongue or larynx. The use of other organs of the body or prosthetic devices to provide voice sounds does not preclude entitlement to SMC. The assignment of total schedular ratings under , and , generally entitles the Veteran to SMC. authorized
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