- Diagnostic Code
- 9521
- CFR Section
- §4.130 — Mental Disorders
Rated Under Formula
This condition is rated using the Rating Formula for Eating Disorders general rating formula.
Self-induced weight loss to less than 80 percent of expected minimum weight, with incapacitating episodes of at least six weeks total duration per year, and requiring hospitalization more than twice a year for parenteral nutrition or tube feeding.
Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of six or more weeks total duration per year.
Self-induced weight loss to less than 85 percent of expected minimum weight with incapacitating episodes of more than two but less than six weeks total duration per year.
Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder and incapacitating episodes of up to two weeks total duration per year.
Binge eating followed by self-induced vomiting or other measures to prevent weight gain, or resistance to weight gain even when below expected minimum weight, with diagnosis of an eating disorder but without incapacitating episodes.
What Raters Look For
Based on M21-1 adjudication criteria for Mental Disorders conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.N- •Frequency, severity, and duration of psychiatric symptoms
- •Impact on occupational functioning: ability to work, maintain employment, work with others
- •Impact on social functioning: relationships, ability to leave home, social withdrawal
- •Treatment history: outpatient therapy, psychiatric medications, hospitalizations
- •Psychiatric hospitalizations — voluntary or involuntary, frequency and duration
- •Suicidal ideation — whether passive or active, and any attempts
- •Global Assessment of Functioning (GAF) score if documented in older records; WHODAS score in newer exams
- •Specific symptoms from the General Rating Formula: depression, anxiety, panic, memory issues, sleep disturbance, anger, social avoidance