C&P Exam for Anatomical loss of both eyes (DC 6061)
Which form the examiner uses
For anatomical loss of both eyes (DC 6061), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):
- DBQ EYE Eye Conditions (public PDF on VA.gov)
DBQs are Department of Veterans Affairs Form 21-0960 series documents. Public DBQs are hosted on benefits.va.gov. A handful are examiner-only and are not posted publicly.
What the examiner records
The fields below are reproduced from the DBQ form the examiner completes for this diagnostic code. This is the structural map of the form, showing what the examiner is asked to measure, observe, and record. It is a factual reproduction of the public DBQ, not advice on how to answer.
This DBQ evaluates eye conditions documenting visual acuity, visual fields, eye conditions, scarring/disfigurement, incapacitating episodes, and functional impact.
How DC 6061 maps to this DBQ: for this diagnostic code specifically, the examiner typically completes sections I-III and VII-VIII of this form. Section III is the condition-specific section for this code. Sections IV-VI cover unrelated conditions on this DBQ and are skipped.
DIAGNOSIS (Section I)
- Does the Veteran currently have an eye condition (other than congenital or developmental errors of refraction)?
- Diagnosis # 1
- Diagnosis # 1 ICD Code
- Diagnosis # 1 Date of diagnosis
- Diagnosis # 2
- Diagnosis # 2 ICD Code
- Diagnosis # 2 Date of diagnosis
- Diagnosis # 3
- Diagnosis # 3 ICD Code
- Diagnosis # 3 Date of diagnosis
- 1B. If there are additional or prior diagnoses that pertain to eye conditions, list using above format
MEDICAL HISTORY (Section II)
- 2A. Describe the history (including onset and course) of the Veteran's current eye condition(s) (Brief summary)
PHYSICAL EXAMINATION (Section III)
- 1. VISUAL ACUITY Visual acuity should be reported according to the lines on the Snellen chart or its equivalent. If assessment of the veteran's visual acuity falls between two lines on the Snellen chart, round up to the higher (worse) level (poorer vision) for answers a-d below. (For example, 20/60
EYE CONDITIONS (Section IV)
- a. Specify the type of glaucoma: Angle-closure – Eye affected: Right / Left / Both
- a. Specify the type of glaucoma: Open-angle – Eye affected: Right / Left / Both
- a. Specify the type of glaucoma: Other – Specify type – Eye affected: Right / Left / Both
- b. Does the glaucoma require continuous medication for treatment?
- If "Yes," list medication(s) used for treatment of glaucoma
- c. Is the Veteran's decrease in visual acuity or other visual impairment, if present, attributable to glaucoma?
SCARRING AND DISFIGUREMENT (Section V)
- 5A. Does the Veteran have scarring or disfigurement attributable to any eye condition?
INCAPACITATING EPISODES (Section VI)
- 6A. During the past 12 months, has the Veteran had any incapacitating episodes attributable to an eye condition?
- If "Yes," specify the eye condition(s) causing incapacitating episodes
- 6B. Indicate the number of DOCUMENTED medical visits for treatment of an eye condition over the past 12 months: At least 1 but less than 3 / At least 3 but less than 5 / At least 5 but less than 7 / 7 or more
- 6C. Indicate the type of intervention that occurred during the incapacitating episode: Systemic immunosuppressant or biologic agent – Name of medication
- Intravitreal or periocular injections – Name of medication
- Laser treatments
- Surgical intervention – Describe
- Other – Describe
FUNCTIONAL IMPACT (Section VII)
- 7A. Does the Veteran's eye condition(s) impact his or her ability to work?
- If "Yes," describe the impact of each of the Veteran's eye condition(s), providing one or more examples
REMARKS (Section VIII)
- 8A. Remarks (if any – please identify the section to which the remark pertains when appropriate)
Rating Levels for DC 6061
The following tiers are reproduced from 38 CFR Part 4, the VA Schedule for Rating Disabilities. Toggle between the official VA criteria and a Plain English explanation.
Plain-English summaries are AI-generated to explain the official criteria. The official 38 CFR language is the binding legal standard. When in doubt, ask a VSO.
Disclaimer: This page reproduces public Department of Veterans Affairs forms (DBQs) and verbatim text from 38 CFR Part 4 (the VA Schedule for Rating Disabilities). It is informational only and is not legal or medical advice. For guidance on a specific claim, contact a VA-accredited representative.