C&P Exam for Vision in one eye 5/200 (DC 6065)

Diagnostic code: 6065Condition: Vision in one eye 5/200 (1.5/60)Regulation: 38 CFR § 4.79DBQ: DBQ EYE Eye Conditions

Which form the examiner uses

For vision in one eye 5/200 (DC 6065), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):

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.

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)
    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 6065

    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.

    Evidence cited in published BVA decisions for DC 6065

    The counts below are aggregated from published Board of Veterans Appeals decisions for this diagnostic code. Each row reports how often a given evidence type was discussed in the decision text, broken down by outcome. This is a factual aggregate of the public record, not a prediction or recommendation about any specific claim.

    • VA examination: appeared in 2 granted decisions (4 denied, 9 remanded; 15 total)
    • Service treatment records: appeared in 1 granted decision (2 denied, 2 remanded; 5 total)
    • Private medical opinion: appeared in 0 granted decisions (1 denied, 2 remanded; 3 total)
    • Buddy / lay statements: appeared in 0 granted decisions (0 denied, 1 remanded; 1 total)

    What the Board discussed in granted decisions for DC 6065

    The themes below were extracted by clustering 500 grant-factor sentences from published Board of Veterans Appeals decisions for this diagnostic code. Frequencies indicate how often each theme appeared in the sample. This is a factual aggregate of the public record, not advice or strategy for any specific claim.

    1. 32% Benefit of the doubt doctrine stated or applied
      The Board cited the statutory benefit of the doubt doctrine, noting that when evidence is in approximate balance the claimant prevails, and either applied or declined to apply it based on the evidentiary balance.
      162 of 500 sample sentences
    2. 22% VA or private examiner nexus opinion cited as at least as likely as not
      A VA or private medical examiner opined that the veteran's disability was at least as likely as not incurred in, caused by, or related to military service or a service-connected condition.
      112 of 500 sample sentences
    3. 18% Evidence found in relative equipoise on claim
      The Board found the positive and negative evidence approximately balanced or in relative equipoise on a specific issue, resulting in a grant in the veteran's favor.
      89 of 500 sample sentences
    4. 9% Preponderance of evidence against claim; benefit of doubt inapplicable
      The Board found the preponderance of evidence persuasively against the claim, rendering the benefit of the doubt doctrine inapplicable and requiring denial.
      45 of 500 sample sentences
    5. 6% Examiner nexus opinion noted as negative or against the claim
      A VA or private examiner opined that a disability was not at least as likely as not related to service or a service-connected condition, weighing against the claim.
      28 of 500 sample sentences
    6. 5% Remand instructions requesting nexus opinion on eye disability
      The Board issued remand instructions directing an examiner to opine whether a specific eye disability was at least as likely as not related to service, toxic exposure, or a service-connected condition.
      25 of 500 sample sentences
    7. 5% At-least-as-likely-as-not standard defined or explained
      The Board or examiner instructions defined the 'at least as likely as not' threshold, clarifying it means approximately balanced or nearly equal probability, not mere possibility.
      24 of 500 sample sentences
    8. 3% Eye-specific nexus opinion or finding cited in record
      The record contained a medical opinion or finding specifically addressing whether the veteran's eye condition was at least as likely as not caused by or related to service, in-service injury, or secondary to a service-connected disability.
      15 of 500 sample sentences
    View the full DC 6065 pageSearch BVA decisions for this codeAbout DBQ forms

    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.