{"data":{"id":"us/38-cfr-4.14","jurisdiction":"us","citation":"38 CFR 4.14","heading":"Avoidance of pyramiding.","body":"The evaluation of the same disability under various diagnoses is to be avoided. Disability from injuries to the muscles, nerves, and joints of an extremity may overlap to a great extent, so that special rules are included in the appropriate bodily system for their evaluation. Dyspnea, tachycardia, nervousness, fatigability, etc., may result from many causes; some may be service connected, others, not. Both the use of manifestations not resulting from service-connected disease or injury in establishing the service-connected evaluation, and the evaluation of the same manifestation under different diagnoses are to be avoided.","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 4—SCHEDULE FOR RATING DISABILITIES","Subpart A—General Policy in Rating"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"e89f0d067f6169aca6a6297064d9009e329abde0106a3e2b75d281095c8d4fbd","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-4.13","next":"us/38-cfr-4.15"},"notice":"GroundRules: Original legal text. Not legal advice."}