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§ 4.130 Schedule of ratings—Mental disorders.

Brain disorder due to Alzheimer's disease

A brain disorder caused by Alzheimer's disease that progressively affects memory, thinking, and daily functioning.

What the rating means

Major or mild neurocognitive disorder due to Alzheimer's disease is rated under the General Rating Formula for Mental Disorders in § 4.130. Six ratings are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a diagnosis exists but symptoms do not interfere with your work or social life and do not require continuous medication. At 10%, symptoms are mild or transient and reduce your work efficiency only during periods of significant stress, or are controlled by continuous medication. At 30%, you have occasional decreases in work efficiency and intermittent inability to perform work tasks, though you generally function satisfactorily; symptoms may include depressed mood, anxiety, panic attacks weekly or less, chronic sleep problems, or mild memory loss. At 50%, your reliability and productivity are reduced, with symptoms such as memory impairment, impaired judgment, panic attacks more than once a week, or difficulty understanding complex commands. At 70%, you have deficiencies in most areas of life — work, family, judgment, or mood — with symptoms such as suicidal ideation, spatial disorientation, or inability to maintain effective relationships. At 100%, there is total occupational and social impairment, with symptoms such as persistent delusions, memory loss for close relatives' names or your own name, or intermittent inability to perform basic daily activities.

Evidence that helps

Medical records that document your formal diagnosis of major or mild neurocognitive disorder due to Alzheimer's disease are the foundation of your claim. To support higher ratings, records should reflect the specific symptoms tied to each level. For a 50% or higher rating, cognitive testing results showing memory impairment, impaired abstract thinking, or difficulty following complex commands are directly relevant. Neuropsychological evaluations and notes from treating providers describing changes in speech, judgment, impulse control, or mood connect clearly to the 50% and 70% criteria.

For the 70% and 100% levels, records or clinician observations documenting spatial disorientation, neglect of hygiene, suicidal ideation, persistent delusions or hallucinations, or loss of memory for your own name or occupation carry significant weight. Statements from family members, caregivers, or others who observe you daily can describe how your symptoms affect your ability to work, manage personal care, and maintain relationships. These personal statements are most useful when they describe specific behaviors or incidents that reflect the criteria above rather than general descriptions of your condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.