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9304
§ 4.130 Schedule of ratings—Mental disorders.

Brain disorder due to traumatic brain injury

A brain disorder resulting from traumatic brain injury that may affect memory, thinking, and daily functioning.

What the rating means

Major or mild neurocognitive disorder due to traumatic brain injury is rated under the General Rating Formula for Mental Disorders. Six ratings are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a diagnosis exists but symptoms do not interfere with occupational and social functioning and do not require continuous medication. At 10%, symptoms are mild or transient and reduce 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 occupational tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss. At 50%, there is reduced reliability and productivity, with symptoms such as flattened affect, panic attacks more than once a week, impaired short- and long-term memory, impaired judgment, or difficulty maintaining work and social relationships.

At 70%, there are deficiencies in most areas of life — work, family, judgment, thinking, or mood — with symptoms such as suicidal ideation, near-continuous panic or depression, impaired impulse control, or inability to maintain effective relationships. At 100%, there is total occupational and social impairment, with symptoms such as gross impairment in thought or communication, persistent delusions or hallucinations, disorientation to time or place, or memory loss for close relatives' names or your own name.

Evidence that helps

Medical records documenting your diagnosis of major or mild neurocognitive disorder due to traumatic brain injury form the foundation of your claim. Records that show specific symptoms — such as memory loss, panic attacks, disorientation, impaired judgment, or difficulty with speech — help establish which rating level applies to you.

Mental health evaluation reports and neuropsychological testing are particularly useful because they can document the degree of cognitive and behavioral impairment. Notes from treating providers that describe how often symptoms occur and how severe they are — for example, how frequently panic attacks happen or whether memory loss affects highly learned material versus basic personal information — directly tie to the criteria that separate one rating level from another.

Statements from you and from people who know you, such as family members, coworkers, or supervisors, can show how symptoms affect your ability to work, maintain relationships, handle daily tasks, and care for yourself. Records showing treatment history, including continuous medication use, are relevant at the lower rating levels. Any documentation of suicidal ideation, episodes of violence, or inability to maintain personal hygiene supports consideration of the higher rating levels.

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.