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8046
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Cerebral arteriosclerosis

Hardening and narrowing of arteries in the brain that may reduce blood flow and cause cognitive or neurological problems.

What the rating means

Cerebral arteriosclerosis is not rated under a single fixed percentage scale. Instead, VA rates it in one of two ways depending on your symptoms. If you have neurological disabilities caused by cerebral arteriosclerosis — such as hemiplegia or cranial nerve paralysis — VA rates those specific disabilities under the diagnostic codes that apply to them. Your rating will show a hyphenated code, for example 8046-8207, to reflect both the underlying condition and the specific neurological disability. If your symptoms are purely subjective — such as headache, dizziness, tinnitus, insomnia, or irritability — and those symptoms are recognized as coming from a properly diagnosed cerebral arteriosclerosis, VA rates them at 10 percent under diagnostic code 9305, and no higher. That 10 percent rating will not be combined with any other rating for a disability due to cerebral or generalized arteriosclerosis. Ratings above 10 percent under code 9305 are not available unless you also have a diagnosis of multi-infarct dementia with cerebral arteriosclerosis. The diagnosis must be supported by the full clinical picture, not solely by findings of retinal arteriosclerosis.

Evidence that helps

The type of evidence that matters depends on which path your rating follows. For any rating under this code, medical records must show a diagnosis of cerebral arteriosclerosis supported by the full clinical picture — not retinal findings alone. Imaging studies, vascular assessments, and clinical exam notes that document the basis for the diagnosis are important for this reason. If you have specific neurological disabilities such as paralysis, records showing the type, extent, and cause of that paralysis help establish which hyphenated diagnostic code applies. If your symptoms are purely subjective — headache, dizziness, tinnitus, insomnia, or irritability — medical records that link those symptoms directly to a confirmed diagnosis of cerebral arteriosclerosis support a 10 percent rating under code 9305. If you also have a diagnosis of multi-infarct dementia with cerebral arteriosclerosis, records documenting cognitive and functional impairment become relevant to ratings above 10 percent. Statements from you or people who know you describing how these symptoms affect your work and daily life can help show the connection between the diagnosis and your functional limitations.

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.