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8103
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Convulsive tic

Involuntary, repetitive muscle movements or spasms, often affecting the face or limbs.

What the rating means

VA rates convulsive tic under diagnostic code 8103. Three ratings are possible: 30% for severe, 10% for moderate, and 0% for mild. What separates one level from the next depends on the frequency of the tics, how severe they are, and which muscle groups are involved. A higher rating reflects tics that are more frequent, more intense, or that involve more or larger muscle groups. A 0% rating means the condition is recognized as service-connected but, at its current level, does not rise above mild. Because the rating turns on those three factors together, the same muscle group affected more often or more forcefully could place you at a higher level than a less frequent or less intense presentation.

Evidence that helps

Because the rating hinges on frequency, severity, and the muscle groups involved, useful evidence speaks directly to each of those factors. Medical records that document how often the tics occur, which muscles or muscle groups are affected, and how forceful or disruptive the movements are will be central. Notes from neurology or other treating providers that describe the tics as mild, moderate, or severe in clinical terms are particularly helpful. Results from any neurological examinations that capture the character and extent of the movements also support the record. Statements from you or people who live or work with you describing how often the tics happen, how long episodes last, and how they affect your ability to work or carry out daily activities can show what the medical records may not fully capture about day-to-day impact.

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.