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8623
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Deep peroneal nerve inflammation (neuritis)

Inflammation of the deep peroneal nerve, which may cause pain or numbness between the first and second toes.

What the rating means

Deep peroneal nerve inflammation, called neuritis, is rated under diagnostic code 8623. VA rates neuritis using the same criteria as paralysis of the deep peroneal nerve, under code 8523. The possible ratings are 30%, 20%, 10%, and 0%.

A 30% rating applies when the condition is equivalent to complete paralysis, meaning dorsal flexion of the foot is lost. A 20% rating applies to incomplete paralysis that is severe, and a 10% rating applies to incomplete paralysis that is moderate. A 0% rating applies when the condition is mild.

Because neuritis involves impaired function rather than full loss, the regulation states that when involvement is wholly sensory, the rating should be for the mild or, at most, the moderate degree. The ratings above are for involvement of one side. If both feet are affected, VA combines the separate evaluations and applies the bilateral factor.

Evidence that helps

To support a higher rating, medical evidence needs to show how much function you have lost in the affected foot. For a 30% rating, records or examination findings showing complete loss of dorsal flexion — your ability to lift the front of your foot upward — would be relevant. For a 20% rating, findings of severe but incomplete loss of that movement would apply. For a 10% rating, moderate loss of function would be relevant.

Useful evidence includes physical examination findings that document range of motion in the foot and ankle, nerve conduction studies or electromyography results, imaging, and notes from treating providers describing the degree of motor or sensory loss. Statements from you or people who know you describing how weakness or sensory changes in the foot affect walking, standing, or daily tasks can also reflect the functional impact. If both feet are affected, records documenting involvement on each side help VA evaluate and combine the ratings correctly.

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.