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8723
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Deep peroneal nerve pain (neuralgia)

Nerve pain affecting the deep peroneal nerve in the lower leg, which may cause discomfort in the foot or ankle.

What the rating means

Deep peroneal nerve pain, called neuralgia, is rated under diagnostic code 8723. VA rates it using the same criteria as paralysis of the deep peroneal nerve under diagnostic code 8523, but because this is a pain condition rather than paralysis, the regulation limits it: when the involvement is wholly sensory, the rating should be for the mild or, at most, the moderate degree.

The possible ratings under the paralysis scale are 30% for complete paralysis, 20% for severe incomplete paralysis, 10% for moderate incomplete paralysis, and 0% for mild incomplete paralysis. Because neuralgia is a sensory condition, the regulation caps it at mild or at most moderate, meaning the highest rating available to you under this code is 10%. The ratings apply to one side; if both legs are affected, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Because the rating is capped at mild or moderate for a sensory condition, the evidence that matters most is what shows the degree of sensory loss or pain and how it affects your function. Medical records documenting the presence, frequency, and character of pain along the deep peroneal nerve distribution help establish the diagnosis. Nerve conduction studies or electromyography findings can show the extent of nerve involvement.

Physical examination findings that describe reduced or absent sensation on the top of the foot or between the first and second toes are directly relevant to whether the condition reaches the moderate level. Statements from you or people who know you describing how pain or numbness limits walking, standing, or other daily activities can help show functional impact. Records from treating providers that describe the condition as mild or as causing more significant interference with function are the kind of detail that separates one level from the next under this code.

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.