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8207
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Facial nerve paralysis (Bell's palsy)

Loss of movement in facial muscles on one side of the face, often causing drooping and difficulty closing the eye.

What the rating means

Facial nerve paralysis, also known as Bell's palsy, is rated under diagnostic code 8207 in VA's schedule for neurological conditions. The rating depends on how much function you have lost in the facial muscles supplied by the seventh cranial nerve. A complete paralysis is rated at 30%. If the paralysis is incomplete but severe, the rating is 20%. If it is incomplete and moderate, the rating is 10%. The regulation defines incomplete paralysis as a degree of lost or impaired function that is substantially less than what is seen in a complete paralysis, whether because of where along the nerve the damage occurred or because of partial recovery. The ratings listed above apply to involvement on one side of the face. If both sides are affected, VA combines the two ratings without applying the bilateral factor.

Evidence that helps

Medical records and examination findings that document how much movement and control you retain in your facial muscles are central to this rating. A VA or private examination that describes the degree of weakness, drooping, or asymmetry of the face, and whether you can fully close your eye, raise your eyebrow, or move the corner of your mouth, helps show where your condition falls on the scale from moderate incomplete to complete paralysis. Nerve conduction studies or electromyography results, if performed, can provide objective evidence of the extent of nerve damage. Records showing partial recovery or continued loss of function over time are also relevant. Statements from you or people who know you describing how facial weakness affects daily activities, such as eating, speaking, or protecting your eye, can help show functional impact at each level. If both sides of your face are involved, documentation confirming bilateral involvement supports how the ratings are combined.

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.