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8309
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Glossopharyngeal nerve neuritis

Inflammation of the glossopharyngeal nerve that may cause throat pain or difficulty swallowing.

What the rating means

Glossopharyngeal nerve neuritis is rated under diagnostic code 8309 in the VA schedule for neurological conditions. Because this is a neuritis code, VA rates it the same way it rates paralysis of the glossopharyngeal nerve under code 8209, but the maximum rating available is one level lower than for paralysis. The possible ratings are 30% for complete paralysis, 20% for incomplete paralysis that is severe, and 10% for incomplete paralysis that is moderate. The ratings above are for involvement on one side; if both sides are affected, the two sides are combined using the standard combined ratings formula, and the bilateral factor applies. When the nerve damage affects sensation only, the rating should be no higher than mild or, at most, moderate. How VA separates one level from the next depends on the relative loss of ordinary sensation in the mucous membrane of the pharynx, fauces, and tonsils.

Evidence that helps

Because the rating levels turn on how much ordinary sensation you have lost in the mucous membrane of the pharynx, fauces, and tonsils, medical records and examination findings that document that sensory loss are the most directly useful evidence. A neurological exam that tests and records sensation in those specific areas helps show whether loss is absent, partial, or complete. Records from a specialist such as an otolaryngologist or neurologist that describe the degree of sensory deficit, any swallowing difficulty, or pain patterns in the throat region can support a higher or lower rating level. If your symptoms affect only sensation and not motor function, the regulation limits the rating to the mild or at most moderate level, so records that distinguish sensory from motor involvement matter. Statements from you or people who observe you daily about how reduced throat sensation affects eating, speaking, or swallowing can help illustrate how the condition functions in real life.

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.