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8529
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Lateral thigh nerve paralysis

Paralysis of the lateral femoral cutaneous nerve, which may cause numbness or tingling on the outer thigh.

What the rating means

VA rates paralysis of the lateral thigh nerve under diagnostic code 8529. Two ratings are possible: 10% for severe to complete paralysis, and 0% for mild or moderate paralysis. The dividing line is how much function the nerve has lost. Because this is a peripheral nerve, "incomplete paralysis" means a degree of lost or impaired function substantially less than complete paralysis, whether because of where the nerve was injured or because the nerve has partially recovered. When the involvement is wholly sensory, VA rates it at mild or, at most, moderate. The ratings above apply to one side. If both lateral thigh nerves are affected, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Medical records that describe how much sensation or motor function you have lost in the lateral thigh are central to showing where you fall in this rating. A VA or private examination documenting the degree of nerve loss — whether the paralysis is mild, moderate, severe, or complete — directly maps to the rating criteria. Nerve conduction studies or other objective test results that show the extent of impairment can help establish severity. Because complete or near-complete loss supports the 10% level while mild or moderate loss results in 0%, records that clearly describe the degree of functional loss carry the most weight. If the condition affects both thighs, documentation of bilateral involvement is needed so VA can apply the bilateral factor when combining the two ratings.

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.