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8615
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Median nerve inflammation (neuritis)

Inflammation of the median nerve, which may cause pain, tingling, or numbness in the thumb and fingers.

What the rating means

Median nerve neuritis is rated under diagnostic code 8615. VA rates it using the same criteria as median nerve paralysis under code 8515, which covers both complete paralysis and incomplete paralysis at varying degrees of severity. Because neuritis affects only sensation or impairs function partially, the regulation states that when involvement is wholly sensory, the rating should be for the mild or, at most, the moderate degree.

For incomplete paralysis, four levels are possible. Mild is rated at 10% for either arm. Moderate is rated at 30% if it affects your dominant arm (Major) or 20% if it affects your nondominant arm (Minor). Severe is rated at 50% for the dominant arm or 40% for the nondominant arm. Complete paralysis is rated at 70% for the dominant arm or 60% for the nondominant arm. The ratings above are for one side; if both arms are affected, VA combines the separate ratings and applies the bilateral factor.

Evidence that helps

Because the ratings turn on how much function you have lost, medical records and examination findings that describe the degree of impairment in your hand, wrist, and thumb carry the most weight. For mild incomplete paralysis, records showing only minor sensory changes with little measurable loss of strength or coordination are relevant. For moderate incomplete paralysis, exam findings of reduced grip strength, weakened wrist flexion, or noticeable but incomplete loss of thumb or finger movement help show that level. For severe incomplete paralysis, documented significant weakness, impaired opposition or abduction of the thumb, difficulty making a fist, or atrophy of the thenar muscles would be relevant.

Because neuritis is a sensory condition, records confirming the involvement is sensory rather than motor support placing the rating at mild or moderate. Statements from you or people who see you daily describing how finger and hand limitations affect work tasks or daily activities can also help document functional impact. Nerve conduction studies or electromyography results that show the degree of nerve involvement are useful objective findings.

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.