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8611
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Middle nerve root inflammation (neuritis)

Inflammation of the middle arm nerve roots, which may cause pain, weakness, or numbness in the forearm and hand.

What the rating means

Neuritis at diagnostic code 8611 is rated the same way as paralysis of the middle nerve root under diagnostic code 8511. The rating depends on how much function you have lost in the affected arm — specifically your ability to move your arm inward and outward, rotate it, bend your elbow, and extend your wrist.

Four levels of incomplete loss are possible. A mild level is rated at 20% for either arm. A moderate level is rated at 40% for the major arm or 30% for the minor arm. A severe incomplete level is rated at 50% for the major arm or 40% for the minor arm. Complete loss — meaning those movements are lost or severely affected — is rated at 70% for the major arm or 60% for the minor arm. Your major arm is generally the one you write with; your minor arm is the other one.

When the involvement is wholly sensory, the rating applies at the mild or at most the moderate degree.

Evidence that helps

Medical records that document how much movement and strength you have in the affected arm are central to this rating. A VA or private examination that specifically tests your ability to adduct, abduct, and rotate the arm, flex the elbow, and extend the wrist will show whether loss is mild, moderate, severe, or complete. Range-of-motion measurements, grip and strength testing, and nerve conduction or electromyography studies can all help establish the degree of involvement.

If your symptoms are purely sensory — such as numbness, tingling, or pain without measurable motor loss — records or exam findings that confirm the sensory-only nature of your condition are relevant, because the regulation limits purely sensory involvement to the mild or moderate rating levels. Statements from you or people who know you that describe how weakness or sensory changes affect tasks at work or in daily life, such as difficulty lifting or gripping objects, can help show the functional impact that separates one rating level from another.

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.