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8717
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Musculocutaneous nerve pain (neuralgia)

Nerve pain affecting the musculocutaneous nerve, which may cause sharp or burning pain in the forearm.

What the rating means

Musculocutaneous nerve neuralgia is rated under diagnostic code 8717. Because this is a neuralgia, VA rates it using the same paralysis formula that applies to musculocutaneous nerve paralysis under diagnostic code 8517, but the regulation specifies that when the involvement is wholly sensory — as neuralgia is — the rating should be for the mild or, at most, the moderate degree.

Under the paralysis formula, the possible ratings depend on which arm is affected. For complete paralysis, the rating is 30% for the major arm and 20% for the minor arm. For incomplete paralysis rated as severe, both the major and minor arm are rated at 20%. For moderate incomplete paralysis, both arms are rated at 10%. For mild incomplete paralysis, the rating is 0% for both arms. Because neuralgia is a sensory condition, the regulation limits the rating to mild or at most moderate, meaning 0% or 10%. The ratings listed are for one side; if both arms are involved, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Because the rating is capped at the mild or moderate level for a sensory condition like neuralgia, the most relevant evidence is what distinguishes mild from moderate incomplete involvement of the musculocutaneous nerve.

Medical records documenting the nature, frequency, and intensity of your pain along the musculocutaneous nerve distribution — the outer forearm — help establish that the condition exists and how severe it is. A VA or private examination that tests sensation in that area and describes any objective sensory deficits supports a moderate finding, while a purely subjective pain complaint with no objective findings on testing points toward the mild level.

Statements from you or people who know you describing how the nerve pain affects your ability to use your arm during work or daily tasks can show real-world impact. Treatment records, such as notes about medications prescribed for nerve pain or referrals to neurology, also reflect the severity your providers have observed. If both arms are affected, records should document each side separately so VA can rate them individually and apply the bilateral factor.

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.