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8540
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Nerve tissue cancer (soft-tissue sarcoma)

Cancer arising from nerve tissue, classified as a soft-tissue sarcoma of neurogenic origin.

What the rating means

Soft-tissue sarcoma of neurogenic origin is rated under diagnostic code 8540 in VA's schedule for neurological conditions. There is only one rating level: 100%. VA assigns this rating while you are undergoing surgical treatment, X-ray therapy, antineoplastic chemotherapy, or any other therapeutic procedure for the cancer.

The 100% rating continues for 6 months after that treatment ends. After those 6 months, VA looks at whether the cancer has come back locally or spread to other parts of the body. If there is no recurrence and no metastases at that point, VA stops rating the cancer itself and instead rates whatever residual effects or lasting impairments remain from the disease or its treatment. Those residuals would then be evaluated under the criteria that apply to the specific remaining condition.

Evidence that helps

During active treatment, medical records confirming the diagnosis and documenting your ongoing surgical, radiation, or chemotherapy treatment are the central evidence. Records showing the dates treatment began and ended matter because they establish when the 6-month continuation period starts and stops.

Once treatment ends, VA will look for evidence of recurrence or spread. Imaging studies, biopsy results, oncology notes, and lab work that show no local recurrence and no metastases support a transition to residual-based rating at the 6-month mark. If recurrence or spread is found, records documenting that finding would be relevant to continued rating.

After the transition to residuals, the evidence needed depends on what lasting impairments you have. For example, nerve-related residuals would be supported by neurological exam findings, electrodiagnostic test results, and statements from you or those who know you describing how the remaining symptoms affect your work and daily activities.

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.