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9422
§ 4.130 Schedule of ratings—Mental disorders.

Other specified somatic symptom disorder

A condition involving physical symptoms related to psychological factors that does not fit other specific somatic categories.

What the rating means

Other specified somatic symptom and related disorder is rated under diagnostic code 9422 using the General Rating Formula for Mental Disorders. This is the same formula used for most VA-rated mental health conditions. Six rating levels are possible: 100%, 70%, 50%, 30%, 10%, and 0%.

The formula focuses on how much the condition impairs your occupational and social functioning. At 100%, there is total occupational and social impairment, shown by severe symptoms such as gross impairment in thought processes, persistent delusions or hallucinations, disorientation to time or place, or persistent danger of hurting yourself or others. At 70%, there are deficiencies in most areas of life, such as work, family relations, judgment, and mood. At 50%, the condition causes reduced reliability and productivity at work and in social settings. At 30%, there are occasional decreases in work efficiency and intermittent periods of inability to perform occupational tasks, though you generally function satisfactorily. At 10%, symptoms are mild or transient, affecting work only during significant stress, or are controlled by continuous medication. At 0%, a diagnosis exists but symptoms do not interfere with occupational or social functioning and do not require continuous medication.

Evidence that helps

Because this condition is rated under the General Rating Formula for Mental Disorders, the evidence that matters most is documentation showing how your symptoms affect your ability to work and engage in social and daily activities.

Medical records from mental health providers, primary care physicians, or hospitals that record your diagnosed condition and describe your specific symptoms are central. Findings from VA or private psychiatric or psychological examinations carry particular weight, especially when the examiner documents the frequency, severity, and duration of symptoms tied directly to the rating criteria, such as panic attacks, memory problems, speech disturbances, impaired judgment, or difficulties maintaining relationships.

For higher rating levels, records showing hospitalization, crisis interventions, medication history, or a pattern of missed work can help reflect the degree of impairment. Statements from you describing how symptoms affect your ability to complete work tasks, manage daily responsibilities, and maintain relationships are relevant, as are statements from people who observe you regularly, such as family members, coworkers, or caregivers, that describe the same kinds of functional effects.

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.