TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
8914
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Psychomotor seizures

Seizures that may cause altered consciousness, automatic behaviors, or unusual sensations and movements.

What the rating means

Psychomotor seizures are rated under diagnostic code 8914 using the General Rating Formula for Major and Minor Epileptic Seizures. The type of seizure determines which part of the formula applies. When your psychomotor seizures involve automatic states or generalized convulsions with unconsciousness, they are rated as major seizures. When they involve brief episodes of random motor movements, hallucinations, perceptual illusions, abnormal thinking, memory or mood changes, or autonomic disturbances, they are rated as minor seizures. If you have both types, VA rates whichever type predominates.

For major seizures, ratings of 100%, 80%, 60%, 40%, 20%, and 10% depend on how frequently seizures occur over the past year or two years. For minor seizures, ratings depend on how many occur per week. A confirmed diagnosis with a history of seizures, even without recent seizures meeting a higher threshold, can support a 10% rating. If you take continuous medication to control your epilepsy, the minimum evaluation is 10%. There is no distinction between seizures that happen during the day and those that happen at night.

Evidence that helps

For major seizure ratings, records showing how often seizures occur are central. VA looks at the average frequency over the last year, or in some cases the last two years. Medical records, neurology visit notes, seizure logs, and emergency or hospital records can document frequency. Witness statements from family members, caregivers, or others who observed your seizures can help establish whether episodes involved unconsciousness or automatic states, which is what separates major from minor classification.

For minor seizure ratings, evidence showing weekly frequency matters most. Clinic notes describing brief episodes of random motor movements, perceptual illusions, hallucinations, mood or memory abnormalities, or autonomic disturbances support classification as minor. Electroencephalogram results and neurologist evaluations help confirm the diagnosis and characterize seizure type. Statements from you or people around you describing how often these episodes occur each week, and how they affect your work and daily activities, are relevant to frequency-based rating levels. Pharmacy records or physician statements confirming that continuous medication is needed for seizure control support the 10% minimum evaluation.

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.