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8021
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Spinal cord cancer

A cancerous tumor in the spinal cord that may cause pain, weakness, or loss of sensation.

What the rating means

Spinal cord cancer, rated under diagnostic code 8021, is assigned a 100% rating while the condition is active and during treatment. This 100% rating continues for 2 years after surgical, chemotherapeutic, or other treatment ends. Once those 2 years have passed and your residual symptoms have stabilized, VA will re-evaluate your condition based on any neurological symptoms that remain, rating those residuals according to their severity and how they affect your function. There is a minimum rating of 30%, meaning that even after the 2-year period, your rating will not fall below 30% under this code. The transition from the 100% rating to a residuals-based rating depends on both the passage of the 2-year period and the stabilization of your symptoms.

Evidence that helps

While your cancer is active or you are in treatment, medical records confirming the diagnosis and documenting ongoing treatment — such as surgical reports, chemotherapy records, or records of other treatment modalities — are the core evidence for the 100% rating. Records showing the date treatment ended are important because they establish when the 2-year continuation period begins. After that period, if VA moves to rate your neurological residuals, evidence of stabilized symptoms becomes central. This includes neurological examination findings, imaging, and objective testing that documents any lasting impairments in areas such as movement, sensation, cognition, or communication. Statements from you or people who know you describing how remaining symptoms affect your ability to work and carry out daily activities can help show the severity of those residuals. Records from treating providers describing the nature and degree of neurological deficits after treatment are especially relevant at that stage.

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.