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8009
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Stroke and complications

Cerebrovascular accident (brain hemorrhage or thrombosis) and resulting impairments (e.g., paralysis, speech difficulty)

What the rating means

VA rates brain hemorrhage, including stroke, under Diagnostic Code 8009. For the first 6 months after the hemorrhage, the rating is 100%. After that 6-month period, VA stops rating the hemorrhage itself and instead rates whatever residual problems remain. The minimum rating for those residuals is 10%.

Residuals are rated under the rules that apply to each specific lasting problem. Cognitive and behavioral effects — such as memory loss, impaired judgment, disorientation, communication problems, or neurobehavioral changes — are evaluated using a shared formula for cognitive impairment and other residuals of traumatic brain injury. Each area of function is rated on a scale from 0 to a total level, based on how severely it affects you. Motor, sensory, cranial nerve, or other neurological residuals are rated under their own applicable codes. The final combined rating reflects all remaining deficits together.

Evidence that helps

During the first 6 months, medical records confirming the diagnosis of brain hemorrhage are the key evidence. After that, the evidence that matters most depends on which residuals you have.

For cognitive residuals, neuropsychological testing that documents objective impairment in memory, attention, concentration, executive functions, orientation, judgment, or communication is directly tied to the rating criteria. Records showing how often you are disoriented, how severely your communication is affected, or how your judgment holds up in routine decisions all map to specific rating levels. For neurobehavioral effects — such as irritability, impulsivity, or verbal or physical aggression — records from mental health providers and statements from you, family members, or caregivers describing how often these effects interfere with work or social interaction are relevant.

For subjective symptoms like headaches, dizziness, or fatigue, records showing frequency and severity, and statements describing how those symptoms affect your work and daily activities, support the criteria. For motor, visual spatial, or apraxia-related residuals, examination findings that document the degree of decreased or slowed motor activity are tied to those rating levels.

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.