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8305
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Trigeminal neuritis

Inflammation of the trigeminal nerve that may cause facial pain, numbness, or tingling.

What the rating means

Trigeminal neuritis is rated under diagnostic code 8305, which follows the rating formula for neuritis of the fifth (trigeminal) cranial nerve. VA rates this condition based on the degree of paralysis — meaning how much lost or impaired function you have — at three levels: complete paralysis at 50%, incomplete severe paralysis at 30%, and incomplete moderate paralysis at 10%. The ratings apply to one side of the face. If both sides are affected, VA combines the two ratings but does not apply the bilateral factor.

"Incomplete paralysis" means your function is substantially less impaired than a complete loss. When your involvement is wholly sensory — that is, you have no motor loss — the regulation says the rating should be for the mild or, at most, the moderate degree. The note under this code also directs VA to look at the relative degree of sensory symptoms or motor loss when deciding which level fits your situation.

Evidence that helps

Because the rating turns on how much sensory or motor function is lost, the most helpful records are those that document both. Clinical examination findings from a neurologist or other provider describing facial sensation testing — such as responses to light touch, pinprick, or temperature along the three branches of the trigeminal nerve — directly address the sensory criteria. Records showing any motor loss, such as weakness of the jaw muscles, connect to the motor side of the rating.

Imaging, nerve conduction studies, or electromyography results can provide objective evidence of nerve damage and its severity. Treatment records, including medications tried for facial pain or numbness and their results, show the ongoing nature and impact of the condition. Statements from you or people who know you describing how facial numbness, pain, or weakness affects eating, speaking, or daily tasks can show the functional effect of your symptoms, which the regulation ties directly to the degree-of-impairment determination.

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.