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9310
§ 4.130 Schedule of ratings—Mental disorders.

Unspecified brain disorder

A brain disorder of unspecified cause that may affect memory, thinking, judgment, and daily functioning.

What the rating means

Unspecified neurocognitive disorder is rated under the General Rating Formula for Mental Disorders, which applies to mental conditions across the rating schedule. Six percentage levels are possible: 100, 70, 50, 30, 10, and 0 percent.

At 100 percent, VA looks for total occupational and social impairment, shown by symptoms such as gross impairment in thought or communication, persistent delusions or hallucinations, disorientation to time or place, or memory loss for the names of close relatives, your own occupation, or your own name. At 70 percent, the formula requires deficiencies in most areas of life — work, family, judgment, or mood — due to symptoms such as suicidal ideation, near-continuous panic or depression, or inability to maintain effective relationships.

At 50 percent, the condition causes reduced reliability and productivity, with symptoms like panic attacks more than once a week, impaired short- and long-term memory, or impaired abstract thinking. At 30 percent, there are occasional decreases in work efficiency and intermittent inability to perform occupational tasks, with symptoms such as depressed mood, chronic sleep impairment, or mild memory loss. At 10 percent, symptoms are mild or transient and reduce work efficiency only during periods of significant stress, or are controlled by continuous medication. At 0 percent, a formal diagnosis exists but symptoms do not interfere with occupational or social functioning and do not require continuous medication.

Evidence that helps

Medical records that document a formal diagnosis of unspecified neurocognitive disorder are the starting point. From there, the evidence needs to show how your symptoms affect your functioning at each level.

For higher ratings, records showing persistent delusions, hallucinations, disorientation, severe memory loss, suicidal ideation, or inability to maintain personal hygiene directly match the 100 and 70 percent criteria. Psychiatric evaluation notes, hospitalization records, and crisis intervention records can reflect this level of impairment. For the 50 percent level, records showing panic attacks occurring more than once a week, clinician observations of flattened affect or disordered speech, and neuropsychological testing that documents impaired memory, judgment, or abstract thinking are relevant.

For 30 percent, records showing depressed mood, anxiety, chronic sleep impairment, or mild memory loss support that level. Statements from you, family members, or coworkers describing how symptoms affect your ability to complete work tasks, maintain relationships, or handle stress can help show the occupational and social impact at any level. For 10 percent, records showing that continuous medication is needed to control symptoms, or that symptoms worsen under significant stress, correspond to that criterion.

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.