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
9423
§ 4.130 Schedule of ratings—Mental disorders.

Unspecified somatic symptom disorder

A condition involving physical symptoms related to psychological factors that does not meet criteria for a specific diagnosis.

What the rating means

Unspecified somatic symptom and related disorder is rated under the General Rating Formula for Mental Disorders, which applies to mental health conditions across VA's rating schedule. Six rating levels are possible: 0%, 10%, 30%, 50%, 70%, and 100%.

At 0%, a formal diagnosis exists but symptoms do not interfere with occupational or social functioning and do not require continuous medication. At 10%, symptoms are mild or transient, reducing work efficiency only during periods of significant stress, or are controlled by continuous medication. At 30%, you experience occasional decreases in work efficiency and intermittent inability to perform occupational tasks, with symptoms such as depressed mood, anxiety, panic attacks weekly or less often, chronic sleep impairment, or mild memory loss. At 50%, there is reduced reliability and productivity, with symptoms such as panic attacks more than once a week, impaired judgment, memory problems, or difficulty maintaining work and social relationships. At 70%, there are deficiencies in most areas of life — work, family, judgment, or mood — with symptoms such as suicidal ideation, near-continuous panic or depression, or inability to maintain effective relationships. At 100%, there is total occupational and social impairment, with symptoms such as persistent delusions, gross disorientation, or persistent danger of hurting yourself or others.

Evidence that helps

Medical records documenting your formal diagnosis of unspecified somatic symptom and related disorder are the starting point. Records from psychiatrists, psychologists, or other treating providers that describe the frequency and severity of your symptoms — such as how often panic attacks occur, whether you have sleep impairment, or how your mood and thinking are affected — directly tie to the criteria that separate one rating level from the next.

Cognitive and psychological evaluation findings matter at higher levels. Records showing problems with memory, abstract thinking, impulse control, spatial disorientation, or speech patterns support ratings at 50% and above. Evidence of suicidal ideation, neglect of personal hygiene, or inability to maintain relationships supports the 70% level. Documentation of hallucinations, delusions, or persistent danger to yourself or others supports the 100% level.

Statements from you, family members, or supervisors describing how symptoms affect your ability to work, manage daily tasks, and maintain relationships can also reflect the occupational and social impairment the rating formula measures. Records showing whether your symptoms require continuous medication are relevant to the 10% and 0% 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.