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
8510
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Upper arm nerve group paralysis

Paralysis affecting the upper arm nerve group that controls shoulder and upper arm movement.

What the rating means

VA rates paralysis of the upper arm nerve group under diagnostic code 8510. The possible ratings depend on whether the paralysis is complete or incomplete, and on which arm is affected. The arm you write with — your dominant arm — is called the major extremity. The other arm is the minor extremity.

A complete paralysis, meaning all shoulder and elbow movements are lost or severely affected while hand and wrist movements remain unaffected, is rated at 70% for the major arm and 60% for the minor arm. Incomplete paralysis, where function is substantially less impaired than in the complete picture, is divided into three levels. Severe incomplete paralysis is rated at 50% for the major arm and 40% for the minor arm. Moderate incomplete paralysis is rated at 40% for the major arm and 30% for the minor arm. Mild incomplete paralysis is rated at 20% for either arm. When only sensation is affected and there is no motor loss, the rating should be no higher than mild or, at most, moderate. If both arms are involved, VA combines the two ratings and applies the bilateral factor.

Evidence that helps

Medical records and examination findings are the most direct evidence for this condition. For a complete rating, records showing total or near-total loss of shoulder and elbow movement — with preserved hand and wrist function — would reflect the criteria. Range-of-motion measurements, muscle strength testing, and nerve conduction or electromyography studies can document how much function has been lost.

For incomplete paralysis, the same types of exam findings apply, but the degree of loss matters. Records showing how far you can raise your arm, whether you can flex or extend the elbow against resistance, and how much strength remains help separate mild, moderate, and severe levels. If involvement is purely sensory, exam findings confirming the absence of motor deficits are relevant, since the regulation limits those cases to mild or moderate ratings at most.

Statements from you or people who see you daily — describing difficulty lifting, reaching, or performing tasks that require shoulder or elbow movement — can illustrate how the nerve damage affects your work and daily activities, and can help connect documented findings to the level of functional loss.

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.