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8610
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Upper nerve root inflammation (neuritis)

Inflammation of the upper arm nerve roots, which may cause pain, weakness, or numbness in the shoulder and upper arm.

What the rating means

Neuritis at diagnostic code 8610 is rated under the same formula used for paralysis of the upper radicular group (diagnostic code 8510). VA looks at how much function you have lost in your shoulder and elbow movements, since the upper nerve roots control those joints while leaving the hand and wrist largely unaffected.

The possible ratings depend on which arm is involved. For complete loss or severe impairment of all shoulder and elbow movements, the rating is 70% for the major arm or 60% for the minor arm. For incomplete paralysis rated as severe, it is 50% major or 40% minor. Moderate incomplete paralysis is rated at 40% major or 30% minor. Mild incomplete paralysis is rated at 20% for either arm. Because this condition involves the peripheral nerves, if your symptoms are entirely sensory, VA rates it no higher than mild or, at most, moderate. If both arms are affected, VA rates each side separately and then combines the two ratings using the bilateral factor.

Evidence that helps

Medical records that document your shoulder and elbow range of motion, strength testing, and reflex findings help show where your condition falls on the rating scale. Nerve conduction studies or electromyography results can provide objective evidence of how much nerve function has been lost. A VA or private examination that specifically measures whether shoulder and elbow movements are absent, severely reduced, moderately reduced, or only mildly affected is directly tied to the criteria above.

If your symptoms are purely sensory, such as numbness, tingling, or pain without any motor weakness, records and examination findings that confirm the sensory-only nature of your condition are relevant because the regulation limits those cases to the mild or moderate levels. Statements from you or people who know you describing how weakness or limited arm movement affects your work and daily tasks can help show the practical impact of your symptoms at whichever level applies to your case.

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.