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8310
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Vagus nerve neuritis

Inflammation of the vagus nerve that may affect swallowing, speech, or digestive function.

What the rating means

Vagus nerve neuritis is rated under diagnostic code 8310, which is the neuritis code that follows the rating formula for the corresponding paralysis code — in this case, code 8210 for the vagus nerve. The possible ratings are 50%, 30%, and 10%. A 50% rating reflects complete paralysis. A 30% rating reflects incomplete paralysis that is severe. A 10% rating reflects incomplete paralysis that is moderate. The regulation notes that ratings depend on the extent of sensory and motor loss to the organs of voice, respiration, pharynx, stomach, and heart. Because neuritis involves impaired rather than fully absent function, the regulation explains that when involvement is wholly sensory, the rating should be no higher than the mild or, at most, the moderate degree. These ratings apply to one side; if both sides are affected, VA combines the ratings using the bilateral factor.

Evidence that helps

Medical records that document the degree of sensory and motor loss affecting the voice, breathing, throat, stomach, and heart carry the most weight, because those are the organs the regulation ties ratings to. Examination findings showing how severely those functions are reduced — for example, hoarseness or voice loss, swallowing difficulty, abnormal heart rate, or breathing problems — help distinguish complete from incomplete paralysis and severe from moderate incomplete paralysis. Objective test results such as laryngoscopy, pulmonary function tests, cardiac evaluations, or nerve conduction studies can show measurable loss of function. Statements from you or people who know you describing how symptoms affect daily activities — eating, speaking, working, or physical exertion — can help show functional impact at each level. Records covering both sides of the body are relevant if the condition affects both the left and right vagus nerve.

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.