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9305
§ 4.130 Schedule of ratings—Mental disorders.

Vascular brain disorder

A brain disorder caused by reduced blood flow to the brain that may affect memory, thinking, and daily functioning.

What the rating means

Major or mild vascular neurocognitive disorder is rated under the General Rating Formula for Mental Disorders, which applies to most VA-rated mental conditions. The possible ratings are 0%, 10%, 30%, 50%, 70%, and 100%.

The key distinction between levels is how much the condition affects your ability to work and function socially. At 0%, a diagnosis exists but symptoms do not interfere with work or social life and do not require continuous medication. At 10%, symptoms are mild or transient and reduce your effectiveness mainly during periods of significant stress, or are controlled by continuous medication. At 30%, symptoms cause occasional decreases in work efficiency and intermittent inability to perform occupational tasks, though you generally function satisfactorily. At 50%, symptoms produce reduced reliability and productivity at work and in social settings. At 70%, symptoms cause deficiencies in most areas of life, such as work, family relations, judgment, and mood. At 100%, symptoms cause total occupational and social impairment.

Evidence that helps

Medical records documenting your diagnosis and the frequency, severity, and duration of your symptoms are central to establishing your rating level. Examination findings that reflect the specific symptoms listed in the formula are particularly relevant. For lower ratings, records showing depressed mood, anxiety, chronic sleep problems, or mild memory loss — such as forgetting names or recent events — support the 30% level. Records reflecting panic attacks occurring more than once a week, impaired short- and long-term memory, impaired judgment, or difficulty maintaining work and social relationships point toward 50%. For 70%, documentation of suicidal ideation, near-continuous depression or panic, impaired impulse control, or spatial disorientation is relevant. For 100%, records showing gross impairment in thought or communication, persistent delusions or hallucinations, disorientation to time or place, or memory loss for close relatives' names or your own occupation carry weight. Statements from you or people who know you describing how symptoms affect your daily work, personal care, and relationships can help show the real-world impact of your condition.

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.