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8713
§ 4.124a Schedule of ratings—neurological conditions and convulsive disorders.

Widespread spine nerve pain (neuralgia)

Nerve pain affecting all spine nerve roots, which may cause widespread sharp or burning pain in the arm and hand.

What the rating means

Neuralgia of the spine (diagnostic code 8713) is rated by analogy under the same formula used for paralysis of the same nerve group, diagnostic code 8513. The possible ratings depend on which side is affected. For the major side, ratings are 20%, 40%, 70%, or 90%. For the minor side, ratings are 20%, 30%, 60%, or 80%. The regulation describes four levels of incomplete paralysis — mild, moderate, and severe — plus a complete paralysis level. Because neuralgia involves sensory nerve pain rather than full loss of motor function, the regulation specifies that conditions that are wholly sensory should be rated at the mild or, at most, the moderate degree. That means the ratings available to you in practice are generally the mild or moderate levels, not the severe or complete levels.

Evidence that helps

Because the rating turns on the degree of lost or impaired function, medical records that document the nature and extent of your nerve pain matter most. Exam findings that describe how much sensation or function is affected — and whether the involvement is purely sensory — help establish where your condition falls. Imaging, nerve conduction studies, or other objective tests that show the source and extent of the nerve involvement can support the record. Because the regulation distinguishes mild from moderate impairment based on how substantially function is reduced compared to complete paralysis, statements from you or people who know you that describe how the pain limits daily tasks, work, and movement can help show the degree of impairment. Records showing whether one or both sides are affected are also relevant, since the rating formula differs for the major and minor sides.

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.