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DC 8618Neurological ConditionsCriteria from 38 CFR § 4.124a, DC 8618

Neuritis of the circumflex nerve

The VA rates Neuritis of the circumflex nerve under Diagnostic Code 8618 on the scale for DC 8518, with conditional limits and separate ratings for the dominant and non-dominant arm. The applicable level depends on the full criteria below and the evidence for the condition.

Rating schedule · DC 8618 at a glance

Rated on
DC 8518 scale

Circumflex nerve

CFR section
§ 4.124a

Where this code is published

Body system
Neurological Conditions
Secondary conditions
0

None mapped

What are the VA rating criteria for Neuritis of the circumflex nerve?

DC 8618 38 CFR § 4.124a

Rated on the scale for DC 8518 (Circumflex nerve)

Each ceiling below is quoted from the regulation, with the DC 8518 row it points to and that row’s published percentages. Which one applies depends on the evidence.

  1. “Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis.”

    38 CFR § 4.123

    Up to the DC 8518 “Severe” level.

    Dominant arm maximum30%Non-dominant arm maximum20%
  2. “The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis.”

    38 CFR § 4.123

    Up to the DC 8518 “Moderate” level.

    Dominant arm maximum10%Non-dominant arm maximum10%
  3. “When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree.”

    38 CFR § 4.124a

    Up to the DC 8518 “Moderate” level.

    Dominant arm maximum10%Non-dominant arm maximum10%
Regulation text
Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis. See nerve involved for diagnostic code number and rating. The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis.
38 CFR § 4.123
The term “incomplete paralysis,” with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. The ratings for the peripheral nerves are for unilateral involvement; when bilateral, combine with application of the bilateral factor.
38 CFR § 4.124a
Other notes printed in this table

These notes appear in the same table in 38 CFR, and their text does not name DC 8618.

  • Note: Lesions involving only “dissociation of extensor communis digitorum” and “paralysis below the extensor communis digitorum,” will not exceed the moderate rating under code 8514.
  • Note: Not to be combined with lost motion above shoulder level.
  • Note: Combined nerve injuries should be rated by reference to the major involvement, or if sufficient in extent, consider radicular group ratings.
See the DC 8518 table

Source: 38 CFR § 4.124a, eCFR as of .

What other neurological conditions does the VA rate?

These diagnostic codes sit next to Neuritis of the circumflex nerve in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.

  1. 8613Neuritis of all radicular groups
  2. 8614Neuritis of the musculospiral nerve (radial nerve)
  3. 8615Neuritis of the median nerve
  4. 8616Neuritis of the ulnar nerve
  5. 8617Neuritis of the musculocutaneous nerve
  6. 8619Neuritis of the long thoracic nerve
  7. 8620Neuritis of the sciatic nerve
  8. 8621Neuritis of the external popliteal nerve (common peroneal)
  9. 8622Neuritis of the musculocutaneous nerve (superficial peroneal)
  10. 8623Neuritis of the anterior tibial nerve (deep peroneal)
All 113 neurological conditions

What to do with a Neuritis of the circumflex nerve rating

The tools, regulations and guides that pick up where the criteria above leave off.

Common Questions About Neuritis of the circumflex nerve VA Ratings

What is the VA rating range for Neuritis of the circumflex nerve?

DC 8618 is rated on the DC 8518 scale, 38 CFR § 4.124a. “Neuritis, cranial or peripheral, characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain, at times excruciating, is to be rated on the scale provided for injury of the nerve involved, with a maximum equal to severe, incomplete, paralysis.” (38 CFR § 4.123): up to the “Severe” level, dominant arm 30% maximum, non-dominant arm 20% maximum. “The maximum rating which may be assigned for neuritis not characterized by organic changes referred to in this section will be that for moderate, or with sciatic nerve involvement, for moderately severe, incomplete paralysis.” (38 CFR § 4.123): up to the “Moderate” level, dominant arm 10% maximum, non-dominant arm 10% maximum. “When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree.” (38 CFR § 4.124a): up to the “Moderate” level, dominant arm 10% maximum, non-dominant arm 10% maximum.

Which 38 CFR diagnostic code does the VA use for Neuritis of the circumflex nerve?

The VA rates Neuritis of the circumflex nerve under Diagnostic Code (DC) 8618, published in 38 CFR § 4.124a. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

What evidence supports a higher rating for Neuritis of the circumflex nerve?

The key evidence for Neuritis of the circumflex nerve is documentation of how the condition affects daily functioning. For neurological conditions, nerve conduction studies, EMG results, and documentation of complete vs incomplete paralysis distinguish the rating tiers. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.

What happens at the C&P exam for Neuritis of the circumflex nerve?

The C&P examiner uses a Neurological Conditions DBQ and evaluates your condition against the DC 8618 rating criteria. The examiner tests reflexes, sensation, and motor function. If nerve damage is suspected, EMG or nerve conduction studies may be ordered. Distinguish between complete and incomplete paralysis; the rating difference is significant.

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