Paramyoclonus multiplex (convulsive state, myoclonic type) — VA Rating Criteria (38 CFR DC 8104)

The VA rates Paramyoclonus multiplex (convulsive state, myoclonic type) under Diagnostic Code 8104 at the following tiers: 60%. The minimum 60% rating requires: Rate as tic; convulsive; severe cases. The maximum 60% rating requires: Rate as tic; convulsive; severe cases.

Diagnostic Code 8104 is the VA rating identifier for Paramyoclonus multiplex (convulsive state, myoclonic type) within 38 CFR 38 CFR § 4.124a. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Paramyoclonus multiplex (convulsive state, myoclonic type) under DC 8104 is 60%. This tier requires: Rate as tic; convulsive; severe cases. Veterans who cannot secure substantially gainful employment due to Paramyoclonus multiplex (convulsive state, myoclonic type) alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Paramyoclonus multiplex (convulsive state, myoclonic type) is rated under 38 CFR 38 CFR § 4.124a, Diagnostic Code 8104. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Paramyoclonus multiplex (convulsive state, myoclonic type) may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Paramyoclonus multiplex (convulsive state, myoclonic type) requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.