Peripheral Neuropathy — Upper Extremities

DC 8515Neurological38 CFR 4.124a, DC 8515

Nerve damage in the hands and arms causing pain, numbness, tingling, or weakness. Commonly secondary to diabetes. Each arm is rated separately, with the dominant hand receiving a higher rating.

Proposed Neurological Rating Modernization

The VA has proposed updating the rating criteria for peripheral nerve conditions (Nov 2024). Changes include modernized terminology, updated criteria for incomplete vs. complete paralysis, and revised assessment methods. This is a proposed rule and has not taken effect.

View proposed rule →

Rating Levels

You have complete paralysis of the median nerve (non-dominant hand). Dominant hand is rated at 70%.

What the VA looks for

Complete paralysis of median nerve
Ape hand deformity
Inability to make a fist
Severe muscle atrophy

Common Pitfalls

⚠Not filing each arm separately — left and right are rated independently.
⚠Not specifying dominant vs. non-dominant hand — the dominant hand receives a higher rating.
⚠Not getting EMG/nerve conduction studies.
⚠If secondary to diabetes, ensure medical records document the causal connection.

Related DBQ Forms

DBQ Peripheral Nerves Conditions
DBQ Diabetes Mellitus

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…