Neuralgia of eleventh cranial nerve (DC 8411)

Body system: Neurological Conditions and Convulsive DisordersRegulation: 38 CFR § 4.124a

Neuralgia is nerve pain that feels like sharp, shooting, or burning sensations along specific nerve pathways. The VA rates neuralgia using the same criteria as paralysis conditions, which might seem confusing but reflects how severely nerve damage can impact function. A 30% rating means complete nerve dysfunction, 20% is severe but incomplete dysfunction, and 10% is moderate incomplete dysfunction.

Rating levels

  • 10% — Under 38 CFR §4.124a, neuralgia of the eleventh (spinal accessory, external branch) cranial nerve is rated by reference to the paralysis tiers for the same nerve, up to a maximum of moderate incomplete paralysis. Tic douloureux of the trigeminal nerve is an exception and may be rated up to complete paralysis per the schedule note.
  • 0% — Under 38 CFR §4.124a, neuralgia of the eleventh (spinal accessory, external branch) cranial nerve is rated by reference to the paralysis tiers for the same nerve, up to a maximum of moderate incomplete paralysis. Tic douloureux of the trigeminal nerve is an exception and may be rated up to complete paralysis per the schedule note.

Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.