Paralysis of anterior tibial nerve (DC 8523)

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

This diagnostic code covers paralysis of the peroneal nerve, which controls muscles that lift your foot and toes upward. When this nerve is damaged, you may experience 'foot drop' - difficulty lifting the front part of your foot when walking. The VA rates this condition from 0% to 30% based on severity, with a 30% rating given when you completely lose the ability to flex your foot upward (dorsal flexion), making walking significantly more difficult.

Rating levels

  • 30% — You have complete paralysis of the anterior tibial nerve, which means you've completely lost the ability to pull your foot upward toward your shin (dorsal flexion). Your foot cannot bend up at the ankle joint at all - you can only point it downward or keep it flat.
  • 20% — You have severe damage to the anterior tibial nerve (the nerve that controls lifting your foot and toes upward), but the nerve still works partially rather than being completely cut off. This typically means you have significant weakness when trying to lift your foot up toward your shin, major difficulty walking on your heels, and likely some numbness on the top of your foot, but you still retain some muscle function and feeling in the affected area.
  • 10% — You have partial damage to the nerve that controls lifting your foot and toes upward (the deep peroneal nerve). This causes moderate difficulty with foot drop (trouble lifting your foot when walking), some weakness in your shin muscles, and possibly some numbness on the top of your foot between your big toe and second toe, but you still have some function remaining.
  • 0% — You have some damage to the anterior tibial nerve (the nerve that controls lifting your foot and toes upward), but the paralysis is only partial and causes mild symptoms. Your foot drop (difficulty lifting your foot) and toe weakness are noticeable but don't significantly interfere with your daily activities or walking.

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.