Body system: Neurological Conditions and Convulsive DisordersRegulation: 38 CFR § 4.124aDBQ: DBQ NEURO Peripheral Nerves
Neuritis of the circumflex nerve is rated under DC 8618 as incomplete paralysis of that nerve, at mild, moderate or severe. Under 38 CFR 4.123, neuritis is rated no higher than severe incomplete paralysis, so the complete-paralysis figure of the matching paralysis code does not apply, and the dominant (major) arm is rated higher than the non-dominant (minor) arm at the upper levels. The levels: Incomplete paralysis, severe: 30% for the dominant arm, 20% for the non-dominant arm. Incomplete paralysis, moderate: 10% for either arm. Incomplete paralysis, mild: 0% for either arm.
Rating levels
- 30% — This 30% level applies when your neuritis of the circumflex nerve amounts to severe incomplete paralysis of that nerve on your dominant (major) arm: marked loss of strength, feeling or reflexes along the nerve, usually with muscle wasting. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.
- 20% — This 20% level applies when your neuritis of the circumflex nerve amounts to severe incomplete paralysis of that nerve on your non-dominant (minor) arm: marked loss of strength, feeling or reflexes along the nerve, usually with muscle wasting. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.
- 10% — This 10% level applies when your neuritis of the circumflex nerve amounts to moderate incomplete paralysis of that nerve on your dominant (major) arm: a clear loss of strength or feeling that is more than slight. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.
- 10% — This 10% level applies when your neuritis of the circumflex nerve amounts to moderate incomplete paralysis of that nerve on your non-dominant (minor) arm: a clear loss of strength or feeling that is more than slight. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.
- 0% — This 0% level applies when your neuritis of the circumflex nerve amounts to mild incomplete paralysis of that nerve on your dominant (major) arm: symptoms that are mostly sensory, with little loss of strength. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.
- 0% — This 0% level applies when your neuritis of the circumflex nerve amounts to mild incomplete paralysis of that nerve on your non-dominant (minor) arm: symptoms that are mostly sensory, with little loss of strength. Neuritis is rated on the same scale as incomplete paralysis of the nerve. Under 38 CFR 4.123, neuritis without organic changes (muscle wasting, lost reflexes, sensory loss) is rated no higher than moderate; with those changes, severe incomplete paralysis is the highest level, and complete paralysis is rated under the nerve's paralysis code.