Major or mild vascular neurocognitive disorder (DC 9305)

Body system: Mental DisordersRegulation: 38 CFR § 4.130

Vascular neurocognitive disorder is a condition where blood vessel problems in the brain cause thinking, memory, and behavioral difficulties - often related to strokes, mini-strokes, or other blood flow issues. The VA rates this condition from 0% to 100% based on how severely it impacts your ability to work, maintain relationships, and handle daily activities. Higher ratings reflect more severe symptoms like significant memory loss, confusion, difficulty communicating, or problems with basic self-care.

Rating levels

  • 100% — You cannot work or function in social situations at all because of severe major or mild vascular neurocognitive disorder symptoms. This includes having major problems with thinking clearly or communicating with others, seeing or hearing things that aren't there (hallucinations) or believing things that aren't true (delusions), acting in ways that are completely inappropriate for the situation, being a danger to yourself or others, sometimes being unable to take care of basic needs like bathing or eating, being confused about what time it is or where you are, or forgetting the names of family members, what your job was, or even your own name.
  • 70% — You have serious problems in most areas of your life - work, school, family relationships, thinking clearly, and controlling your emotions or behavior. Your major or mild vascular neurocognitive disorder symptoms significantly interfere with your daily life, such as having thoughts of suicide, doing repetitive behaviors that get in the way of normal activities, speaking in ways that don't make sense, having constant panic attacks or severe depression, losing control of your temper or becoming violent without reason, getting confused about where you are, not taking care of your appearance or cleanliness, struggling badly when stressed (especially at work), or being unable to form and keep healthy relationships with others.
  • 50% — Your job performance and social life are significantly affected by symptoms that make you less reliable and productive at work. These symptoms include having little emotional expression (flattened affect), speaking in roundabout or repetitive ways, having panic attacks more than weekly, trouble following complicated instructions, memory problems where you forget tasks or only remember things you knew very well before your condition, poor decision-making, difficulty with abstract concepts, problems with motivation and mood swings, and struggles building or keeping good relationships at work and in your personal life.
  • 30% — You're generally able to work and take care of yourself normally, but major or mild vascular neurocognitive disorder occasionally makes your work performance drop and sometimes prevents you from completing work tasks altogether. The symptoms that qualify include feeling depressed or anxious, being suspicious of others, having panic attacks about once a week or less, trouble sleeping on an ongoing basis, and mild memory problems like forgetting people's names, how to get places, or things that happened recently.
  • 10% — You qualify for this rating if your major or mild vascular neurocognitive disorder symptoms are mild and only cause problems at work or in social situations when you're under significant stress, or if your symptoms are well-controlled by taking medication regularly. Your day-to-day functioning is mostly normal, but during stressful periods you may have difficulty completing work tasks efficiently or maintaining your usual performance level.
  • 0% — You have been officially diagnosed with major or mild vascular neurocognitive disorder by a doctor, but your symptoms are mild enough that they don't get in the way of your job performance or relationships with family and friends. You either don't need to take medication for your condition, or if you do take medication, you don't need to take it every single day to function normally.

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.