C&P Exam for Neuritis of anterior tibial nerve (DC 8623)

Diagnostic code: 8623Condition: Neuritis of anterior tibial nerve (deep peroneal)Regulation: 38 CFR § 4.124aDBQ: DBQ NEURO Peripheral Nerves

Which form the examiner uses

For neuritis of anterior tibial nerve (DC 8623), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):

DBQs are Department of Veterans Affairs Form 21-0960 series documents. Public DBQs are hosted on benefits.va.gov. A handful are examiner-only and are not posted publicly.

What the examiner records

The fields below are reproduced from the DBQ form the examiner completes for this diagnostic code. This is the structural map of the form, showing what the examiner is asked to measure, observe, and record. It is a factual reproduction of the public DBQ, not advice on how to answer.

This DBQ evaluates peripheral nerve conditions and peripheral neuropathy (excluding diabetic), documenting symptoms, motor/sensory exam, and severity per nerve.

How DC 8623 maps to this DBQ: for this diagnostic code specifically, the examiner typically completes sections I-VIII, XI, and XIV-XVII of this form. Section XI is the condition-specific section for this code. Sections IX-X and XII-XIII cover unrelated conditions on this DBQ and are skipped.

DIAGNOSIS (Section I)
  • DOES THE VETERAN HAVE A PERIPHERAL NERVE CONDITION OR PERIPHERAL NEUROPATHY?
  • Diagnosis #1 / ICD Code / Date of diagnosis
  • Diagnosis #2 / ICD Code / Date of diagnosis
  • Diagnosis #3 / ICD Code / Date of diagnosis
  • IF THERE ARE ADDITIONAL DIAGNOSES THAT PERTAIN TO A PERIPHERAL NERVE CONDITION AND/OR PERIPHERAL NEUROPATHY, LIST USING ABOVE FORMAT
MEDICAL HISTORY (Section II)
  • DESCRIBE THE HISTORY (including onset and course) OF THE VETERAN'S PERIPHERAL NERVE CONDITION (brief summary)
  • DOMINANT HAND: Right / Left / Ambidextrous
SYMPTOMS (Section III)
  • Does the Veteran have any symptoms attributable to any peripheral nerve conditions?
  • Constant pain (may be excruciating at times) — Right upper extremity: None / Mild / Moderate / Severe
  • Constant pain (may be excruciating at times) — Left upper extremity: None / Mild / Moderate / Severe
  • Constant pain (may be excruciating at times) — Right lower extremity: None / Mild / Moderate / Severe
  • Constant pain (may be excruciating at times) — Left lower extremity: None / Mild / Moderate / Severe
  • Intermittent pain (usually dull) — Right upper extremity: None / Mild / Moderate / Severe
  • Intermittent pain (usually dull) — Left upper extremity: None / Mild / Moderate / Severe
  • Intermittent pain (usually dull) — Right lower extremity: None / Mild / Moderate / Severe
  • Intermittent pain (usually dull) — Left lower extremity: None / Mild / Moderate / Severe
  • Paresthesias and/or dysesthesias — Right upper extremity: None / Mild / Moderate / Severe
  • Paresthesias and/or dysesthesias — Left upper extremity: None / Mild / Moderate / Severe
  • Paresthesias and/or dysesthesias — Right lower extremity: None / Mild / Moderate / Severe
  • Paresthesias and/or dysesthesias — Left lower extremity: None / Mild / Moderate / Severe
  • Numbness — Right upper extremity: None / Mild / Moderate / Severe
  • Numbness — Left upper extremity: None / Mild / Moderate / Severe
  • Numbness — Right Lower extremity: None / Mild / Moderate / Severe
  • Numbness — Left lower extremity: None / Mild / Moderate / Severe
  • Other symptoms (describe symptoms, location and severity)
MUSCLE STRENGTH TESTING (Section IV)
  • All normal
  • Elbow flexion: Right / Left (0/5–5/5)
  • Elbow extension: Right / Left (0/5–5/5)
  • Wrist flexion: Right / Left (0/5–5/5)
  • Wrist extension: Right / Left (0/5–5/5)
  • Grip: Right / Left (0/5–5/5)
  • Pinch (thumb to index finger): Right / Left (0/5–5/5)
  • Knee extension: Right / Left (0/5–5/5)
  • Ankle plantar flexion: Right / Left (0/5–5/5)
  • Ankle dorsiflexion: Right / Left (0/5–5/5)
  • Does the Veteran have muscle atrophy?
  • If muscle atrophy is present, indicate location
  • Normal side (cm) / Atrophied side (cm) measured at maximum muscle bulk
REFLEX EXAM (Section V)
  • All normal
  • Biceps: Right / Left (0, 1+, 2+, 3+, 4+)
  • Triceps: Right / Left (0, 1+, 2+, 3+, 4+)
  • Brachioradialis: Right / Left (0, 1+, 2+, 3+, 4+)
  • Knee: Right / Left (0, 1+, 2+, 3+, 4+)
  • Ankle: Right / Left (0, 1+, 2+, 3+, 4+)
SENSORY EXAM (Section VI)
  • All normal
  • Shoulder area (C5): Right / Left — Normal / Decreased / Absent
  • Inner/outer forearm (C6/T1): Right / Left — Normal / Decreased / Absent
  • Hand/fingers (C6-8): Right / Left — Normal / Decreased / Absent
  • Upper anterior thigh (L2): Right / Left — Normal / Decreased / Absent
  • Thigh/knee (L3/4): Right / Left — Normal / Decreased / Absent
  • Lower leg/ankle (L4/L5/S1): Right / Left — Normal / Decreased / Absent
  • Foot/toes (L5): Right / Left — Normal / Decreased / Absent
  • Other sensory findings, if any
TROPHIC CHANGES (Section VII)
  • DOES THE VETERAN HAVE TROPHIC CHANGES (characterized by loss of extremity hair, smooth, shiny skin, etc.) ATTRIBUTABLE TO PERIPHERAL NEUROPATHY?
  • If yes, describe
GAIT (Section VIII)
  • IS THE VETERAN'S GAIT NORMAL?
  • If no, describe abnormal gait
  • Provide etiology of abnormal gait
SPECIAL TESTS FOR MEDIAN NERVE (Section IX)
  • WERE SPECIAL TESTS INDICATED AND PERFORMED FOR MEDIAN NERVE EVALUATION?
  • Phalen's sign: Right — Positive / Negative
  • Phalen's sign: Left — Positive / Negative
  • Tinel's sign: Right — Positive / Negative
  • Tinel's sign: Left — Positive / Negative
NERVES AFFECTED: SEVERITY EVALUATION FOR UPPER EXTREMITY NERVES AND RADICULAR GROUPS (Section X)
  • 10A. Radial nerve (musculospiral nerve) — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10A. Radial nerve (musculospiral nerve) — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10B. Median nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10B. Median nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10C. Ulnar nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10C. Ulnar nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10D. Musculocutaneous nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10D. Musculocutaneous nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10E. Circumflex nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10E. Circumflex nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10F. Long thoracic nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10F. Long thoracic nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10G. Upper radicular group (5th & 6th cervicals) — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10G. Upper radicular group (5th & 6th cervicals) — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10H. Middle radicular group — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10H. Middle radicular group — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10I. Lower radicular group — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 10I. Lower radicular group — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
NERVES AFFECTED: SEVERITY EVALUATION FOR LOWER EXTREMITY NERVES (Section XI)
  • 11A. Sciatic nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11A. Sciatic nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11B. External popliteal (common peroneal) nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11B. External popliteal (common peroneal) nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11C. Musculocutaneous (superficial peroneal) nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11C. Musculocutaneous (superficial peroneal) nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11D. Anterior tibial (deep peroneal) nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11D. Anterior tibial (deep peroneal) nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11E. Internal popliteal (tibial) nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11E. Internal popliteal (tibial) nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11F. Posterior tibial nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11F. Posterior tibial nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11G. Anterior crural (femoral) nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11G. Anterior crural (femoral) nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11H. Internal saphenous nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11H. Internal saphenous nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11I. Obturator nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11I. Obturator nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11J. External cutaneous nerve of the thigh — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11J. External cutaneous nerve of the thigh — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11K. Illio-inguinal nerve — Right: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
  • 11K. Illio-inguinal nerve — Left: Normal / Incomplete paralysis (Mild/Moderate/Severe) / Complete paralysis
ASSISTIVE DEVICES (Section XII)
  • DOES THE VETERAN USE ANY ASSISTIVE DEVICES AS A NORMAL MODE OF LOCOMOTION ALTHOUGH OCCASIONAL LOCOMOTION BY OTHER METHODS MAY BE POSSIBLE?
  • Wheelchair — Frequency of use: Occasional / Regular / Constant
  • Brace(s) — Frequency of use: Occasional / Regular / Constant
  • Crutch(es) — Frequency of use: Occasional / Regular / Constant
  • Cane(s) — Frequency of use: Occasional / Regular / Constant
  • Walker — Frequency of use: Occasional / Regular / Constant
  • Other (specify) — Frequency of use: Occasional / Regular / Constant
  • IF THE VETERAN USES ANY ASSISTIVE DEVICES, SPECIFY THE CONDITION AND IDENTIFY THE ASSISTIVE DEVICE USED FOR EACH CONDITION
REMAINING EFFECTIVE FUNCTION OF THE EXTREMITIES (Section XIII)
  • Due to peripheral nerve conditions, is there functional impairment of an extremity such that no effective function remains other than that which would be equally well served by an amputation with prosthesis?
  • If yes, indicate extremity(ies): Right upper / Left upper / Right lower / Left lower
  • For each checked extremity, describe loss of effective function, identify the condition causing loss of function, and provide specific examples (brief summary)
OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS AND/OR SYMPTOMS (Section XIV)
  • DOES THE VETERAN HAVE ANY OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS OR SYMPTOMS RELATED TO ANY CONDITIONS LISTED IN THE DIAGNOSIS SECTION ABOVE?
  • IF YES, DESCRIBE (brief summary)
  • DOES THE VETERAN HAVE ANY SCARS (surgical or otherwise) RELATED TO ANY CONDITIONS OR TO THE TREATMENT OF ANY CONDITIONS LISTED IN THE DIAGNOSIS SECTION ABOVE?
  • IF YES, ARE ANY OF THESE SCARS PAINFUL OR UNSTABLE; HAVE A TOTAL AREA EQUAL TO OR GREATER THAN 39 SQUARE CM (6 square inches); OR ARE LOCATED ON THE HEAD, FACE OR NECK?
  • IF NO, PROVIDE LOCATION AND MEASUREMENTS OF SCAR IN CENTIMETERS: LOCATION / MEASUREMENTS: length cm X width cm
  • 14C. COMMENTS, IF ANY
DIAGNOSTIC TESTING (Section XV)
  • HAVE EMG STUDIES BEEN PERFORMED?
  • Right upper extremity — Results: Normal / Abnormal / Date
  • Left upper extremity — Results: Normal / Abnormal / Date
  • Right lower extremity — Results: Normal / Abnormal / Date
  • Left lower extremity — Results: Normal / Abnormal / Date
  • If abnormal, describe
  • ARE THERE ANY OTHER SIGNIFICANT DIAGNOSTIC TEST FINDINGS AND/OR RESULTS?
  • If yes, provide type of test or procedure, date and results (brief summary)
FUNCTIONAL IMPACT (Section XVI)
  • DOES THE VETERAN'S PERIPHERAL NERVE CONDITION AND/OR PERIPHERAL NEUROPATHY IMPACT HIS OR HER ABILITY TO WORK?
  • If yes, describe impact of each of the veteran's peripheral nerve and/or peripheral neuropathy condition(s), providing one or more examples
REMARKS (Section XVII)
  • 17A. REMARKS (If any)

Rating Levels for DC 8623

The following tiers are reproduced from 38 CFR Part 4, the VA Schedule for Rating Disabilities. Toggle between the official VA criteria and a Plain English explanation.

Plain-English summaries are AI-generated to explain the official criteria. The official 38 CFR language is the binding legal standard. When in doubt, ask a VSO.

Evidence cited in published BVA decisions for DC 8623

The counts below are aggregated from published Board of Veterans Appeals decisions for this diagnostic code. Each row reports how often a given evidence type was discussed in the decision text, broken down by outcome. This is a factual aggregate of the public record, not a prediction or recommendation about any specific claim.

  • VA examination: appeared in 11 granted decisions (4 denied, 6 remanded; 21 total)
  • Service treatment records: appeared in 1 granted decision (1 denied, 0 remanded; 2 total)
  • Private medical opinion: appeared in 1 granted decision (0 denied, 0 remanded; 1 total)
  • Buddy / lay statements: appeared in 1 granted decision (0 denied, 1 remanded; 2 total)

What the Board discussed in granted decisions for DC 8623

The themes below were extracted by clustering 500 grant-factor sentences from published Board of Veterans Appeals decisions for this diagnostic code. Frequencies indicate how often each theme appeared in the sample. This is a factual aggregate of the public record, not advice or strategy for any specific claim.

  1. 20% Benefit of the doubt doctrine inapplicability noted on denial
    The Board recorded that because the preponderance or persuasive weight of evidence was against the claim, the benefit of the doubt doctrine was found inapplicable and the claim was denied.
    98 of 500 sample sentences
  2. 18% Nexus opinion recorded as at least as likely as not
    The Board recorded that a VA or private examiner opined that the Veteran's disability was at least as likely as not incurred in, caused by, or related to service or a service-connected condition.
    88 of 500 sample sentences
  3. 17% Benefit of the doubt applied, grant or higher rating awarded
    The Board recorded that after resolving the approximate balance or equipoise of evidence in the Veteran's favor under the benefit of the doubt doctrine, a service connection grant or increased disability rating was awarded.
    87 of 500 sample sentences
  4. 17% Statutory or legal standard of benefit of the doubt cited
    The Board cited the statutory or regulatory definition of the benefit of the doubt doctrine, noting that an approximate balance or near-equal weight of positive and negative evidence entitles the claimant to resolution in their favor.
    87 of 500 sample sentences
  5. 13% Evidence found in equipoise, supporting grant
    The Board recorded that the evidence was at least in relative equipoise on a material issue, such as nexus, current disability severity, or TDIU, resulting in a finding favorable to the Veteran.
    63 of 500 sample sentences
  6. 6% Severity level of radiculopathy or neuropathy recorded
    The Board recorded findings about the degree of incomplete paralysis or neuropathy severity—mild, moderate, moderately severe, or severe—of sciatic, femoral, or other lower extremity nerves to support or deny a particular disability rating.
    30 of 500 sample sentences
  7. 3% TDIU entitlement supported by evidence of record
    The Board recorded that medical or vocational evidence established, at least in equipoise, that the Veteran's service-connected disabilities precluded substantially gainful employment, supporting a TDIU grant.
    16 of 500 sample sentences
  8. 3% Benefit of the doubt doctrine considered but found inapplicable on increased rating
    The Board recorded that it considered the benefit of the doubt doctrine with respect to an increased or higher disability rating claim but found the evidence persuasively against the higher rating sought.
    16 of 500 sample sentences
  9. 2% Benefit of the doubt applied to effective date determination
    The Board recorded that after affording the Veteran the benefit of the doubt, an earlier effective date for a service connection grant or rating increase was found warranted.
    8 of 500 sample sentences
  10. 1% Negative nexus or non-service-connection opinion recorded
    The Board recorded that a VA or private examiner opined that the Veteran's disability was not at least as likely as not caused by or related to service or a service-connected condition.
    7 of 500 sample sentences

Disclaimer: This page reproduces public Department of Veterans Affairs forms (DBQs) and verbatim text from 38 CFR Part 4 (the VA Schedule for Rating Disabilities). It is informational only and is not legal or medical advice. For guidance on a specific claim, contact a VA-accredited representative.