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Median nerve, paralysis
Diagnostic code 8515 · Neurological conditions and convulsive disorders · 38 CFR 4.124a
VA has proposed changing these rules
The proposal (89 FR 88917, published November 12, 2024) is not in effect. The rules on this page still apply until VA publishes a final rule.
Read the proposal in the Federal RegisterRating criteria: the exact regulation text
Quoted from 38 CFR 4.124a. The "Rating" column is the percentage VA assigns for that level.
Printed at the start of this table in the regulation:
| Criteria | Major | Minor |
|---|---|---|
| The term “incomplete paralysis,” with this and other peripheral nerve injuries, indicates a degree of lost or impaired function substantially less than the type picture for complete paralysis given with each nerve, whether due to varied level of the nerve lesion or to partial regeneration. When the involvement is wholly sensory, the rating should be for the mild, or at most, the moderate degree. The ratings for the peripheral nerves are for unilateral involvement; when bilateral, combine with application of the bilateral factor. |
| Criteria | Major | Minor |
|---|---|---|
| 8515 Paralysis of: | ||
| Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances | 70 | 60 |
| Incomplete: | ||
| Severe | 50 | 40 |
| Moderate | 30 | 20 |
| Mild | 10 | 10 |
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.124a, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Read it on eCFR.govInformation, not advice
This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.
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