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Long thoracic nerve, paralysis

Diagnostic code 8519 · 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 Register

Rating 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:

CriteriaMajorMinor
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.
Diseases of the Peripheral Nerves — Long thoracic nerve
CriteriaMajorMinor
8519 Paralysis of:
Complete; inability to raise arm above shoulder level, winged scapula deformity3020
Incomplete:
Severe2020
Moderate1010
Mild00
Note: Not to be combined with lost motion above shoulder level.

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.

All of VA's public DBQs

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.gov

Information, 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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