VC
neurologicalDC 8209

Glossopharyngeal Nerve (Cranial Nerve IX)

The glossopharyngeal nerve (IX cranial nerve, also called the ninth nerve) provides sensation to the throat and tonsils and controls swallowing. Damage can make it difficult or impossible to swallow. This is one of the 6 cranial nerves rated under the cranial nerve schedule. Separate evaluations are possible for each side, and cranial nerves are NOT eligible for the bilateral factor. The condition can be rated under paralysis (DC 8209), neuritis (DC 8309), or neuralgia (DC 8409).

VA Rating Levels

10%

Incomplete paralysis - moderate. Some difficulty with swallowing or throat sensation.

20%

Incomplete paralysis - severe. Significant difficulty swallowing.

30%

Complete paralysis. Swallowing is extremely difficult or impossible.

Exam Tips & Key Evidence

  • Rated under one category only - paralysis, neuritis, or neuralgia - whichever is the primary disability.
  • Separate evaluations for each side are possible since there is a pair of glossopharyngeal nerves.
  • Cranial nerves are NOT eligible for the bilateral factor.
  • This is a presumptive condition if diagnosed within one year of separation and the severity warranted at least 10% within that time.
  • If swallowing issues are due to other conditions (like GERD or esophageal conditions), they would be rated under the digestive system schedule instead.

Commonly Related Conditions

38 CFR Reference

38 CFR 4.124a, DC 8209/8309/8409