NeurologicalDC 8018

Multiple Sclerosis (MS)

Multiple sclerosis is rated under 38 CFR § 4.124a, Diagnostic Code 8018. The VA rates MS based on frequency of exacerbations and the degree of impairment between attacks — or the level of chronic disability.

VA Rating Levels

30%

Recent development of disease, or following resolution of an acute episode, with slight residual impairment.

60%

Favorable employment history but with incapacitating exacerbations; moderate neurological deficits between attacks.

70%

Numerous exacerbations, increasing disability; significant neurological deficits affect daily function.

100%

Chronic progressive form, or with severe neurological deficits — inability to walk without assistance, bladder/bowel dysfunction.

Exam Tips & Key Evidence

→MS can receive a 100% rating even if symptoms are episodic, if the cumulative disability meets criteria
→Each MS symptom (weakness, bladder dysfunction, cognitive issues) may also be rated separately
→VA presumes MS is service-connected if it appears within 7 years of discharge

Commonly Related Conditions

TBI (Traumatic Brain Injury)Urinary Incontinence / Bladder Conditions Radiculopathy

38 CFR Reference

38 CFR § 4.124a, Diagnostic Code 8018