VC
Mental HealthDC 9404

OCD (Obsessive-Compulsive Disorder)

OCD is rated under 38 CFR § 4.130, Diagnostic Code 9404, using the General Rating Formula for Mental Disorders. The VA evaluates the degree to which obsessions and compulsions disrupt work and social life.

VA Rating Levels

10%

Mild symptoms, generally controlled by medication; work efficiency reduced only during high-stress periods.

30%

Occasional reduction in work efficiency; chronic sleep impairment, mild memory problems, anxiety.

50%

Reduced reliability; obsessional rituals interfere significantly with work, social relationships.

70%

Near-continuous compulsions/obsessions, suicidal ideation, near-inability to maintain hygiene or social connections.

100%

Total occupational and social impairment; unable to perform basic self-care.

Exam Tips & Key Evidence

  • Document how much time per day compulsions consume and how they interfere with work
  • OCD is commonly secondary to PTSD or TBI

Commonly Related Conditions

PTSDAnxietyDepressionTBI

38 CFR Reference

38 CFR § 4.130, Diagnostic Code 9404