Peripheral Neuropathy (Diabetes-Related)
Peripheral neuropathy, particularly when secondary to diabetes (Agent Orange presumptive), is rated under 38 CFR § 4.124a based on the specific nerve affected and severity. Each extremity is rated separately.
VA Rating Levels
Mild incomplete paralysis. Occasional numbness or tingling. You can generally function normally but notice symptoms regularly.
Moderate incomplete paralysis. More persistent numbness, weakness, or pain. Difficulty with fine motor tasks (hands) or balance issues (feet).
Severe incomplete paralysis. Significant loss of sensation, muscle weakness, or pain. Difficulty walking (feet) or gripping (hands).
Complete paralysis of the affected nerve group. Total loss of function in the affected area.
Exam Tips & Key Evidence
- →If you have Type II Diabetes (especially Agent Orange presumptive), peripheral neuropathy in all four extremities is commonly secondary — that's four separate ratings
- →Request EMG/nerve conduction studies to document severity
- →Each hand and each foot is rated individually — make sure every limb is evaluated
- →Early-onset neuropathy from Agent Orange exposure has special presumptive rules
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.124a, Diagnostic Codes 8510-8730