TBI (Traumatic Brain Injury)
TBI is rated under 38 CFR § 4.124a, Diagnostic Code 8045. Unlike most conditions, TBI is rated based on multiple facets of impairment (memory, judgment, social interaction, orientation, motor activity, visual/spatial, communication, consciousness, and neurobehavioral effects) — each facet is assessed and the highest level determines the overall rating.
VA Rating Levels
TBI is acknowledged but all facets of impairment are rated at level "0" — normal or mildly impaired function with no significant daily impact.
At least one facet of impairment is rated at level "1" — mild memory or attention issues, occasional mild headaches, slightly impaired judgment. You can compensate with aids like lists.
At least one facet rated at level "2" — moderate impairment. Moderate memory loss, impaired judgment, difficulty with complex or unfamiliar decisions, difficulty in routine social interactions.
At least one facet rated at level "3" — moderately severe to severe impairment. Severely impaired memory, very poor judgment, cannot communicate well, inability to manage stressful situations. May need supervision for some activities.
Total impairment: at least one facet rated at "total" level. May be in a persistent vegetative state, completely unable to communicate, or totally disoriented. Needs full-time supervision.
Exam Tips & Key Evidence
- →TBI residuals (like migraines, vision problems, cognitive issues) may be rated SEPARATELY from the TBI itself — don't leave ratings on the table
- →The VA cannot rate TBI and a mental health condition under the same symptoms (no double-dipping), but different symptoms from each can be rated separately
- →If you had any blast exposure, vehicle accidents, or falls with head impact in service, get evaluated
- →Bring a family member or close friend to your C&P exam — they can provide valuable observations about your cognitive changes
Commonly Related Conditions
38 CFR Reference
38 CFR § 4.124a, Diagnostic Code 8045