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Median Nerve Paralysis VA disability rating & claim guide

The VA rates Median Nerve Paralysis under diagnostic code 8515, in 38 CFR § 4.124a (neurological conditions), and the schedule provides seven evaluation levels for it: 70%, 60%, 50%, 40%, 30%, 20% and 10%.

DC 8515Neurological ConditionsData last updated September 23, 2026

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A CLEARER PATH FORWARD

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01Understand the rating02Know what to gather03Plan your preparation
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THE ESSENTIALS

How the VA rates Median Nerve Paralysis

Damage to the median nerve causing weakness, pain, or paralysis in the hand.

The rating depends on whether paralysis is complete or incomplete and how severe it is, confirmed through EMG and nerve conduction studies and grip strength testing. The dominant hand is rated higher at every level except mild, which is 10% for either hand.

Diagnostic code
8515
Rating schedule
38 CFR § 4.124a
Schedule levels
70%, 60%, 50%, 40%, 30%, 20% and 10%
How does the VA choose a rating level?

Which level applies is set by the criteria the evidence meets, not by the diagnosis. Where there is a question as to which of two evaluations applies, 38 CFR § 4.7 assigns the higher one if the disability picture more nearly approximates the criteria required for that rating.

This code prints no 0% row. Under 38 CFR § 4.31, a 0% evaluation is assigned where the requirements for a compensable evaluation are not met.

EXPLORE THE PERCENTAGES

Median Nerve Paralysis VA rating criteria (DC 8515)

Choose a percentage to see what that level means. Open the full comparison to read all the criteria in one place.

VA RATING70%Median Nerve Paralysis

WHAT THIS LEVEL MEANS

Complete paralysis, dominant side.

Explore 70% criteria & monthly pay
Median Nerve Paralysis: the criteria for each rating, quoted from 38 CFR § 4.124a, DC 8515
Rating38 CFR criteria (quoted)In plain English (Vetrify’s summary)Monthly pay, 2026 (single veteran)
70%

Major (dominant) extremity“Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances”

Complete paralysis, dominant side.$1,808.45
60%

Minor extremity“Complete; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances”

Complete paralysis, non-dominant side.$1,435.02
50%

Major (dominant) extremity“Incomplete: Severe”

Severe incomplete paralysis, dominant side.$1,132.90
40%

Minor extremity“Incomplete: Severe”

Severe incomplete paralysis, non-dominant side.$795.84
30%

Major (dominant) extremity“Incomplete: Moderate”

Moderate incomplete paralysis, dominant side.$552.47
20%

Minor extremity“Incomplete: Moderate”

Moderate incomplete paralysis, non-dominant side.$356.66
10%

Major or minor extremity“Incomplete: Mild”

Mild incomplete paralysis, either side.$180.42

VA pays on the combined rating, not per condition: each amount is what a veteran with no dependents receives when that percentage is the combined rating, after all separate ratings are combined under 38 CFR 4.25.

These are published rating criteria. Selecting a level does not predict your VA decision.

BUILD YOUR EVIDENCE, ONE PIECE AT A TIME

Evidence for your Median Nerve Paralysis claim

A long list feels easier when you have a place to start. Use this checklist to see what you have and what still needs gathering.

Your evidence checklist

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THE EXAM FORM

Which DBQ is used for Median Nerve Paralysis?

VA's page says: “You can use these forms to submit medical evidence from your health care providers.”

Source: VA: Public Disability Benefits Questionnaires (DBQs), read September 18, 2026.

SMALL DETAILS. BETTER PREPARATION.

Preparing your Median Nerve Paralysis claim

Start with the practical tips, then explore the common oversights. You don’t need to work through everything at once.

Practical tips for your claim3 tips
  • 01

    Include EMG/NCS (nerve conduction study) test results, since this objective testing is what confirms and grades the severity of median nerve dysfunction.

  • 02

    Show work-related limitations specifically - tasks requiring fine motor control or grip strength - to connect the nerve finding to real functional loss.

  • 03

    Explain exactly which fingers are affected and how, since the median nerve's distribution (thumb, index, middle finger) is specific and worth documenting precisely.

C&P exam pitfalls to keep in mind2 tips
  • 01

    No nerve test results in the file, leaving the diagnosis without the objective confirmation this rating depends on.

  • 02

    General wrist pain reported without specific nerve-related findings, which can be rated differently than confirmed median nerve paralysis.

Common filing mistakes2 tips
  • 01

    Not specifying which hand is dominant, since above the mild level the dominant hand is rated higher.

  • 02

    Describing only pain without documenting actual functional loss, since the rating schedule is built around functional impairment, not pain alone.

When symptoms may first appear1 tips
  • 01

    Median nerve paralysis often develops from repetitive stress or direct trauma at the wrist or forearm, and is frequently associated with carpal tunnel syndrome.

YOUR SERVICE STORY

Military jobs associated with Median Nerve Paralysis

More by branch: Army · Marines · Air Force · Navy · Coast Guard · Space Force

THE BROADER PICTURE

Median Nerve Paralysis by the numbers

Approval outlook
Moderate – stronger if EMG shows severe dysfunction.
Veterans service-connected
~26,000 veterans
Typical rating awarded
~30%

Vetrify editorial estimates informed by VA published claims data (VBA Annual Benefits Report) and the VA rating schedule, not official VA statistics.

LET’S CLEAR A FEW THINGS UP

Common questions about Median Nerve Paralysis

Is Median Nerve Paralysis a VA-rated disability?

Yes. The VA rates Median Nerve Paralysis under VASRD diagnostic code 8515 (Neurological Conditions). Damage to the median nerve causing weakness, pain, or paralysis in the hand.

What VA disability rating can I get for Median Nerve Paralysis?

Possible VA ratings for Median Nerve Paralysis are 70%, 60%, 50%, 40%, 30%, 20%, 10%, 0%. The 0% level comes from 38 CFR 4.31, which assigns it wherever no compensable level is met. Examples: 70%: Complete paralysis of the median nerve, dominant (major) extremity: the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances; 60%: Complete paralysis of the median nerve, non-dominant (minor) extremity: the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb, at right angles to palm; flexion of wrist weakened; pain with trophic disturbances; 50%: Incomplete paralysis of the median nerve: severe, dominant (major) extremity.

What's the typical VA rating awarded for Median Nerve Paralysis?

Vetrify estimates the typical rating awarded for Median Nerve Paralysis at around 30%, based on VA claims data and the rating schedule. An estimated 26,000 veterans are service-connected for Median Nerve Paralysis. Estimated approval outlook: Moderate – stronger if EMG shows severe dysfunction.

What evidence helps prove Median Nerve Paralysis for VA disability?

Strong evidence for a Median Nerve Paralysis claim includes: Nerve conduction study results confirming the location and severity of the nerve damage; Grip strength comparison between the affected and unaffected hand; Evidence of occupational impact, such as difficulty performing fine motor tasks required for work.

Which DBQ is used for Median Nerve Paralysis?

VA's Peripheral Nerves Disability Benefits Questionnaire (DBQ) is on its public list of DBQs. VA's Diabetic Peripheral Neuropathy Disability Benefits Questionnaire (DBQ), for diabetic sensory-motor peripheral neuropathy, which VA's Peripheral Nerves form excludes, is on its public list of DBQs. VA's page says: "You can use these forms to submit medical evidence from your health care providers."

What mistakes should veterans avoid when claiming Median Nerve Paralysis?

Common pitfalls when filing for Median Nerve Paralysis: Not specifying which hand is dominant, since above the mild level the dominant hand is rated higher; Describing only pain without documenting actual functional loss, since the rating schedule is built around functional impairment, not pain alone.

Official sources

  1. 38 CFR § 4.124a, Schedule of ratings, neurological conditions (Diagnostic Code 8515)
  2. 38 CFR § 4.7, higher of two evaluations
  3. 38 CFR § 4.31, zero percent evaluations

Criteria in quotation marks are the regulation’s own words; everything else on this page is Vetrify’s summary of it. The eCFR text is authoritative. See how Vetrify derives its numbers.

How these figures are checked: our methodology and the open dataset.

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