Diagnostic Code 8618 · 38 CFR §4.123
Neuritis of the circumflex nerve (DC 8618) refers to inflammation of this nerve, causing pain, tenderness, and impaired function along its distribution. The circumflex (axillary) nerve wraps around the surgical neck of the humerus, innervating the deltoid muscle for shoulder abduction and providing sensation to the outer shoulder. Under VA regulations (38 CFR §4.123), neuritis characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain is rated on the same scale as incomplete paralysis under DC 8518. The maximum rating for neuritis without organic changes cannot exceed the moderate incomplete paralysis level.
| Rating | Criteria |
|---|---|
| 10% | |
| 20% |
Medical records documenting nerve inflammation and its connection to military service, Electromyography (EMG) and nerve conduction studies showing nerve dysfunction, Clinical findings of reflex changes, sensory disturbances, or muscle atrophy, Treatment records showing ongoing management with anti-inflammatory or neuropathic pain medications, If claiming secondary to another condition, a medical nexus opinion linking the neuritis to your service-connected disability