VA Disability Rating for Hypoglossal Nerve (Cranial Nerve XII) Paralysis

Diagnostic Code 8212 · 38 CFR §4.124a

What Is It?

The hypoglossal nerve controls the muscles of your tongue. When this nerve is damaged, it affects your ability to speak clearly, chew food, and swallow safely. You may notice your tongue deviates to one side when you stick it out, or that one side of your tongue appears smaller than the other due to muscle wasting. Veterans can develop this condition from head or neck trauma, brain injuries, tumors, or surgical complications related to their military service.

Rating Criteria

RatingCriteria
50%
30%
10%

Evidence Needed

Medical records documenting hypoglossal nerve damage and its service connection, Speech pathology evaluation results, Swallowing studies showing tongue-related dysfunction, Nerve conduction studies or imaging of the nerve pathway, Buddy statements describing speech and eating difficulties

Frequently Asked Questions