Diagnostic Code 8719 · 38 CFR §4.124
Neuralgia of the long thoracic nerve (DC 8719) refers to chronic nerve pain along its distribution without the structural changes seen in neuritis or paralysis. The long thoracic nerve innervates the serratus anterior muscle, which holds the shoulder blade against the rib cage. Damage causes the scapula to protrude outward, known as winged scapula. Under VA regulations (38 CFR §4.124), neuralgia is characterized by a dull, intermittent pain typical of the nerve involved. It is rated on the same scale as incomplete paralysis under DC 8519, with the maximum rating not exceeding the moderate incomplete paralysis level.
| Rating | Criteria |
|---|---|
| 10% | |
| 20% |
Medical records documenting chronic nerve pain connected to military service, Nerve conduction studies or EMG to rule out paralysis and confirm neuralgia diagnosis, Pain management records showing treatment with neuropathic pain medications, Documentation of pain frequency, intensity, and functional impact, If claiming secondary to another condition, a medical nexus opinion linking the neuralgia to your service-connected disability