Diagnostic Code 8619 · 38 CFR §4.123
Neuritis of the long thoracic nerve (DC 8619) refers to inflammation of this nerve, causing pain, tenderness, and impaired function along its distribution. 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 §4.123), neuritis characterized by loss of reflexes, muscle atrophy, sensory disturbances, and constant pain is rated on the same scale as incomplete paralysis under DC 8519. 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