Diagnostic Code 8715 · 38 CFR §4.124
Neuralgia of the median nerve (DC 8715) refers to chronic nerve pain along its distribution without the structural changes seen in neuritis or paralysis. The median nerve travels through the carpal tunnel and controls thumb opposition, finger flexion of the index and middle fingers, and sensation in the palm and first three fingers. 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 8515, with the maximum rating not exceeding the moderate incomplete paralysis level.
| Rating | Criteria |
|---|---|
| 10% | |
| 20% | |
| 40% | |
| 50% |
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