/ Conditions · Neurological

Traumatic brain injury (TBI) VA Claim Guide

Traumatic brain injury (TBI) is rated by the VA under the neurological portion of the rating schedule. Document frequency and functional impact — for neurological claims, the VA needs to see how often symptoms occur and how much they interrupt your life.

38 CFR §4.124a

Common symptoms

  • ▸Pain, numbness, tingling, or weakness
  • ▸Loss of balance or coordination
  • ▸Headaches, dizziness, or cognitive changes
  • ▸Episodes that interrupt daily activity

Common evidence

  • ▸Neurology evaluation and diagnosis
  • ▸Imaging (MRI, CT) or EMG/nerve conduction studies
  • ▸Symptom log documenting frequency and severity
  • ▸Medication and treatment records
  • ▸Lay statements on functional impact

Primary service connection examples

  • ▸Blast/TBI exposure or head trauma in service
  • ▸In-service neurological treatment or diagnosis
  • ▸Documented exposure to neurotoxins

Secondary service connection examples

  • ▸Secondary to TBI, PTSD, or tinnitus
  • ▸Secondary to spine or orthopedic condition (radiculopathy)
  • ▸Secondary to diabetes (peripheral neuropathy)

Rating basics

Rated under 38 CFR §4.124a based on severity, frequency, and functional impact. Many neurological codes use 'mild / moderate / severe' incomplete paralysis criteria. Episodic conditions (e.g., headaches, seizures) are rated by frequency of incapacitating episodes.

Common denial reasons

  • ✕No diagnostic workup or imaging
  • ✕No frequency log for episodic conditions
  • ✕Missing nexus to in-service event
  • ✕Examiner attributes symptoms to age or unrelated cause