EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Acute Stress Disorder
✓ VERIFIED AGAINST 38 C.F.R.§ 4.130 (Mental disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Acute Stress Disorder is rated by the U.S. Department of Veterans Affairs under DC 9413 of 38 CFR § 4.130, DC 9413 across 4 severity tiers (0% / 10% / 30% / 50%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.
OVERVIEW
Develops within one month after exposure to a traumatic event and lasts between three days and one month. Symptoms include intrusion, negative mood, dissociation, avoidance, and arousal, similar to PTSD but with a shorter duration.
RATING CRITERIA (4 LEVELS)
0%
History of acute stress disorder with full resolution and no residual impairment.
10%
Occupational and social impairment due to mild residual symptoms from acute stress reaction.
30%
Occupational and social impairment with occasional decrease in work efficiency due to residual intrusive thoughts, avoidance, or hyperarousal from traumatic event.
50%
Occupational and social impairment with reduced reliability and productivity due to persistent acute stress symptoms approaching PTSD criteria.
KEY EVIDENCE TO GATHER
-Service treatment records showing injury or complaints
-Imaging (X-ray, MRI, CT)
-Range of motion measurements
-Flare-up documentation per Sharp v. Shulkin
-Buddy statements describing limitations
-Prescription history
-Physical therapy records
-Employment impact documentation
C&P EXAM TIPS (6)
1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.
2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.
3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.
4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).
5.If you use assistive devices (brace, cane), bring them.
6.Describe daily activity impact: work, sleep, household tasks.
SOURCES & EDITORIAL
Rating criteria text quoted verbatim from 38 C.F.R. § 4.130 (Mental disorders). Source verified 2026-05-15 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026