What happens during a C&P exam for Autonomic Neuropathy?

Bring all relevant medical records and a written list of symptoms. Report your worst days, not your best. The VA rates based on overall impairment.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Autonomic Neuropathy

Q: What are the VA rating percentages for Autonomic Neuropathy?

Autonomic Neuropathy (DC 8210) is rated at 0% under 38 CFR § 4.124a, DC 8210. Autonomic neuropathy is a multi-system condition without a dedicated diagnostic code; the rating is built from each affected body system's contribution under the appropriate DC. Cardiovascular involvement (orthostatic hypotension, postural tachycardia, bradyarrhythmia) is rated under § 4.104. Gastrointestinal involvement (gastroparesis, intestinal pseudo-obstruction) is rated under DC 7307 or DC 7301 by analogy. Genitourinary involvement (neurogenic bladder, erectile dysfunction) is rated under § 4.115a/b and DC 7522. Sudomotor involvement (anhidrosis, hyperhidrosis) is rated under § 4.118 (skin). Where vagal (parasympathetic) dysfunction is the predominant manifestation, DC 8210 by analogy applies using the 10/30/50 vagus framework. Each dysfunction is separately ratable; the total is combined under § 4.25.

Q: What rates 0% for Autonomic Neuropathy under 38 CFR § 4.124a, DC 8210?

Under 38 CFR § 4.124a, DC 8210 (DC 8210), a 0% rating for Autonomic Neuropathy requires: Autonomic neuropathy is a multi-system condition without a dedicated diagnostic code; the rating is built from each affected body system's contribution under the appropriate DC. Cardiovascular involvement (orthostatic hypotension, postural tachycardia, bradyarrhythmia) is rated under § 4.104. Gastrointestinal involvement (gastroparesis, intestinal pseudo-obstruction) is rated under DC 7307 or DC 7301 by analogy. Genitourinary involvement (neurogenic bladder, erectile dysfunction) is rated under § 4.115a/b and DC 7522. Sudomotor involvement (anhidrosis, hyperhidrosis) is rated under § 4.118 (skin). Where vagal (parasympathetic) dysfunction is the predominant manifestation, DC 8210 by analogy applies using the 10/30/50 vagus framework. Each dysfunction is separately ratable; the total is combined under § 4.25.

Q: What evidence do I need for a Autonomic Neuropathy VA claim?

Key evidence for a Autonomic Neuropathy claim includes: Service treatment records; Current medical diagnosis and treatment records; Buddy/lay statements; Prescription history; Employment impact documentation. All evidence should document both the condition and its impact on daily functioning.

DC 8210 | 38 CFR § 4.124a, DC 8210 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.124a (Neurological conditions and convulsive disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team

Autonomic Neuropathy is rated by the U.S. Department of Veterans Affairs under DC 8210 of 38 CFR § 4.124a, DC 8210 across 1 severity tier (0%). 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

Damage to autonomic nerves controlling involuntary functions including blood pressure, heart rate, digestion, and bladder control.

RATING CRITERIA (1 LEVELS)

Autonomic neuropathy is a multi-system condition without a dedicated diagnostic code; the rating is built from each affected body system's contribution under the appropriate DC. Cardiovascular involvement (orthostatic hypotension, postural tachycardia, bradyarrhythmia) is rated under § 4.104. Gastrointestinal involvement (gastroparesis, intestinal pseudo-obstruction) is rated under DC 7307 or DC 7301 by analogy. Genitourinary involvement (neurogenic bladder, erectile dysfunction) is rated under § 4.115a/b and DC 7522. Sudomotor involvement (anhidrosis, hyperhidrosis) is rated under § 4.118 (skin). Where vagal (parasympathetic) dysfunction is the predominant manifestation, DC 8210 by analogy applies using the 10/30/50 vagus framework. Each dysfunction is separately ratable; the total is combined under § 4.25.

KEY EVIDENCE TO GATHER

-Service treatment records

-Current medical diagnosis and treatment records

-Buddy/lay statements

-Prescription history

-Employment impact documentation

-Any relevant diagnostic testing

C&P EXAM TIPS (5)

1.Bring all relevant medical records and a written list of symptoms.

2.Report your worst days, not your best. The VA rates based on overall impairment.

3.Document how the condition affects daily activities, work, and relationships.

4.Mention all medications and their side effects.

5.Bring buddy statements from people who observe your symptoms.

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SOURCES & EDITORIAL

Rating criteria text quoted verbatim from 38 C.F.R. § 4.124a (Neurological conditions and convulsive 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.

→ View § 4.124a on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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