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Carpal Tunnel Syndrome (Median Nerve Entrapment)
DC 8515 | 38 CFR § 4.124a, DC 8515 |
Carpal Tunnel Syndrome (Median Nerve Entrapment) is rated by the U.S. Department of Veterans Affairs under DC 8515 of 38 CFR § 4.124a, DC 8515 across 4 severity tiers (10% / 30% / 50% / 70%). 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. This condition is frequently rated as secondary to Cubital Tunnel Syndrome or Wrist Arthritis under 38 C.F.R. § 3.310.
OVERVIEW
Compression of the median nerve at the wrist causing numbness, tingling, and weakness in the hand.
RATING CRITERIA (4 LEVELS)
10%
Mild incomplete paralysis of the median nerve (same for dominant and non-dominant hand).
30%
Moderate incomplete paralysis of the median nerve - dominant hand. (20% non-dominant.)
50%
Severe incomplete paralysis of the median nerve - dominant hand. (40% non-dominant.)
70%
Complete paralysis of the median nerve - dominant hand. (60% non-dominant.) The hand inclined to the ulnar side, the index and middle fingers more extended than normally, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb at right angles to palm; weakened flexion of wrist; pain with trophic disturbances.
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
SECONDARY CONDITIONS (3 MAPPED)
DC
Compensatory hand positioning affects ulnar nerve
DC
Underlying joint dysfunction
DC
Altered arm use patterns
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.
SECONDARY CONDITIONS
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EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026