What are the VA rating percentages for Delusional Disorder?

Delusional Disorder (DC 9208) is rated at 10%, 30%, 50%, 70%, 100% under 38 CFR § 4.130, DC 9208. Occupational and social impairment due to mild or transient delusional symptoms controlled by medication.

What rates 10% for Delusional Disorder under 38 CFR § 4.130, DC 9208?

Under 38 CFR § 4.130, DC 9208 (DC 9208), a 10% rating for Delusional Disorder requires: Occupational and social impairment due to mild or transient delusional symptoms controlled by medication.

What happens during a C&P exam for Delusional Disorder?

Be completely honest about your worst days, not your best. Describe specific examples of social and occupational impairment.

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

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Delusional Disorder

Q: What rates 30% for Delusional Disorder under 38 CFR § 4.130, DC 9208?

Under 38 CFR § 4.130, DC 9208 (DC 9208), a 30% rating for Delusional Disorder requires: Occupational and social impairment with occasional decrease in work efficiency due to delusional beliefs affecting judgment.

Q: What rates 50% for Delusional Disorder under 38 CFR § 4.130, DC 9208?

Under 38 CFR § 4.130, DC 9208 (DC 9208), a 50% rating for Delusional Disorder requires: Occupational and social impairment with reduced reliability and productivity due to persistent delusions affecting interpersonal relationships and decision-making.

Q: What rates 70% for Delusional Disorder under 38 CFR § 4.130, DC 9208?

Under 38 CFR § 4.130, DC 9208 (DC 9208), a 70% rating for Delusional Disorder requires: Occupational and social impairment with deficiencies in most areas due to pervasive delusions causing near-continuous paranoia or other delusional preoccupation.

Q: What rates 100% for Delusional Disorder under 38 CFR § 4.130, DC 9208?

Under 38 CFR § 4.130, DC 9208 (DC 9208), a 100% rating for Delusional Disorder requires: Total occupational and social impairment due to persistent, severe delusions causing danger to self or others, grossly inappropriate behavior.

Q: What evidence do I need for a Delusional Disorder VA claim?

Key evidence for a Delusional Disorder claim includes: Mental health treatment records; Service records documenting stressors; Buddy statements describing behavioral changes; Employment records showing work impact; Hospitalization records. All evidence should document both the condition and its impact on daily functioning.

DC 9208 | 38 CFR § 4.130, DC 9208 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.130 (Mental disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team

Delusional Disorder is rated by the U.S. Department of Veterans Affairs under DC 9208 of 38 CFR § 4.130, DC 9208 across 5 severity tiers (10% / 30% / 50% / 70% / 100%). 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

Characterized by one or more delusions persisting for at least one month without the full symptom picture of schizophrenia. Functioning is not markedly impaired apart from the impact of the delusion(s), and behavior is not obviously bizarre.

RATING CRITERIA (5 LEVELS)

10%

Occupational and social impairment due to mild or transient delusional symptoms controlled by medication.

30%

Occupational and social impairment with occasional decrease in work efficiency due to delusional beliefs affecting judgment.

50%

Occupational and social impairment with reduced reliability and productivity due to persistent delusions affecting interpersonal relationships and decision-making.

70%

Occupational and social impairment with deficiencies in most areas due to pervasive delusions causing near-continuous paranoia or other delusional preoccupation.

100%

Total occupational and social impairment due to persistent, severe delusions causing danger to self or others, grossly inappropriate behavior.

KEY EVIDENCE TO GATHER

-Mental health treatment records

-Service records documenting stressors

-Buddy statements describing behavioral changes

-Employment records showing work impact

-Hospitalization records

-Prescription history for psychiatric medications

C&P EXAM TIPS (6)

1.Be completely honest about your worst days, not your best.

2.Describe specific examples of social and occupational impairment.

3.If you have suicidal ideation, even passively, report it.

4.Document panic attacks: frequency, duration, functional impact.

5.Mention any hospitalizations or crisis interventions.

6.Keep a symptom journal with specific dates and incidents.

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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.

→ View § 4.130 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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