EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Hoarding Disorder
✓ VERIFIED AGAINST 38 C.F.R.§ 4.130 (Mental disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Hoarding Disorder is rated by the U.S. Department of Veterans Affairs under DC 9404 of 38 CFR § 4.130, DC 9404 across 5 severity tiers (0% / 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.
OVERVIEW
Persistent difficulty discarding or parting with possessions regardless of their actual value, due to a perceived need to save items and distress associated with discarding them. Results in accumulation of possessions that congest living areas and substantially compromise their intended use.
RATING CRITERIA (5 LEVELS)
0%
Diagnosed hoarding disorder but symptoms not severe enough to interfere with occupational or social functioning.
10%
Occupational and social impairment due to mild hoarding behavior with some clutter but living spaces remain functional.
30%
Occupational and social impairment with occasional decrease in work efficiency due to hoarding behavior affecting living conditions and causing distress.
50%
Occupational and social impairment with reduced reliability and productivity due to severe hoarding congesting living areas, creating health/safety risks.
70%
Occupational and social impairment with deficiencies in most areas due to hoarding rendering living spaces unusable, inability to maintain hygiene or safety.
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