EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Meningitis (Cerebrospinal)
✓ VERIFIED AGAINST 38 C.F.R.§ 4.124a (Neurological conditions and convulsive disorders) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Meningitis (Cerebrospinal) is rated by the U.S. Department of Veterans Affairs under DC 8019 of 38 CFR § 4.124a, DC 8019 across 2 severity tiers (10% / 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
Inflammation of the meninges (membranes surrounding the brain and spinal cord) with potential lasting neurological damage.
RATING CRITERIA (2 LEVELS)
10%
Residuals after acute febrile phase resolution, minimum rating per § 4.124a DC 8019. Rate residuals (sensorineural hearing loss, cranial-nerve deficits, hydrocephalus, cognitive impairment, post-meningitic seizures) separately under their applicable DCs and combine under § 4.25.
100%
Active febrile disease — 100% per § 4.124a DC 8019. Applies to bacterial meningitis (meningococcal, pneumococcal, Hib, Listeria), viral meningitis with severe presentation, tuberculous meningitis, fungal meningitis (cryptococcal, coccidioidal).
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. § 4.124a (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.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026