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Sleep Disturbance / Insomnia VA Disability Rating is rated by the U.S. Department of Veterans Affairs under DC Varies of 38 C.F.R. § 4.130 across 5 severity tiers (100% -- Total occupational and social impairment / 70% -- Deficiencies in most areas / 50% -- Reduced reliability and productivity / 30% -- Occasional decrease in work efficiency / 10% -- Mild or transient symptoms). 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.
Insomnia and sleep disturbance are most commonly rated as symptoms of PTSD, anxiety, or depression under the mental health rating formula. They contribute to the overall occupational and social impairment assessment. Separate primary insomnia diagnosis is less common.
Sleep Disturbance / Insomnia (DC Varies) is evaluated under 38 C.F.R. § 4.130 using the mental health rating framework. Because it is rated by analogy to the general schedule, the 5 levels below describe the body-system criteria the VA applies — the percentage assigned to Sleep Disturbance / Insomnia depends on the specific findings (range of motion, frequency, severity, or functional loss) documented at the C&P exam and in the medical record.
Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.