Neurological Playbooks

TBI and migraines—navigate the 10-facet rating system and document cognitive symptoms.

Overview

Neurological Playbooks

TBI and neurological conditions have unique rating criteria that don't work like other disabilities. These playbooks translate the regulations into evidence you can gather.

The VA rates TBI using a 10-facet system covering memory, judgment, social interaction, and more. Your highest facet level sets your rating. Migraines are rated separately based on frequency and prostrating severity.

Both conditions commonly support secondary claims—TBI can lead to migraines, sleep issues, and mental health conditions. These playbooks cover primary claims and secondary strategies.

Quick Start

Neurological Claim Path

Resources

Playbooks in This Category

Tools

Tools & Templates

Questions

FAQ

How does the TBI 10-facet rating system work?

VA evaluates 10 areas: memory, judgment, social interaction, orientation, motor activity, visual-spatial, communication, consciousness, and two subjective symptoms. Each gets a level (0-3 or Total), and your highest level sets the overall rating.

Can TBI and migraines be rated separately?

Yes. Migraines from TBI are rated under a different diagnostic code (DC 8100). Document headache frequency separately from cognitive symptoms to avoid pyramiding issues.

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