What are the VA rating percentages for Hemifacial Spasm?

Hemifacial Spasm (DC 8103) is rated at 0%, 10%, 30% under 38 CFR § 4.124a, DC 8103. Mild — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

What rates 0% for Hemifacial Spasm under 38 CFR § 4.124a, DC 8103?

Under 38 CFR § 4.124a, DC 8103 (DC 8103), a 0% rating for Hemifacial Spasm requires: Mild — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

What rates 10% for Hemifacial Spasm under 38 CFR § 4.124a, DC 8103?

Under 38 CFR § 4.124a, DC 8103 (DC 8103), a 10% rating for Hemifacial Spasm requires: Moderate — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

What rates 30% for Hemifacial Spasm under 38 CFR § 4.124a, DC 8103?

Under 38 CFR § 4.124a, DC 8103 (DC 8103), a 30% rating for Hemifacial Spasm requires: Severe — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

What happens during a C&P exam for Hemifacial Spasm?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Hemifacial Spasm

Q: What evidence do I need for a Hemifacial Spasm VA claim?

Key evidence for a Hemifacial Spasm claim includes: 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. All evidence should document both the condition and its impact on daily functioning.

DC 810338 C.F.R. § 4.124a

Diagnostic Code

DC 8103

38 C.F.R. § 4.124a

Rating Range

0–30%

3 severity tiers

Source

Verified

38 C.F.R. § 4.124a

Hemifacial Spasm is rated by the U.S. Department of Veterans Affairs under DC 8103 of 38 CFR § 4.124a, DC 8103 across 3 severity tiers (0% / 10% / 30%). 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.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Involuntary twitching or spasm of the muscles on one side of the face due to facial nerve compression.

Rating Criteria

Mild — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

10%

Moderate — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

30%

Severe — depending on frequency, severity, and muscle groups involved (per § 4.124a DC 8103).

03Key Evidence

—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

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

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 against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.124a 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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