What are the VA rating percentages for Hypoglossal Nerve Paralysis (CN XII)?

Hypoglossal Nerve Paralysis (CN XII) (DC 8212) is rated at 10%, 30%, 50% under 38 CFR § 4.124a, DC 8212. Incomplete paralysis, moderate.

What rates 10% for Hypoglossal Nerve Paralysis (CN XII) under 38 CFR § 4.124a, DC 8212?

Under 38 CFR § 4.124a, DC 8212 (DC 8212), a 10% rating for Hypoglossal Nerve Paralysis (CN XII) requires: Incomplete paralysis, moderate.

What rates 30% for Hypoglossal Nerve Paralysis (CN XII) under 38 CFR § 4.124a, DC 8212?

Under 38 CFR § 4.124a, DC 8212 (DC 8212), a 30% rating for Hypoglossal Nerve Paralysis (CN XII) requires: Incomplete paralysis, severe.

What rates 50% for Hypoglossal Nerve Paralysis (CN XII) under 38 CFR § 4.124a, DC 8212?

Under 38 CFR § 4.124a, DC 8212 (DC 8212), a 50% rating for Hypoglossal Nerve Paralysis (CN XII) requires: Complete paralysis.

What happens during a C&P exam for Hypoglossal Nerve Paralysis (CN XII)?

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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Hypoglossal Nerve Paralysis (CN XII)

Q: What evidence do I need for a Hypoglossal Nerve Paralysis (CN XII) VA claim?

Key evidence for a Hypoglossal Nerve Paralysis (CN XII) 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 821238 C.F.R. § 4.124a

Diagnostic Code

DC 8212

38 C.F.R. § 4.124a

Rating Range

10–50%

3 severity tiers

Source

Verified

38 C.F.R. § 4.124a

Hypoglossal Nerve Paralysis (CN XII) is rated by the U.S. Department of Veterans Affairs under DC 8212 of 38 CFR § 4.124a, DC 8212 across 3 severity tiers (10% / 30% / 50%). 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

Paralysis of cranial nerve XII causing tongue deviation, difficulty speaking, and swallowing problems.

Rating Criteria

10%

Incomplete paralysis, moderate.

30%

Incomplete paralysis, severe.

50%

Complete paralysis.

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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