Carpal Tunnel Syndrome VA Rating Guide

Overview

A condition caused by compression of the median nerve as it passes through the carpal tunnel in the wrist, causing numbness, tingling, and weakness in the hand. Common in veterans from repetitive hand motions, typing, tool use, or vehicle operation.

• VA Disability Code: 8515
• ICD Code: G56.0
• Category: Neurological

Rating Percentages & Criteria

70% Rating

Criteria: Complete paralysis of the median nerve; the hand inclined to the ulnar side, the index and middle fingers more extended than normally, considerable atrophy of the muscles of the thenar eminence, the thumb in the plane of the hand (ape hand); pronation incomplete and defective, absence of flexion of index finger and feeble flexion of middle finger, cannot make a fist, index and middle fingers remain extended; cannot flex distal phalanx of thumb, defective opposition and abduction of the thumb at right angles to palm; flexion of wrist weakened; pain with trophic disturbances (major hand).

Examples:

• Complete loss of hand function
• Ape hand deformity
• Cannot make a fist

50% Rating

Criteria: Incomplete paralysis, severe (major hand); Moderate incomplete paralysis in minor hand may warrant this rating.

Examples:

• Severe weakness and numbness
• Significant functional loss
• Frequent dropping objects

30% Rating

Criteria: Incomplete paralysis, moderate (major hand) or severe (minor hand).

Examples:

• Moderate weakness
• Frequent numbness and tingling
• Difficulty gripping

10% Rating

Criteria: Incomplete paralysis, mild.

Examples:

• Mild numbness
• Occasional tingling
• Minor grip weakness

Symptoms & Functional Impact

Common symptoms associated with this condition:

• Numbness or tingling in thumb, index, middle fingers
• Pain radiating up the arm
• Weakness in the hand
• Difficulty gripping objects
• Dropping things frequently
• Night-time symptoms that wake you
• Burning sensation in fingers
• Swollen feeling in fingers

Evidence Requirements for Your Claim

To support your claim, gather the following evidence:

• Nerve conduction study (EMG/NCS)
• Medical records documenting symptoms
• Service records showing repetitive hand activities
• Occupational history documentation
• Buddy statements about observed limitations

Secondary Conditions Commonly Connected

This condition often leads to secondary disabilities:

Depression (Moderate Connection)

Chronic pain and disability from carpal tunnel can lead to depression

Compensation & Pension (C&P) Exam Tips

Prepare for your C&P exam with these strategic tips:

• Describe all activities that worsen symptoms
• Document how symptoms affect your job
• Bring nerve conduction study results
• Explain night-time symptoms and sleep disruption
• Show the examiner any muscle wasting

Frequently Asked Questions

Can I claim carpal tunnel from military typing/computer work?

Yes, if you can show repetitive hand motions during service caused or aggravated the condition.

What if I have carpal tunnel in both hands?

Each hand is rated separately. You can receive compensation for both.

Key Points for Your Claim

When filing for Carpal Tunnel Syndrome:

1. Document everything - Every medical visit, treatment, and symptom counts
2. Get a nexus letter - A medical opinion linking your condition to service is crucial
3. Be thorough - Don't downplay your symptoms in your claim
4. Track progression - Show how the condition has worsened over time
5. Claim secondary conditions - Carpal Tunnel Syndrome often causes other disabilities

Ready to File Your Claim?

The VA disability system is complex, but you don't have to navigate it alone. We help veterans understand their benefits, gather strong evidence, and maximize their ratings.

Related Rating Guides:

• Depression VA Rating Guide