Epilepsy, Grand Mal
DC 8910 §4.124a Neurological ICD-10: G40.409 Direct
Generalized tonic-clonic seizures. Rated by frequency of major seizures over 6 months.
VA rating criteria
| Rating | Criteria |
|---|---|
| 100% | Averaging at least 1 major seizure per month over the last year |
| 80% | Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly |
| 60% | Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week |
| 40% | At least 1 major seizure in the last 6 months or 2 in last year; or averaging at least 5 to 8 minor seizures weekly |
| 20% | At least 1 major seizure in last 2 years; or at least 2 minor seizures in last 6 months |
| 10% | A confirmed diagnosis of epilepsy with a history of seizures |
Filing this claim
This is typically filed as a direct service connection claim. You need a current diagnosis, evidence of in-service event or exposure, and a nexus letter linking them. Use the letter generators to draft your nexus letter and Statement in Support of Claim.
Step by step
- File an Intent to File (Form 21-0966) to lock your effective date.
- Confirm you have a current medical diagnosis in a medical record.
- Get a nexus letter — magic phrase: "at least as likely as not."
- Write a Statement in Support of Claim (21-4138).
- If applicable, gather buddy statements (21-10210).
- File the formal 21-526EZ.
Source: 38 CFR §4.124a. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.