What does the examiner check at a Peripheral Neuropathy C&P exam?

Which peripheral nerve(s) and which extremity are affected The full list is on this page.

What should I bring to a Peripheral Neuropathy C&P exam?

A short written summary of your worst days: what happens, how often, how long it lasts. A symptom log or calendar if you keep one — dates beat memory. Names and doses of medications, and whether they actually help.

Peripheral Neuropathy: C&P Exam Prep

The C&P (Compensation & Pension) exam is where a peripheral neuropathy claim is usually won or lost. Here is exactly what the examiner measures, and how to describe your condition accurately and completely so the rating reflects your real life.

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Sources: 38 CFR Part 4 (rating schedule), VA DBQ 21-0960C-10

Describe your worst day and how often it happens — not your average day

C&P exams are snapshots. If you happen to feel okay that day and describe an okay day, that is what gets rated. The law (Sharp v. Shulkin) requires the examiner to account for your flare-ups and worst days, but only if you describe them. Give concrete frequency and duration: "three or four days a week I cannot…", "twice a month it lays me out for two days", not "sometimes it is bad."

The honest line: Report the full, honest picture — the bad days you tend to downplay included. Never invent or exaggerate symptoms. Overstating is both wrong and easy for an examiner to catch, and it can sink an otherwise valid claim.

What the examiner will assess

Taken from the Peripheral Nerves Conditions (Not Including Diabetic Sensory-Motor Peripheral Neuropathy) DBQ (21-0960C-10) — these are the rating drivers.

1Which peripheral nerve(s) and which extremity are affected
2Whether paralysis is incomplete or complete, and the severity (mild → severe)
3Sensory exam (light touch, pinprick, vibration/position sense) mapping decreased/absent sensation
4Muscle strength (0–5 scale), deep tendon reflexes, and any atrophy or trophic changes

How the rating tiers work

The examiner's findings map onto these tiers under 38 CFR 4.124a, peripheral nerve paralysis (rating depends on the affected nerve and hand dominance; DC 8520 sciatic nerve shown as representative). Know which describes your real function so you can report the details that matter.

10%Mild incomplete paralysis of the affected nerve.

20%Moderate incomplete paralysis of the affected nerve.

40%Moderately severe incomplete paralysis (sciatic nerve, DC 8520).

60%Severe incomplete paralysis with marked muscular atrophy (sciatic nerve, DC 8520).

80%Complete paralysis of the affected nerve (sciatic nerve, DC 8520).

Symptoms to describe (if you have them)

• Numbness or tingling in hands/feet
• Burning pain
• Loss of sensation
• Weakness
• Balance problems
• Sensitivity to touch

Functional limits that raise a rating

• Walking or balance
• Fine motor tasks
• Foot care and injury risk
• Manual work
• Driving

Which exam you might get

In-person exam

A clinician examines you at a VA facility or a contractor (LHI, QTC, VES, MSLA). Bring your notes; you can hand them over.

Telehealth / video

Same questions over video. Have your notes on paper, not the same screen, and a quiet, private space.

Records-only (ACE)

No appointment — the examiner reviews your file. Everything rests on what is already documented, so your statements and medical records must carry the full picture.

Mention connected (secondary) conditions

Peripheral Neuropathy commonly leads to these. If you have any, raise them — they can each be rated on their own, and examiners will not connect the dots for you.

Depression Erectile Dysfunction Insomnia

What to bring

✓ A short written summary of your worst days: what happens, how often, how long it lasts.
✓ A symptom log or calendar if you keep one — dates beat memory.
✓ Names and doses of medications, and whether they actually help.
✓ Any private treatment records the VA may not have.
✓ A buddy statement or family note describing what they witness, if you have one.
✓ Your list of secondary conditions you believe are connected (see below).

Terms the examiner uses, in plain English

Prostrating: So severe you have to stop what you are doing and lie down (used for migraines).

Ankylosis: A joint frozen or fused so it cannot move at all — very different from "stiff" or "limited."

Occupational and social impairment: How much the condition hurts your ability to work AND to keep up relationships — the driver for mental-health ratings.

Flare-up: A period when the condition gets temporarily worse. Frequency and duration matter as much as severity.

Functional loss: What you cannot do because of the condition — lift, walk, focus, sleep, be around people.

Range of motion (ROM): How far a joint moves, measured in degrees. Report where PAIN begins, not just where motion stops.

Painful motion: Motion that hurts counts toward a rating even if the joint still moves — say exactly where the pain starts.

Deficiencies in most areas: A higher mental-health tier: the condition damages work, school, family, mood, and judgment across the board.

Before and after the exam

Peripheral Neuropathy rating & evidence

The full 38 CFR breakdown and the peer-reviewed studies behind the claim.

Build the claim & statement

Chart your claim and draft your personal statement first.

Educational content, not professional advice

This article is published by Military Transition Toolkit for educational and planning purposes. It is not legal, medical, or financial advice. VA rating criteria, benefits, and regulations change — verify anything benefits-affecting against VA.gov, 38 CFR Part 4, or a VA-accredited representative (VSO, agent, or attorney) before filing.

MTT is a veteran-owned planning tool and is not affiliated with or endorsed by the Department of Veterans Affairs, the Department of Defense, or any military branch.

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