Neurological Conditions and Convulsive Disorders§ 4.124aUpdated
Rating criteria

VA Diagnostic Code 8021Spinal cord, new growths of: Malignant

Rated from 30% to 100% under § 4.124a. Here is what the VA requires at each level.

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What each rating requires

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  1. 100%

    Malignant

  2. 30%

    Minimum rating

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: The rating in code 8021 will be continued for 2 years following cessation of surgical, chemotherapeutic or other treatment modality. At this point, if the residuals have stabilized, the rating will be made on neurological residuals according to symptomatology.
  • Note: It is required for the minimum ratings for residuals under diagnostic codes 8000-8025, that there be ascertainable residuals. Determinations as to the presence of residuals not capable of objective verification, i.e., headaches, dizziness, fatigability, must be approached on the basis of the diagnosis recorded; subjective residuals will be accepted when consistent with the disease and not more likely attributable to other disease or no disease. It is of exceptional importance that when ratings in excess of the prescribed minimum ratings are assigned, the diagnostic codes utilized as bases of evaluation be cited, in addition to the codes identifying the diagnoses.

Spinal Cord, New Growths of: Malignant (VA Diagnostic Code 8021)

Neurological Conditions and Convulsive Disorders — 38 CFR § 4.124a

Understanding This Condition

Diagnostic Code 8021 covers malignant (cancerous) new growths of the spinal cord. Because these growths affect the spinal cord, they fall under the VA's rating rules for neurological conditions.

The way the VA rates this condition depends on where you are in the treatment and recovery process. An active malignant condition is rated differently than the lasting effects that may remain after treatment ends.

Available Rating Levels

The VA assigns a disability rating for this condition at one of the following levels:

RatingCriteria
100%Malignant
30%Minimum rating

What the VA Looks For

During and after active treatment. The 100% rating for a malignant spinal cord growth continues for 2 years following the end of surgical, chemotherapeutic, or other treatment. At that point, if the residuals have stabilized, the VA re-evaluates the condition and rates it based on the neurological residuals according to your symptoms.

Ascertainable residuals are required. To qualify for the minimum ratings for residuals under this group of diagnostic codes (8000–8025), there must be ascertainable residuals. When residuals cannot be objectively verified — such as headaches, dizziness, or fatigability — the VA approaches the determination based on the recorded diagnosis. Subjective residuals are accepted when they are consistent with the disease and not more likely attributable to another disease or to no disease at all.

Citing the basis of evaluation. When a rating higher than the prescribed minimum is assigned, it is considered exceptionally important that the diagnostic codes used as the basis of evaluation be cited, in addition to the codes identifying the diagnoses.


This information is drawn directly from the VA rating schedule under 38 CFR § 4.124a for Diagnostic Code 8021. It is provided for general informational purposes and does not guarantee any particular rating or outcome.

These criteria are a rendering of § 4.124a, diagnostic code 8021. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 8021 and attach the evidence for the level you are asking for. Other Neurological Conditions and Convulsive Disorders codes may cover your secondary conditions.

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