Neurological Conditions and Convulsive Disorders§ 4.124aUpdated
Rating criteria

VA Diagnostic Code 8104Paramyoclonus multiplex (convulsive state, myoclonic type)

A single 60% rating under § 4.124a. Here is what the VA requires for it.

View official source

Not the right code?

The ladder

What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 60%

    Rate as tic; convulsive; severe cases

Paramyoclonus Multiplex (Convulsive State, Myoclonic Type) — VA Diagnostic Code 8104

Understanding This Condition and How the VA Rates It

Paramyoclonus multiplex is a neurological condition marked by a convulsive state of the myoclonic type. The VA classifies it under Diagnostic Code 8104, within the category of Neurological Conditions and Convulsive Disorders, and rates it according to 38 CFR § 4.124a.

Available Rating Level

Under the VA rating schedule, this condition has one listed evaluation level:

RatingWhat It Reflects
60%Rated as a tic; convulsive; severe cases

What the VA Looks For

When evaluating paramyoclonus multiplex under Diagnostic Code 8104, the VA considers the condition as a convulsive, tic-type disorder and applies the criteria for severe cases at the 60% level.


This entry is provided for general informational purposes and reflects the rating criteria listed under 38 CFR § 4.124a, Diagnostic Code 8104. It is not legal advice, and individual outcomes depend on the specific facts and medical evidence of each claim.

These criteria are a rendering of § 4.124a, diagnostic code 8104. The official version is the one that governs your rating.

View official source
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 8104 and attach the evidence for the level you are asking for. Other Neurological Conditions and Convulsive Disorders codes may cover your secondary conditions.

Find out which rating your evidence supports.

Six reads your records against these exact criteria and tells you what the VA is still missing.

Start for freeAll 119 Neurological Conditions and Convulsive Disorders codes