Neurological Conditions and Convulsive Disorders§ 4.124aUpdated
Rating criteria

VA Diagnostic Code 8914Epilepsy, psychomotor.

Rated from 10% to 100% under § 4.124a. Here is what the VA requires at each level.

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In short

Summary

Major seizures: Psychomotor seizures will be rated as major seizures under the general rating formula when characterized by automatic states and/or generalized convulsions with unconsciousness. Minor seizures: Psychomotor seizures will be rated as minor seizures under the general rating formula when characterized by brief transient episodes of random motor movements, hallucinations, perceptual illusions, abnormalities of thinking, memory or mood, or autonomic disturbances.

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. 100%

    Averaging at least 1 major seizure per month over the last year

  2. 80%

    Averaging at least 1 major seizure in 3 months over the last year; or more than 10 minor seizures weekly

  3. 60%

    Averaging at least 1 major seizure in 4 months over the last year; or 9-10 minor seizures per week

  4. 40%

    At least 1 major seizure in the last 6 months or 2 in the last year; or averaging at least 5 to 8 minor seizures weekly

  5. 20%

    At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months

  6. 10%

    A confirmed diagnosis of epilepsy with a history of seizures

How it is applied

General rating formula

General Rating Formula for Major and Minor Epileptic Seizures

VA Disability Rating for Psychomotor Epilepsy (Diagnostic Code 8914)

Neurological Conditions and Convulsive Disorders · 38 CFR § 4.124a

What Is Psychomotor Epilepsy?

Psychomotor epilepsy is a seizure condition rated by the VA under Diagnostic Code 8914. The VA evaluates it using the General Rating Formula for Major and Minor Epileptic Seizures, which means each seizure a veteran experiences is classified as either a "major" or "minor" seizure based on its characteristics.

Major seizures are those characterized by automatic states and/or generalized convulsions with unconsciousness.

Minor seizures are characterized by brief, transient episodes such as random motor movements, hallucinations, perceptual illusions, abnormalities of thinking, memory or mood, or autonomic disturbances.

How your condition is rated depends on how it fits these two categories and how frequently seizures occur.

Available Rating Levels

The VA assigns one of the following disability percentages based on the frequency and type of seizures documented over time:

RatingWhat It Reflects
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 the last year; or averaging at least 5 to 8 minor seizures weekly
20%At least 1 major seizure in the last 2 years; or at least 2 minor seizures in the last 6 months
10%A confirmed diagnosis of epilepsy with a history of seizures

What the VA Looks For

When rating psychomotor epilepsy, the VA focuses on:

  • The type of seizure — whether episodes qualify as major seizures (automatic states and/or generalized convulsions with unconsciousness) or minor seizures (brief transient episodes involving random motor movements, hallucinations, perceptual illusions, abnormalities of thinking, memory or mood, or autonomic disturbances).
  • The frequency of seizures — how often major or minor seizures occur, measured over periods such as the last 6 months, the last year, or the last two years.
  • A confirmed diagnosis — the lowest rating level (10%) requires a confirmed diagnosis of epilepsy along with a history of seizures.

Because ratings are tied to documented seizure type and frequency, a clear medical record reflecting the character and occurrence of your seizures is central to how this condition is evaluated.

These criteria are a rendering of § 4.124a, diagnostic code 8914. 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 8914 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.

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