Condition
VA Nexus Letters for Traumatic Brain Injury
Residuals of blast exposure, concussion, and closed head injury.
TBI claims are rated on residuals rather than on the injury itself. Blast exposure, vehicle accidents, falls, and training injuries frequently went undocumented at the time, and the cognitive and emotional residuals are often misattributed to a mental health diagnosis alone.
What the VA requires
- Documentation or credible history of a head injury or blast exposure
- Current cognitive, emotional, or physical residuals
- A medical opinion connecting the residuals to the injury
How it is rated
Rated under DC 8045 using facets of cognitive impairment scored 0 through 3 and 'total', with the highest facet level determining the evaluation.
How we help
- Opinions distinguishing TBI residuals from overlapping mental health symptoms
- Residual documentation organized by the DC 8045 facets
- Linkage of headaches, vertigo, and sleep disturbance to the injury
Commonly claimed as secondary
- Migraines
- Vertigo
- Depression
- Sleep disturbance
- Tinnitus
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