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Migraines: VA Claims & Ratings

Migraines are rated on how often you have prostrating attacks, so documentation is everything.

Rating criteria (DC 8100)

RatingCriteria
0%Less frequent attacks
10%Characteristic prostrating attacks averaging one in 2 months over the last several months
30%Characteristic prostrating attacks occurring on average once a month over the last several months
50%Very frequent, completely prostrating, and prolonged attacks productive of severe economic inadaptability

Key terms

  • Prostrating: An attack that forces you to stop what you're doing and lie down or rest
  • Severe economic inadaptability: Courts have held this does not require being unable to work. It looks at the economic impact of the attacks, such as missed work and reduced productivity.

Evidence that helps

  • A headache log: date, duration, symptoms, what you had to stop doing, and medication used
  • Treatment records and prescriptions
  • Work records of missed days or accommodations
  • Statements from family who see the attacks
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Official sources

38 CFR 4.124a (DC 8100)

Rating criteria summarized for general information. Read the full regulation for details. Last reviewed October 2026.

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