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Rating guide · Neurological

Migraine Claims: Proof Over Time

Migraine ratings hinge on a number the examiner can’t observe: how often attacks force you to stop and lie down. The veterans who get rated accurately are usually the ones who kept track.

  • Rating criteria
  • Prostrating, defined
  • Tracking that works
  • Common connections

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38 CFR 4.124a · DC 8100

Migraine Rating Levels

Other headache disorders are commonly rated by analogy here. 2026 pay for a veteran with no dependents.

RatingVA criteria2026 pay (alone)
50%With very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability.$1,132.90
30%With characteristic prostrating attacks occurring on an average once a month over last several months.$552.47
10%With characteristic prostrating attacks averaging one in 2 months over last several months.$180.42
0%With less frequent attacks.$0.00
Current as of October 2026. Pay effective December 1, 2025.
The key word

What Makes an Attack “Prostrating”

The regulation doesn’t define it, but a prostrating attack is generally one where you have to quit what you’re doing and lie down, often somewhere dark and quiet. A headache you can push through at work usually doesn’t count.

The 50% level also mentions severe economic inadaptability. That doesn’t mean unemployment; missing lots of work, leaving early, or losing hours because of attacks can qualify.

Evidence

Tracking That Holds Up

Keep a simple log for at least a few months. For every attack, note the date, how long it lasted, whether you had to lie down, and any work missed. A notes app works fine. Bring it to appointments so your doctor’s records reflect the same pattern.

Common service connections include brain injuries, PTSD and other mental health conditions, neck injuries, tinnitus, and headaches that started during service.

FAQ

Migraine VA Rating: Common Questions

How often do migraines need to happen for 30%?

About once a month on average over the last several months, with attacks that are prostrating. About once every two months supports 10%.

I still work. Can I get 50%?

Yes. Severe economic inadaptability can be shown through heavy missed work or reduced hours. It doesn’t require being unemployed.

Do tension or cluster headaches count?

Other headache conditions are often rated by analogy under the migraine criteria.

What evidence helps most?

A consistent log covering several months, treatment records that match it, and statements from people who have seen your attacks.

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