VA Disability Rating for Cerebral Arteriosclerosis (DC 8046)
Diagnostic Code 8046 · 38 CFR §4.124a
What Is It?
Cerebral arteriosclerosis is the hardening and narrowing of blood vessels in the brain due to plaque buildup, reducing blood flow to brain tissue. This can cause gradual cognitive decline, difficulty with memory and concentration, personality changes, dizziness, and increased risk of stroke. Veterans may develop this condition from years of service-connected hypertension, diabetes, high cholesterol, or exposure to toxic substances that damage blood vessels. The gradual nature of the disease means symptoms often develop slowly and may not be noticed until significant brain damage has occurred.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Severe vascular dementia with major cognitive impairment, inability to manage personal affairs, or complete dependence on others for daily care. |
| 60% | Moderately severe cognitive decline with significant memory problems, difficulty with daily decision-making, personality changes, and need for supervision or assistance. |
| 30% | Moderate symptoms with noticeable memory difficulties, some problems with executive function, occasional confusion, and impact on work performance. |
| 10% | Mild symptoms with slight cognitive slowing, minor memory lapses, and minimal functional impact. |
Evidence Needed
- Brain imaging (MRI or CT) showing vascular changes and white matter disease
- Cerebral angiography or MRA showing narrowed brain blood vessels
- Neuropsychological testing documenting cognitive decline
- Medical records linking cerebral vascular disease to service-connected risk factors
- Treatment records for hypertension, diabetes, or other contributing conditions
- Records showing progression of cognitive symptoms over time
C&P Exam Tips
- Bring neuropsychological test results documenting the pattern and severity of cognitive changes
- Describe specific examples of memory problems, confusion, or poor judgment
- Report how cognitive changes have progressed over time
- Have a family member provide a statement describing changes they have observed
- Bring brain imaging reports showing vascular changes
- Explain how cognitive decline affects your ability to manage finances, drive safely, and perform work tasks
How to File
File under DC 8046 for cerebral arteriosclerosis. Include brain imaging, neuropsychological testing, and documentation linking the vascular disease to service-connected risk factors like hypertension or diabetes. If you already have service-connected hypertension or diabetes, the cerebral arteriosclerosis can be filed as a secondary condition caused by those risk factors.
Common Mistakes
Not getting neuropsychological testing Not connecting to service-connected risk factors Waiting until symptoms are severe
Frequently Asked Questions
Is cerebral arteriosclerosis the same as dementia?
Not exactly. Cerebral arteriosclerosis is the vascular disease process — narrowing and hardening of brain blood vessels. It can lead to vascular dementia when enough brain tissue is damaged by reduced blood flow. Some people with cerebral arteriosclerosis have mild cognitive changes, while others progress to dementia.
Can cerebral arteriosclerosis be treated?
The disease cannot be reversed, but its progression can be slowed by controlling the underlying risk factors — managing blood pressure, blood sugar, and cholesterol. The VA rates based on your current level of cognitive and neurological impairment.