Migraine Headaches

DC 8100Neurological38 CFR 4.124a, DC 8100

Severe, recurring headaches often accompanied by nausea, light sensitivity, and visual disturbances. The VA rates migraines based on how often you have prostrating attacks and their economic impact.

Rating Levels

You have very frequent, completely prostrating and prolonged attacks that cause severe economic inadaptability (impact on your ability to work). This is the maximum rating.

What the VA looks for

Very frequent prostrating attacks (multiple per month)
Prolonged duration (hours or days)
Severe economic inadaptability (missed work, reduced hours, job loss)
Employment records showing impact
Lay statements describing severity and frequency

Common Pitfalls

⚠Not keeping a headache diary — frequency and severity documentation is critical since the rating is based on attack frequency.
⚠Not understanding "prostrating" — this means the attack forces you to stop what you are doing and lie down. Describe this clearly.
⚠Not documenting economic impact for the 50% level — missed work days, reduced hours, or job changes.
⚠Not connecting migraines to PTSD, TBI, or neck conditions as secondary claims.

Related DBQ Forms

DBQ Headaches (including Migraines)

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…