Reference: 38 CFR 4.130, DC 9422

Sources & Related Guides

What is the VA rating for Insomnia Disorder?

Rated under the General Rating Formula for Mental Disorders based on occupational and social impairment levels pursuant to 38 CFR § 4.130.

Condition Overview & Clinical Scope

Rated under the General Rating Formula for Mental Disorders based on occupational and social impairment levels pursuant to 38 CFR § 4.130.

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Explore Insomnia Disorder Criteria & Tools

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Common Questions & FAQs

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Overview

About this condition

Rated under the General Rating Formula for Mental Disorders based on occupational and social impairment levels pursuant to 38 CFR § 4.130.

Regulatory authority: 38 CFR 4.130, DC 9422

This guide provides regulatory reference criteria under 38 CFR Part 4. RatingScope does not provide medical diagnoses or predict adjudicative outcomes.

Percentage Guides

Understanding Your Percentage

Select a pathway to see what the published criteria ask about, what records may clarify it, and what should not be assumed.

100%

Highest listed pathway

Total occupational and social impairment due to persistent severe cognitive and psychological deficits.

What separates the next level: Highest compensable evaluation defined under this diagnostic code.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 100% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 100% level.
Examples
Veteran has clinical documentation demonstrating the 100% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

70%

Next: 100%

Occupational and social impairment with deficiencies in most areas (work, school, family relations, judgment).

What separates the next level: Differs from the 100% tier based on frequency, objective test measurements, or treatment intensity.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 70% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 70% level.
Examples
Veteran has clinical documentation demonstrating the 70% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

50%

Next: 70%

Occupational and social impairment with reduced reliability and productivity due to chronic sleep loss and fatigue.

What separates the next level: Differs from the 70% tier based on frequency, objective test measurements, or treatment intensity.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 50% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 50% level.
Examples
Veteran has clinical documentation demonstrating the 50% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

30%

Next: 50%

Occupational and social impairment with occasional decrease in work efficiency and intermittent inability to perform tasks.

What separates the next level: Differs from the 50% tier based on frequency, objective test measurements, or treatment intensity.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 30% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 30% level.
Examples
Veteran has clinical documentation demonstrating the 30% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

10%

Next: 30%

Occupational and social impairment due to mild or transient symptoms controlled by continuous medication.

What separates the next level: Differs from the 30% tier based on frequency, objective test measurements, or treatment intensity.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 10% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 10% level.
Examples
Veteran has clinical documentation demonstrating the 10% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

0%

Next: 10%

Diagnosed mental condition formally documented but symptoms are not severe enough to interfere with work or social activities.

What separates the next level: Differs from the 10% tier based on frequency, objective test measurements, or treatment intensity.

Review CFR criteria, examples, and evidence
Official CFR language
38 CFR 4.130, DC 9422 establishes the 0% evaluation criteria.
Qualification explanation
Medical records must document the specific functional findings and clinical thresholds corresponding to the 0% level.
Examples
Veteran has clinical documentation demonstrating the 0% criteria under 38 CFR 4.130, DC 9422.
Medical evidence
Mental Disorders DBQ (VA Form 21-0960P-2); Clinical treatment progress notes; Diagnostic testing reports
Functional impact examples
Documented impairment affecting daily physical or occupational performance.
Common misconceptions
A clinical diagnosis alone without documented severity does not guarantee a compensable rating.
Related topics
insomnia; 38 CFR Part 4; DC 9422

Evidence

Evidence that may clarify the published criteria

Insomnia Disorder DBQ

The DBQ organizes diagnosis and clinical findings for Insomnia Disorder.

A DBQ is useful context, but RatingScope does not require uploads and this hub does not accept records.

Diagnosis and treatment records

Treatment notes can show the current condition, course over time, therapy, and clinician observations.

A diagnosis alone does not identify which percentage pathway applies.

Official VA Forms & DBQs

Downloadable DBQs & Supporting Claim Forms

Take the public DBQ to your private physician or review it prior to your C&P examination.

Terminology

Plain-English terms

Common Questions

Questions veterans commonly ask

How is Insomnia Disorder evaluated?

Rated under the General Rating Formula for Mental Disorders based on occupational and social impairment levels pursuant to 38 CFR § 4.130.

What separates the 100% rating from adjacent levels?

Highest compensable evaluation defined under this diagnostic code.

What separates the 70% rating from adjacent levels?

Differs from the 100% tier based on frequency, objective test measurements, or treatment intensity.

What separates the 50% rating from adjacent levels?

Differs from the 70% tier based on frequency, objective test measurements, or treatment intensity.

What separates the 30% rating from adjacent levels?

Differs from the 50% tier based on frequency, objective test measurements, or treatment intensity.

What separates the 10% rating from adjacent levels?

Differs from the 30% tier based on frequency, objective test measurements, or treatment intensity.

What separates the 0% rating from adjacent levels?

Differs from the 10% tier based on frequency, objective test measurements, or treatment intensity.

Related Conditions

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External source/reference

38 CFR 4.97, DC 9422

Official regulation source for Insomnia Disorder. Use the official source for current rule text.

Open 38 CFR 4.97, DC 9422

External source/reference

VA Insomnia Disorder DBQ

Public VA DBQ showing the kinds of findings that may be documented.

Open VA Insomnia Disorder DBQ

Secondary conditions

Conditions commonly connected to Insomnia Disorder

No commonly documented secondary connections are tracked for Insomnia Disorder yet.

Educational Guides & Evidence Resources

In-depth analysis of DBQ forms, medical evidence thresholds, and rating schedules for Insomnia Disorder.

How VA Rates PTSD: DC 9411 Stressors and Impairment

Learn how the VA evaluates PTSD under 38 CFR 4.130 (DC 9411) based on occupational and social impairment tiers from 0% to 100% and verified stressors.

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Related Tools

Compare a percentage level and combined-rating math, or review evidence context.

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Understand the whole-person method, final rounding, and bilateral limits, then calculate how percentages combine.

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Evidence Center

Understand common evidence categories and what they can clarify without treating them as a checklist.

Open Evidence Center