38 CFR Part 4 — 38 CFR § 4.130
Other specified somatic symptom and related disorder — VA Diagnostic Code 9422
Mental health
Diagnostic code
9422
38 CFR § 4.130 lists Diagnostic Code 9422 as “Other specified somatic symptom and related disorder.” The name has no percentage beside it. Note 2 says ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. DC 9422 is inside that span. Appendix B to Part 4 uses the same name, with a period.
Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was up to date as of 2026-10-01 and last amended on 2026-08-27. The § 4.130 source note prints 79 FR 45100, Aug. 4, 2014.
The rating criteria at each level
General Rating Formula for Mental Disorders — diagnostic codes 9201 to 9440, including DC 9422
Rating %: 100
Criteria (verbatim). Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.
Rating %: 70
Criteria (verbatim). Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships.
Rating %: 50
Criteria (verbatim). Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.
Rating %: 30
Criteria (verbatim). Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).
Rating %: 10
Criteria (verbatim). Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.
Rating %: 0
Criteria (verbatim). A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.
| Rating % | Criteria (verbatim) |
|---|---|
| 100 | Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name. |
| 70 | Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships. |
| 50 | Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships. |
| 30 | Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events). |
| 10 | Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication. |
| 0 | A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication. |
The formula uses the words “such symptoms as” and “such as.” Those words are part of the printed lines.
Note 2, printed under the eating-disorder table: Ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. Ratings under diagnostic codes 9520 and 9521 will be evaluated using the General Rating Formula for Eating Disorders.
DC 9422 does not print its own 100, 70, 50, 30, 10, or 0 line. The lines above are the formula Note 2 names.
The opening of § 4.130 says the nomenclature employed in this portion of the rating schedule is based upon the American Psychiatric Association's Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5), and it points to § 4.125 for availability information. It says rating agencies must be thoroughly familiar with this manual to properly implement the directives in § 4.125 through § 4.129 and to apply the general rating formula for mental disorders in § 4.130. 38 CFR § 4.7 assigns the higher rating when the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned. 38 CFR § 4.6 requires each element affecting the evidence to be studied so that decisions will be equitable and just.
DC 9421 is somatic symptom disorder. DC 9423 is unspecified somatic symptom and related disorder. DC 9424 is conversion disorder (functional neurological symptom disorder). DC 9425 is illness anxiety disorder. Each name is listed separately. Note 2 puts 9201 to 9440, including those codes and DC 9422, on this formula. Other specified somatic symptom and related disorder is not the same listed name as unspecified somatic symptom and related disorder.
DC 9411 is posttraumatic stress disorder. The public page is the PTSD guide. DC 9400 is generalized anxiety disorder. The public page is the anxiety guide. Those names sit in the anxiety list. They are not the DC 9422 title.
The eating-disorder table caption is “Rating Formula for Eating Disorders.” Note 2 calls that formula the “General Rating Formula for Eating Disorders.” DC 9422 is not 9520 or 9521.
Source: 38 CFR § 4.130, Diagnostic Code 9422 and the General Rating Formula for Mental Disorders, eCFR full-text XML for 2026-10-01.
What the words mean in your records
No percentage on the name
The schedule lists “9422 Other specified somatic symptom and related disorder” and then the formula. The percentage lines belong to the formula, which Note 2 assigns to diagnostic codes 9201 to 9440.
Other specified is not unspecified
DC 9422 begins with “Other specified.” DC 9423 begins with “Unspecified” and does not say “Other specified.” DC 9421 is “Somatic symptom disorder,” without either of those phrases.
Such symptoms as
The 100, 70, 50, and 30 percent lines use “such symptoms as” or “such as.” The 10 percent line is mild or transient symptoms during periods of significant stress, or symptoms controlled by continuous medication. The 0 percent line is a formally diagnosed mental condition whose symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.
Evidence that speaks to each level
The formula level
What the rater needs to see. The occupational and social impairment the formula describes, including the symptoms the line lists after “such symptoms as” or “such as.”
Where that usually lives. The mental-health examination and the treatment records that describe work and social function.
The listed diagnosis
What the rater needs to see. A diagnosis the schedule lists as other specified somatic symptom and related disorder. Somatic symptom disorder, unspecified somatic symptom and related disorder, conversion disorder, and illness anxiety disorder are different listed names.
Where that usually lives. The diagnosis on the examination.
VA’s public DBQ list, checked October 5, 2026, names “Mental Disorders” under Psychological. It also names “PTSD Review” as a separate form. The mental-disorders file is Mental Disorders.
The exam form
DC 9422 uses the general formula. This page does not say the form replaces that formula. The PTSD form is the separate list entry.
Related codes and how they interact
Unspecified somatic symptom disorder is the next name.
DC 9423 is unspecified somatic symptom and related disorder. It uses the same formula. It is not the DC 9422 title.
Secondary conditions and presumptions
The 2026-10-01 text of 38 CFR § 3.309(a) lists “Psychoses.” It does not contain “somatic.” Section 3.309(c)(1) lists “Any of the anxiety states.” That row does not say “Other specified somatic symptom and related disorder,” and it has no diagnostic code. This page does not assign DC 9422 to either name.
A separate question, when a presumption does not decide it, is a medical question on the facts under 38 CFR § 3.310. Paragraph (a) covers disability proximately due to or the result of a service-connected disease or injury. Paragraph (b) covers increase in severity and requires a medical baseline.
Short answers
What is the VA rating for other specified somatic symptom and related disorder?
Under 38 CFR § 4.130, Diagnostic Code 9422 uses the General Rating Formula for Mental Disorders. The formula prints 100, 70, 50, 30, 10, and 0. Education only. VA decides on the evidence.
Which note assigns the formula?
Note 2 says ratings under diagnostic codes 9201 to 9440 will be evaluated using the General Rating Formula for Mental Disorders. DC 9422 is inside that span. The eating-disorder sentence in the same note is for DC 9520 and DC 9521.
FAQ
What percentages apply to DC 9422?
Note 2 says ratings under diagnostic codes 9201 to 9440 use the General Rating Formula for Mental Disorders. The formula lines are 100, 70, 50, 30, 10, and 0, based on occupational and social impairment. DC 9422 does not print a separate percentage. Education only.
Is other specified the same code as unspecified somatic symptom disorder?
No. DC 9422 is other specified somatic symptom and related disorder. DC 9423 is unspecified somatic symptom and related disorder. DC 9421 is somatic symptom disorder. Note 2 puts them on the same formula.
Does the chronic-disease list name this code?
Section 3.309(a) says “Psychoses.” It does not say other specified somatic symptom and related disorder, and that row has no diagnostic code. The 2026-10-01 text does not contain “somatic.”
Next steps
- Read the decision for DC 9422 or another code in 9201 to 9440, and the formula level it names.
- The free worksheet is a place to write the code, the findings, and the records you already have. It does not file a claim or protect a filing date. An accredited representative is at find a VSO.
- Other mental-disorder codes are on the mental-health diagnostic-code index. The category page is mental health conditions.
Education only. Not legal or medical advice. My Claim Packet is not a VA-accredited representative and does not file claims. VA decides every claim on its own evidence.
Other codes in this body system
Nearby catalog entries in Mental health, ordered by diagnostic code number. All Mental health codes
- DC 9404Obsessive compulsive disorder
- DC 9410Other specified anxiety disorder
- DC 9411Posttraumatic stress disorder
- DC 9412Panic disorder and/or agoraphobia
- DC 9413Unspecified anxiety disorder
- DC 9416Dissociative amnesia; dissociative identity disorder
- DC 9417Depersonalization/derealization disorder
- DC 9421Somatic symptom disorder
- DC 9423Unspecified somatic symptom and related disorder
- DC 9424Conversion disorder (functional neurological symptom disorder)
- DC 9425Illness anxiety disorder
- DC 9431Cyclothymic disorder
- DC 9432Bipolar disorder
- DC 9433Persistent depressive disorder (dysthymia)
- DC 9434Major depressive disorder
- DC 9435Unspecified depressive disorder
Also: DC code lookup (tools) lists the same index in a compact layout.
Source: 38 CFR Part 4, Diagnostic Code 9422 • va.gov
⚠️ Important Disclaimer
This page provides general educational information based on public VA regulations and VA.gov resources. It is not legal or medical advice, and My Claim Packet is not a VA-accredited representative. Any worksheets or draft documents produced by the tools must be reviewed for accuracy and are not filed with VA for you. Ratings and service connection are decided case-by-case from the individual record. Consult a VA-accredited VSO, claims agent, attorney, or qualified clinician for help with your situation, and verify current rules using the linked official source.