Understanding the 50% Rating Criteria
Migraines are clinical conditions that may be rated at 30% or 50% depending on the frequency and severity of symptoms. Documenting the impact on your functional capacity is essential for an accurate medical evaluation.
The Criteria for 50%:
“With very frequent completely prostrating and prolonged attacks productive of severe economic inadaptability.”
What is “Prostrating”?
In a clinical context, this refers to the necessity of total rest, such as needing to lie down in a dark, quiet room during an attack. To establish a medical history, you must document how these symptoms prevent normal functioning.
The Importance of Clinical Documentation: A Migraine Log
The primary reason medical evaluations lack clarity is the absence of consistent symptom tracking.
- Don’t: Rely solely on memory during a medical evaluation.
- Do: Maintain a log showing dates, duration, severity, and functional limitations, such as periods where you are unable to work.
Documenting when you are unable to perform work duties is vital for establishing the clinical severity of the condition.
At Woobie, we provide independent medical evaluations and nexus letters based on clinical judgment. Our providers focus on documenting your symptoms and functional limitations through a thorough review of your medical records and history to ensure your clinical evidence is comprehensive.
*This article was reviewed and updated for compliance on February 17, 2026.