Diseases of the Heart------------------------------------------------------------------------
Rating------------------------------------------------------------------------Note (1): Evaluate cor pulmonale, which is a form of secondary
heart disease, as part of the pulmonary condition that causes
it.Note (2): One MET (metabolic equivalent) is the energy cost of
standing quietly at rest and represents an oxygen uptake of 3.5
milliliters per kilogram of body weight per minute. When the
level of METs at which dyspnea, fatigue, angina, dizziness, or
syncope develops is required for evaluation, and a laboratory
determination of METs by exercise testing cannot be done for
medical reasons, an estimation by a medical examiner of the
level of activity (expressed in METs and supported by specific
examples, such as slow stair climbing or shoveling snow) that
results in dyspnea, fatigue, angina, dizziness, or syncope may
be used.7000 Valvular heart disease (including rheumatic heart disease):
During active infection with valvular heart damage and for 100
three months following cessation of therapy for the active
infection..................................................
Thereafter, with valvular heart disease (documented by
findings on physical examination and either echocardiogram,
Doppler echocardiogram, or cardiac catheterization)
resulting in:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electro-cardiogram, echocardiogram, or X-ray...............
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7001 Endocarditis:
For three months following cessation of therapy for active 100
infection with cardiac involvement.........................
Thereafter, with endocarditis (documented by findings on
physical examination and either echocardiogram, Doppler
echocardiogram, or cardiac catheterization) resulting in:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7002 Pericarditis:
For three months following cessation of therapy for active 100
infection with cardiac involvement.........................
Thereafter, with documented pericarditis resulting in:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electro-cardiogram, echocardiogram, or X-ray...............
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7003 Pericardial adhesions:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electro-cardiogram, echocardiogram, or X-ray...............
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7004 Syphilitic heart disease:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................
Note: Evaluate syphilitic aortic aneurysms under DC 7110 (aortic
aneurysm).
7005 Arteriosclerotic heart disease (Coronary artery disease):
With documented coronary artery disease resulting in:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................
Note: If nonservice-connected arteriosclerotic heart disease is
superimposed on service-connected valvular or other non-
arteriosclerotic heart disease, request a medical opinion as to
which condition is causing the current signs and symptoms.
7006 Myocardial infarction:
During and for three months following myocardial infarction, 100
documented by laboratory tests.............................
Thereafter:
With history of documented myocardial infarction, resulting
in:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7007 Hypertensive heart disease:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7008 Hyperthyroid heart disease:
Include as part of the overall evaluation for
hyperthyroidism under DC 7900. However, when atrial
fibrillation is present, hyperthyroidism may be evaluated
either under DC 7900 or under DC 7010 (supraventricular
arrhythmia), whichever results in a higher evaluation.7010 Supraventricular arrhythmias:
Paroxysmal atrial fibrillation or other supraventricular 30
tachycardia, with more than four episodes per year
documented by ECG or Holter monitor........................
Permanent atrial fibrillation (lone atrial fibrillation), 10
or; one to four episodes per year of paroxysmal atrial
fibrillation or other supraventricular tachycardia
documented by ECG or Holter monitor........................7011 Ventricular arrhythmias (sustained):
For indefinite period from date of hospital admission for 100
initial evaluation and medical therapy for a sustained
ventricular arrhythmia, or; for indefinite period from date
of hospital admission for ventricular aneurysmectomy, or;
with an automatic implantable Cardioverter-Defibrillator
(AICD) in place............................................
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................
Note: A rating of 100 percent shall be assigned from the date of
hospital admission for initial evaluation and medical therapy
for a sustained ventricular arrhythmia or for ventricular
aneurysmectomy. Six months following discharge, the appropriate
disability rating shall be determined by mandatory VA
examination. Any change in evaluation based upon that or any
subsequent examination shall be subject to the provisions of
Sec. 3.105(e) of this chapter.
7015 Atrioventricular block:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication or a pacemaker required..........
Note: Unusual cases of arrhythmia such as atrioventricular block
associated with a supraventricular arrhythmia or pathological
bradycardia should be submitted to the Director, Compensation
Service. Simple delayed P-R conduction time, in the absence of
other evidence of cardiac disease, is not a disability.
7016 Heart valve replacement (prosthesis):
For indefinite period following date of hospital admission 100
for valve replacement......................................
Thereafter:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................
Note: A rating of 100 percent shall be assigned as of the date
of hospital admission for valve replacement. Six months
following discharge, the appropriate disability rating shall be
determined by mandatory VA examination. Any change in
evaluation based upon that or any subsequent examination shall
be subject to the provisions of Sec. 3.105(e) of this
chapter.
7017 Coronary bypass surgery:
For three months following hospital admission for surgery... 100
Thereafter:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................7018 Implantable cardiac pacemakers:
For two months following hospital admission for implantation 100
or reimplantation..........................................
Thereafter:
Evaluate as supraventricular arrhythmias (DC 7010), 10
ventricular arrhythmias (DC 7011), or atrioventricular
block (DC 7015). Minimum...................................
Note: Evaluate implantable Cardioverter-Defibrillators (AICD's)
under DC 7011.
7019 Cardiac transplantation:
For an indefinite period from date of hospital admission for 100
cardiac transplantation....................................
Thereafter:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Minimum................................................. 30
Note: A rating of 100 percent shall be assigned as of the date
of hospital admission for cardiac transplantation. One year
following discharge, the appropriate disability rating shall be
determined by mandatory VA examination. Any change in
evaluation based upon that or any subsequent examination shall
be subject to the provisions of Sec. 3.105(e) of this
chapter.
7020 Cardiomyopathy:
Chronic congestive heart failure, or; workload of 3 METs or 100
less results in dyspnea, fatigue, angina, dizziness, or
syncope, or; left ventricular dysfunction with an ejection
fraction of less than 30 percent...........................
More than one episode of acute congestive heart failure in 60
the past year, or; workload of greater than 3 METs but not
greater than 5 METs results in dyspnea, fatigue, angina,
dizziness, or syncope, or; left ventricular dysfunction
with an ejection fraction of 30 to 50 percent..............
Workload of greater than 5 METs but not greater than 7 METs 30
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; evidence of cardiac hypertrophy or dilatation on
electrocardiogram, echocardiogram, or X-ray................
Workload of greater than 7 METs but not greater than 10 METs 10
results in dyspnea, fatigue, angina, dizziness, or syncope,
or; continuous medication required.........................Diseases of the Arteries and Veins7101 Hypertensive vascular disease (hypertension and isolated
systolic hypertension):
Diastolic pressure predominantly 130 or more................ 60
Diastolic pressure predominantly 120 or more................ 40
Diastolic pressure predominantly 110 or more, or; systolic 20
pressure predominantly 200 or more.........................
Diastolic pressure predominantly 100 or more, or; systolic 10
pressure predominantly 160 or more, or; minimum evaluation
for an individual with a history of diastolic pressure
predominantly 100 or more who requires continuous
medication for control.....................................
Note (1): Hypertension or isolated systolic hypertension must be
confirmed by readings taken two or more times on at least three
different days. For purposes of this section, the term
hypertension means that the diastolic blood pressure is
predominantly 90mm. or greater, and isolated systolic
hypertension means that the systolic blood pressure is
predominantly 160mm. or greater with a diastolic blood pressure
of less than 90mm.Note (2): Evaluate hypertension due to aortic insufficiency or
hyperthyroidism, which is usually the isolated systolic type,
as part of the condition causing it rather than by a separate
evaluation.Note (3): Evaluate hypertension separately from hypertensive
heart disease and other types of heart disease.
7110 Aortic aneurysm:
If five centimeters or larger in diameter, or; if 100
symptomatic, or; for indefinite period from date of
hospital admission for surgical correction (including any
type of graft insertion)...................................
Precluding exertion......................................... 60
Evaluate residuals of surgical correction according to organ
systems affected.
Note: A rating of 100 percent shall be assigned as of the date
of admission for surgical correction. Six months following
discharge, the appropriate disability rating shall be
determined by mandatory VA examination. Any change in
evaluation based upon that or any subsequent examination shall
be subject to the provisions of Sec. 3.105(e) of this
chapter.
7111 Aneurysm, any large artery:
If symptomatic, or; for indefinite period from date of 100
hospital admission for surgical correction.................
Following surgery:
Ischemic limb pain at rest, and; either deep ischemic ulcers 100
or ankle/brachial index of 0.4 or less.....................
Claudication on walking less than 25 yards on a level grade 60
at 2 miles per hour, and; persistent coldness of the
extremity, one or more deep ischemic ulcers, or ankle/
brachial index of 0.5 or less..............................
Claudication on walking between 25 and 100 yards on a level 40
grade at 2 miles per hour, and; trophic changes (thin skin,
absence of hair, dystrophic nails) or ankle/brachial index
of 0.7 or less.............................................
Claudication on walking more than 100 yards, and; diminished 20
peripheral pulses or ankle/brachial index of 0.9 or less...Note (1): The ankle/brachial index is the ratio of the systolic
blood pressure at the ankle (determined by Doppler study)
divided by the simultaneous brachial artery systolic blood
pressure. The normal index is 1.0 or greater.Note (2): These evaluations are for involvement of a single
extremity. If more than one extremity is affected, evaluate
each extremity separately and combine (under Sec. 4.25),
using the bilateral factor, if applicable.Note (3): A rating of 100 percent shall be assigned as of the
date of hospital admission for surgical correction. Six months
following discharge, the appropriate disability rating shall be
determined by mandatory VA examination. Any change in
evaluation based upon that or any subsequent examination shall
be subject to the provisions of Sec. 3.105(e) of this
chapter.
7112 Aneurysm, any small artery:
Asymptomatic................................................ 0
Note: If symptomatic, evaluate according to body system
affected. Following surgery, evaluate residuals under the body
system affected.
7113 Arteriovenous fistula, traumatic:
With high output heart failure.............................. 100
Without heart failure but with enlarged heart, wide pulse 60
pressure, and tachycardia..................................
Without cardiac involvement but with edema, stasis
dermatitis, and either ulceration or cellulitis:
Lower extremity......................................... 50
Upper extremity......................................... 40
With edema or stasis dermatitis:
Lower extremity......................................... 30
Upper extremity......................................... 207114 Arteriosclerosis obliterans:
Ischemic limb pain at rest, and; either deep ischemic ulcers 100
or ankle/brachial index of 0.4 or less.....................
Claudication on walking less than 25 yards on a level grade 60
at 2 miles per hour, and; either persistent coldness of the
extremity or ankle/brachial index of 0.5 or less...........
Claudication on walking between 25 and 100 yards on a level 40
grade at 2 miles per hour, and; trophic changes (thin skin,
absence of hair, dystrophic nails) or ankle/brachial index
of 0.7 or less.............................................
Claudication on walking more than 100 yards, and; diminished 20
peripheral pulses or ankle/brachial index of 0.9 or less...
Note (1): The ankle/brachial index is the ratio of the systolic
blood pressure at the ankle (determined by Doppler study)
divided by the simultaneous brachial artery systolic blood
pressure. The normal index is 1.0 or greater.Note (2): Evaluate residuals of aortic and large arterial bypass
surgery or arterial graft as arteriosclerosis obliterans.Note (3): These evaluations are for involvement of a single
extremity. If more than one extremity is affected, evaluate
each extremity separately and combine (under Sec. 4.25),
using the bilateral factor (Sec. 4.26), if applicable.
7115 Thrombo-angiitis obliterans (Buerger's Disease):
Ischemic limb pain at rest, and; either deep ischemic ulcers 100
or ankle/brachial index of 0.4 or less.....................
Claudication on walking less than 25 yards on a level grade 60
at 2 miles per hour, and; either persistent coldness of the
extremity or ankle/brachial index of 0.5 or less...........
Claudication on walking between 25 and 100 yards on a level 40
grade at 2 miles per hour, and; trophic changes (thin skin,
absence of hair, dystrophic nails) or ankle/brachial index
of 0.7 or less.............................................
Claudication on walking more than 100 yards, and; diminished 20
peripheral pulses or ankle/brachial index of 0.9 or less...
Note (1): The ankle/brachial index is the ratio of the systolic
blood pressure at the ankle (determined by Doppler study)
divided by the simultaneous brachial artery systolic blood
pressure. The normal index is 1.0 or greater.Note (2): These evaluations are for involvement of a single
extremity. If more than one extremity is affected, evaluate
each extremity separately and combine (under Sec. 4.25),
using the bilateral factor (Sec. 4.26), if applicable.
7117 Raynaud's syndrome:
With two or more digital ulcers plus autoamputation of one 100
or more digits and history of characteristic attacks.......
With two or more digital ulcers and history of 60
characteristic attacks.....................................
Characteristic attacks occurring at least daily............. 40
Characteristic attacks occurring four to six times a week... 20
Characteristic attacks occurring one to three times a week.. 10Note: For purposes of this section, characteristic attacks
consist of sequential color changes of the digits of one or
more extremities lasting minutes to hours, sometimes with pain
and paresthesias, and precipitated by exposure to cold or by
emotional upsets. These evaluations are for the disease as a
whole, regardless of the number of extremities involved or
whether the nose and ears are involved.
7118 Angioneurotic edema:
Attacks without laryngeal involvement lasting one to seven 40
days or longer and occurring more than eight times a year,
or; attacks with laryngeal involvement of any duration
occurring more than twice a year...........................
Attacks without laryngeal involvement lasting one to seven 20
days and occurring five to eight times a year, or; attacks
with laryngeal involvement of any duration occurring once
or twice a year............................................
Attacks without laryngeal involvement lasting one to seven 10
days and occurring two to four times a year................7119 Erythromelalgia:
Characteristic attacks that occur more than once a day, last 100
an average of more than two hours each, respond poorly to
treatment, and that restrict most routine daily activities.
Characteristic attacks that occur more than once a day, last 60
an average of more than two hours each, and respond poorly
to treatment, but that do not restrict most routine daily
activities.................................................
Characteristic attacks that occur daily or more often but 30
that respond to treatment..................................
Characteristic attacks that occur less than daily but at 10
least three times a week and that respond to treatment.....
Note: For purposes of this section, a characteristic attack of
erythromelalgia consists of burning pain in the hands, feet, or
both, usually bilateral and symmetrical, with increased skin
temperature and redness, occurring at warm ambient
temperatures. These evaluations are for the disease as a whole,
regardless of the number of extremities involved.
7120 Varicose veins:
With the following findings attributed to the effects of 100
varicose veins: Massive board-like edema with constant pain
at rest....................................................
Persistent edema or subcutaneous induration, stasis 60
pigmentation or eczema, and persistent ulceration..........
Persistent edema and stasis pigmentation or eczema, with or 40
without intermittent ulceration............................
Persistent edema, incompletely relieved by elevation of 20
extremity, with or without beginning stasis pigmentation or
eczema.....................................................
Intermittent edema of extremity or aching and fatigue in leg 10
after prolonged standing or walking, with symptoms relieved
by elevation of extremity or compression hosiery...........
Asymptomatic palpable or visible varicose veins............. 0
Note: These evaluations are for involvement of a single
extremity. If more than one extremity is involved, evaluate
each extremity separately and combine (under Sec. 4.25),
using the bilateral factor (Sec. 4.26), if applicable.
7121 Post-phlebitic syndrome of any etiology:
With the following findings attributed to venous disease:
Massive board-like edema with constant pain at rest..... 100
Persistent edema or subcutaneous induration, stasis 60
pigmentation or eczema, and persistent ulceration......
Persistent edema and stasis pigmentation or eczema, with 40
or without intermittent ulceration.....................
Persistent edema, incompletely relieved by elevation of 20
extremity, with or without beginning stasis
pigmentation or eczema.................................
Intermittent edema of extremity or aching and fatigue in 10
leg after prolonged standing or walking, with symptoms
relieved by elevation of extremity or compression
hosiery................................................
Asymptomatic palpable or visible varicose veins......... 0
Note: These evaluations are for involvement of a single
extremity. If more than one extremity is involved, evaluate
each extremity separately and combine (under Sec. 4.25),
using the bilateral factor (Sec. 4.26), if applicable.
7122 Cold injury residuals:
With the following in affected parts:
Arthralgia or other pain, numbness, or cold sensitivity 30
plus two or more of the following: tissue loss, nail
abnormalities, color changes, locally impaired
sensation, hyperhidrosis, X-ray abnormalities
(osteoporosis, subarticular punched out lesions, or
osteoarthritis)........................................
Arthralgia or other pain, numbness, or cold sensitivity 20
plus tissue loss, nail abnormalities, color changes,
locally impaired sensation, hyperhidrosis, or X-ray
abnormalities (osteoporosis, subarticular punched out
lesions, or osteoarthritis)............................
Arthralgia or other pain, numbness, or cold sensitivity. 10
Note (1): Separately evaluate amputations of fingers or toes,
and complications such as squamous cell carcinoma at the site
of a cold injury scar or peripheral neuropathy, under other
diagnostic codes. Separately evaluate other disabilities that
have been diagnosed as the residual effects of cold injury,
such as Raynaud's phenomenon, muscle atrophy, etc., unless they
are used to support an evaluation under diagnostic code 7122.Note (2): Evaluate each affected part (e.g., hand, foot, ear,
nose) separately and combine the ratings in accordance with
Sec. Sec. 4.25 and 4.26.
7123 Soft tissue sarcoma (of vascular origin)................... 100
Note: A rating of 100 percent shall continue beyond the
cessation of any surgical, X-ray, antineoplastic chemotherapy
or other therapeutic procedure. Six months after discontinuance
of such treatment, the appropriate disability rating shall be
determined by mandatory VA examination. Any change in
evaluation based upon that or any subsequent examination shall
be subject to the provisions of Sec. 3.105(e) of this
chapter. If there has been no local recurrence or metastasis,
rate on residuals.------------------------------------------------------------------------ (Authority: 38 U.S.C. 1155) [62 FR 65219, Dec. 11, 1997, as amended at 63 FR 37779, July 14, 1998; 71 FR52460, Sept. 6, 2006; 79 FR 2100, Jan. 13, 2014]
The Digestive System