Chronic liver disease without cirrhosis
Chronic liver disease without cirrhosis is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7345, from 0% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment. Most claims establish the 0% or 20% rating before reaching the top tier.
Rating schedule — DC 7345 at a glance
- Minimum rating
- 0%
- Maximum rating
- 100%
- Rating tiers
- 5
- CFR section
- 38 CFR § 4.114
- Body system
- Digestive System
- Secondary conditions
- 0
Lowest schedular rating available
Full schedular disability
0%, 20%, 40%, 60%, 100%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Chronic liver disease without cirrhosis?
Previous history of liver disease, currently asymptomatic
Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus
Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia
Progressive chronic liver disease requiring continuous medication and causing substantial weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia
Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment
“Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia”
Common Questions About Chronic liver disease without cirrhosis VA Ratings
What is the VA rating range for Chronic liver disease without cirrhosis?
The VA rates Chronic liver disease without cirrhosis under Diagnostic Code 7345 at 0%, 20%, 40%, 60%, 100%. The minimum 0% rating requires: Previous history of liver disease, currently asymptomatic. The maximum 100% rating requires: Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment.
Which 38 CFR diagnostic code does the VA use for Chronic liver disease without cirrhosis?
The VA rates Chronic liver disease without cirrhosis under Diagnostic Code (DC) 7345, governed by 38 CFR 38 CFR § 4.114. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 0% and a 100% rating for Chronic liver disease without cirrhosis?
A 0% rating requires: Previous history of liver disease, currently asymptomatic. A 100% rating requires: Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Chronic liver disease without cirrhosis qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Chronic liver disease without cirrhosis may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Chronic liver disease without cirrhosis?
Service connection for Chronic liver disease without cirrhosis requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Chronic liver disease without cirrhosis?
A Compensation & Pension (C&P) exam for Chronic liver disease without cirrhosis uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
Get a Personalized Rating Analysis
VeteranHQ evaluates your symptoms against the exact 38 CFR criteria, identifies secondary conditions, and shows what evidence you need to support a higher rating.
Discover Your Benefits