Chronic liver disease without cirrhosis
The VA rates Chronic liver disease without cirrhosis under Diagnostic Code 7345 across 5 severity levels, from 0% to 100%. The applicable level depends on the full criteria and the evidence for the condition. These percentages are alternatives, not amounts to add together.
Rating schedule — DC 7345 at a glance
- Minimum rating
- 0%
- Maximum rating
- 100%
- Rating tiers
- 5
- CFR section
- § 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?
| Rating | Criteria |
|---|---|
| 0% | Previous history of liver disease, currently asymptomatic |
| 20% | Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus |
| 40% | 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 |
| 60% | 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 |
| 100% | 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”
What other digestive conditions does the VA rate?
These diagnostic codes sit next to Chronic liver disease without cirrhosis in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.
- 7337Pruritus ani (anal itching)Rated up to 10%
- 7338Hernia, including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal).Rated up to 100%
- 7342Visceroptosis, symptomatic, markedRated up to 10%
- 7343Malignant neoplasms of the digestive system, exclusive of skin growthsRated up to 100%
- 7344Benign neoplasms, exclusive of skin growthsRated up to 0%
- 7346Hiatal hernia and paraesophageal herniaRated up to 80%
- 7347Pancreatitis, chronicRated up to 100%
- 7348Vagotomy with pyloroplasty or gastroenterostomyRated up to 40%
- 7351Liver transplantRated up to 100%
- 7352Pancreas transplantRated up to 100%
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?
Yes — a 100% rating for Chronic liver disease without cirrhosis alone meets the single-disability threshold for TDIU (38 CFR § 4.16). If the condition prevents substantially gainful employment, the veteran is compensated at the 100% rate without a schedular 100% rating.
What evidence supports a higher rating for Chronic liver disease without cirrhosis?
The key evidence for Chronic liver disease without cirrhosis is documentation of how the condition affects daily functioning. Treatment records showing worsening symptoms, functional limitations documented by your provider, and buddy statements describing observable impact on daily life all strengthen the claim. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.
What happens at the C&P exam for Chronic liver disease without cirrhosis?
The C&P examiner uses a Digestive System DBQ and evaluates your condition against the DC 7345 rating criteria. The examiner documents symptom frequency, severity, and functional impact. Bring all treatment records and describe your worst days, not your best — the VA rates on the full clinical picture across time, not a snapshot of one good day.
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