Erythromelalgia
Erythromelalgia is rated under 38 CFR 38 CFR § 4.104, Diagnostic Code 7119, from 10% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities. Most claims establish the 10% or 30% rating before reaching the top tier.
Rating schedule — DC 7119 at a glance
- Minimum rating
- 10%
- Maximum rating
- 100%
- Rating tiers
- 4
- CFR section
- 38 CFR § 4.104
- Body system
- Cardiovascular System
- Secondary conditions
- 0
Lowest schedular rating available
Full schedular disability
10%, 30%, 60%, 100%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Erythromelalgia?
Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment
Characteristic attacks that occur daily or more often but that respond to treatment
Characteristic attacks that occur more than once a day, last 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 more than once a day, last 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 an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities”
Common Questions About Erythromelalgia VA Ratings
What is the VA rating range for Erythromelalgia?
The VA rates Erythromelalgia under Diagnostic Code 7119 at 10%, 30%, 60%, 100%. The minimum 10% rating requires: Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment. The maximum 100% rating requires: Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities.
Which 38 CFR diagnostic code does the VA use for Erythromelalgia?
The VA rates Erythromelalgia under Diagnostic Code (DC) 7119, governed by 38 CFR 38 CFR § 4.104. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 10% and a 100% rating for Erythromelalgia?
A 10% rating requires: Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment. A 100% rating requires: Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Erythromelalgia qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Erythromelalgia 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 Erythromelalgia?
Service connection for Erythromelalgia 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 Erythromelalgia?
A Compensation & Pension (C&P) exam for Erythromelalgia 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.
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