Gastroesophageal reflux disease
Gastroesophageal reflux disease is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7206, from 0% to 80% based on the frequency and functional severity of symptoms. The maximum 80% rating requires: Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube). Most claims establish the 0% or 10% rating before reaching the top tier.
What are the VA rating criteria for Gastroesophageal reflux disease?
Documented history without daily symptoms or requirement for daily medications
Note: DC 7206 was established as a distinct diagnostic code effective May 2024, separating GERD from DC 7346 (Hiatal Hernia). A 0% rating establishes service connection when symptoms are fully controlled.
Documented history of esophageal stricture(s) that requires daily medications to control dysphagia otherwise asymptomatic
Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year
Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia which requires at least one of the following (1) dilatation 3 or more times per year, (2) dilatation using steroids at least one time per year, or (3) esophageal stent placement
Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube)
Note: The 80% tier reflects severe post-surgical complications. Barrett esophagus is a pre-malignant condition requiring ongoing surveillance. Chronic aspiration may result in secondary pulmonary conditions.
“Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year”
Common Questions About Gastroesophageal reflux disease VA Ratings
What is the VA rating range for Gastroesophageal reflux disease?
The VA rates Gastroesophageal reflux disease under Diagnostic Code 7206 at 0%, 10%, 30%, 50%, 80%. The minimum 0% rating requires: Documented history without daily symptoms or requirement for daily medications. The maximum 80% rating requires: Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube).
Which 38 CFR diagnostic code does the VA use for Gastroesophageal reflux disease?
The VA rates Gastroesophageal reflux disease under Diagnostic Code (DC) 7206, 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 80% rating for Gastroesophageal reflux disease?
A 0% rating requires: Documented history without daily symptoms or requirement for daily medications. A 80% rating requires: Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube). The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Gastroesophageal reflux disease qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Gastroesophageal reflux disease 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 Gastroesophageal reflux disease?
Service connection for Gastroesophageal reflux disease 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 Gastroesophageal reflux disease?
A Compensation & Pension (C&P) exam for Gastroesophageal reflux disease 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