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DC 7346Digestive System38 CFR § 4.114, DC 7346

Hiatal Hernia

VA disability rating criteria for Hiatal Hernia under Diagnostic Code 7346. The VA assigns ratings of 10%, 30%, 60% based on the severity and functional impact of your condition.

Rating Criteria

10%Disability Rating

Symptoms of epigastric distress after eating, nausea, vomiting, regurgitation with occasional episodes of heartburn or pyrosis; or; ratable condition that is controlled by diet or antacid drugs.

Note: DC 7346 covers hiatal hernia. As of May 2024, GERD is rated separately under DC 7206. The rating is based on symptom frequency, severity, and required treatment. Many veterans develop hiatal hernia secondary to NSAID use for service-connected musculoskeletal conditions.

30%Disability Rating

Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health.

60%Disability Rating

Symptoms of epigastric distress, pyrosis, regurgitation, dysphagia, vomiting, with marked impairment of health as evidenced by weight loss, hematemesis (vomiting blood), or melena (blood in stool); or; with severe impairment of health necessitating surgery.

Note: The 60% rating for hiatal hernia requires severe systemic manifestations such as bleeding, significant weight loss, or surgical necessity. Documentation of objective findings (EGD, barium swallow, weight records) is essential for this rating tier.

Secondary Conditions

4 known secondary conditions linked to Hiatal Hernia

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AIDEN can analyze your specific symptoms, identify secondary connections, and help you understand what rating you may qualify for based on your medical evidence.

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