Peripheral arterial disease
The VA rates Peripheral arterial disease under Diagnostic Code 7114 across 4 severity levels, from 20% 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 7114 at a glance
- Minimum rating
- 20%
- Maximum rating
- 100%
- Rating tiers
- 4
- CFR section
- § 4.104
- Body system
- Cardiovascular System
- Secondary conditions
- 0
Lowest schedular rating available
Full schedular disability
20%, 40%, 60%, 100%
Where this code is published
None mapped
What are the VA rating criteria for Peripheral arterial disease?
| Rating | Criteria |
|---|---|
| 20% | At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg Note: The ankle/brachial index (ABI) is the ratio of systolic blood pressure at the ankle to systolic blood pressure in the arm. An ABI of 0.9 or less supports a diagnosis of PAD. Each extremity affected is rated separately. |
| 40% | At least one of the following: Ankle/brachial index of 0.54-0.66; ankle pressure of 66-83 mm Hg; toe pressure of 40-49 mm Hg; or transcutaneous oxygen tension of 40-49 mm Hg |
| 60% | At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg |
| 100% | At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg Note: Note: These ratings are for each affected extremity. If a lower extremity is amputated, rate by analogy to the appropriate amputation code. |
“At least one of the following: Ankle/brachial index of 0.40-0.53; ankle pressure of 50-65 mm Hg; toe pressure of 30-39 mm Hg; or transcutaneous oxygen tension of 30-39 mm Hg”
What other cardiovascular conditions does the VA rate?
These diagnostic codes sit next to Peripheral arterial disease 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.
- 7101Hypertensive vascular disease (hypertension and isolated systolic hypertension)Rated up to 60%
- 7110Aortic aneurysm: Ascending, thoracic, or abdominalRated up to 100%
- 7111Aneurysm, any large arteryRated up to 100%
- 7112Aneurysm, any small arteryRated up to 0%
- 7113Arteriovenous fistula, traumaticRated up to 100%
- 7115Thrombo-angiitis obliterans (Buerger's Disease)Rated up to 100%
- 7117Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's)Rated up to 100%
- 7118Angioneurotic edemaRated up to 40%
- 7119ErythromelalgiaRated up to 100%
- 7121Post-phlebitic syndrome of any etiologyRated up to 100%
What to do with a Peripheral arterial disease rating
The tools, regulations and guides that pick up where the criteria above leave off.
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- VA Service Connection Evidence 101: The Three-Legged StoolFor an original claim tied to active-duty service, VA needs a current disability, an in-service event, and a link between them. Here is what each part takes.
- VA Math Explained: How Combined Disability Ratings Really WorkVA ratings do not add. Learn how 38 CFR 4.25 combines disabilities using whole-person efficiency, why 50 and 30 round to 70, and how the bilateral factor works.
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Common Questions About Peripheral arterial disease VA Ratings
What is the VA rating range for Peripheral arterial disease?
The VA rates Peripheral arterial disease under Diagnostic Code 7114 at 20%, 40%, 60%, 100%. The minimum 20% rating requires: At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg. The maximum 100% rating requires: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg.
Which 38 CFR diagnostic code does the VA use for Peripheral arterial disease?
The VA rates Peripheral arterial disease under Diagnostic Code (DC) 7114, published in 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 20% and a 100% rating for Peripheral arterial disease?
A 20% rating requires: At least one of the following: Ankle/brachial index of 0.67-0.79; ankle pressure of 84-99 mm Hg; toe pressure of 50-59 mm Hg; or transcutaneous oxygen tension of 50-59 mm Hg. A 100% rating requires: At least one of the following: Ankle/brachial index less than or equal to 0.39; ankle pressure less than 50 mm Hg; toe pressure less than 30 mm Hg; or transcutaneous oxygen tension less than 30 mm Hg. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Peripheral arterial disease qualify for TDIU?
Yes, a 100% rating for Peripheral arterial disease 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 Peripheral arterial disease?
The key evidence for Peripheral arterial disease 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 Peripheral arterial disease?
The C&P examiner uses a Cardiovascular System DBQ and evaluates your condition against the DC 7114 rating criteria. Cardiac stress testing or METs estimation drives the rating. If you cannot exercise, the examiner estimates METs from interview. Be specific about what activities cause symptoms: stairs, walking distances, lifting limits.
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