Thrombo-angiitis obliterans (Buerger's Disease)
Thrombo-angiitis obliterans (Buerger's Disease) is rated under 38 CFR 38 CFR § 4.104, Diagnostic Code 7115, from 20% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses. Most claims establish the 20% or 40% rating before reaching the top tier.
Rating schedule — DC 7115 at a glance
- Minimum rating
- 20%
- 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
20%, 40%, 60%, 100%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Thrombo-angiitis obliterans (Buerger's Disease)?
Diminished upper extremity pulses
Trophic changes with numbness and paresthesia at the tips of the fingers, and diminished upper extremity pulses
Persistent coldness of the extremity, trophic changes with pains in the hands during physical activity, and diminished upper extremity pulses
Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses
“Persistent coldness of the extremity, trophic changes with pains in the hands during physical activity, and diminished upper extremity pulses”
Common Questions About Thrombo-angiitis obliterans (Buerger's Disease) VA Ratings
What is the VA rating range for Thrombo-angiitis obliterans (Buerger's Disease)?
The VA rates Thrombo-angiitis obliterans (Buerger's Disease) under Diagnostic Code 7115 at 20%, 40%, 60%, 100%. The minimum 20% rating requires: Diminished upper extremity pulses. The maximum 100% rating requires: Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses.
Which 38 CFR diagnostic code does the VA use for Thrombo-angiitis obliterans (Buerger's Disease)?
The VA rates Thrombo-angiitis obliterans (Buerger's Disease) under Diagnostic Code (DC) 7115, 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 20% and a 100% rating for Thrombo-angiitis obliterans (Buerger's Disease)?
A 20% rating requires: Diminished upper extremity pulses. A 100% rating requires: Deep ischemic ulcers and necrosis of the fingers with persistent coldness of the extremity, trophic changes with pains in the hand during physical activity, and diminished upper extremity pulses. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Thrombo-angiitis obliterans (Buerger's Disease) qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Thrombo-angiitis obliterans (Buerger's 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 Thrombo-angiitis obliterans (Buerger's Disease)?
Service connection for Thrombo-angiitis obliterans (Buerger's 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 Thrombo-angiitis obliterans (Buerger's Disease)?
A Compensation & Pension (C&P) exam for Thrombo-angiitis obliterans (Buerger's 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.
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