38 CFR § 3.307 and § 3.309
VA Presumptive Conditions by Exposure
VeteranHQ publishes 50 presumptive conditions across 5 exposure categories. Each one lists the service era, the service location, the effective date VA applies, and the controlling 38 CFR section or statute, quoted as written.
A presumption removes one requirement and one only: the veteran does not have to prove a medical link between the condition and service. Everything else still applies. There must be a current diagnosis, the service has to meet the requirements below, and VA decides the claim on the evidence in the record.
The newest effective date in this list is September 13, 2023. VA adds presumptions by statute and by final rule, so a condition established after that date will not appear here yet. Check VA.gov for anything more recent.
Presumptive conditions by exposure category
- PACT Act
- 15
- Agent Orange
- 19
- Gulf War
- 4
- Camp Lejeune
- 8
- Ionizing Radiation
- 4
PACT Act (Burn Pits and Airborne Hazards)
Agent Orange and Other Herbicides
Gulf War Service
Camp Lejeune Contaminated Water
Ionizing Radiation
Presumptive conditions grouped by exposure
PACT Act (Burn Pits and Airborne Hazards)
15 conditions
Asthma (Post-Deployment, Burn Pit — PACT Act)
DC 6602Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Bladder Cancer
DC 7528Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Brain Cancer
DC 8000Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Chronic Bronchitis (Burn Pit — PACT Act)
DC 6600Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Constrictive Bronchiolitis
DC 6600Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Gastrointestinal Cancer (Esophagus, Stomach, Pancreas, Liver, Colon)
Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Head Cancer (Head and Neck Cancers)
Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Kidney Cancer (PACT Act)
DC 7528Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Lymphoma of Any Type (PACT Act)
DC 7715Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Melanoma (Malignant)
DC 7833Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Pancreatic Cancer
DC 7399Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Pulmonary Fibrosis (PACT Act)
DC 6825Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Reproductive Cancer (Ovarian, Testicular, Uterine, Cervical)
Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Respiratory Cancer (Lung, Bronchus, Trachea)
DC 6819Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Sarcoidosis (PACT Act)
DC 6846Post-9/11 (2001–present) or Post-Gulf War (1990–present)
Agent Orange and Other Herbicides
19 conditions
AL Amyloidosis
Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Bladder Cancer (Agent Orange)
DC 7528Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Chloracne (Acneiform Eruption)
DC 7825Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Chronic B-Cell Leukemia (CLL)
DC 7714Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Hodgkin's Disease (Hodgkin's Lymphoma)
DC 7703Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Hypertension (Agent Orange — Blue Water/Brown Water Navy)
DC 7101Vietnam Era (August 5, 1964 – May 7, 1975)
Hypothyroidism
DC 7900Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Ischemic Heart Disease
DC 7005Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Lung Cancer (Bronchogenic Carcinoma)
DC 6819Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Monoclonal Gammopathy of Undetermined Significance (MGUS)
DC 7709Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Multiple Myeloma
DC 7709Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Non-Hodgkin's Lymphoma
DC 7715Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Parkinson's Disease
DC 8004Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Parkinsonism (Parkinson-Like Syndromes)
DC 8004Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Peripheral Neuropathy (Early-Onset)
DC 8520Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Porphyria Cutanea Tarda
DC 7820Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Prostate Cancer
DC 7528Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Soft Tissue Sarcoma
Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ; Thailand
Type 2 Diabetes Mellitus
DC 7913Vietnam Era (August 5, 1964 – May 7, 1975); Korean DMZ (April 1, 1968 – August 31, 1971); Thailand (1961–1975)
Gulf War Service
4 conditions
Chronic Fatigue Syndrome (CFS / ME-CFS)
Gulf War Era (August 2, 1990 – present)
Fibromyalgia
DC 5025Gulf War Era (August 2, 1990 – present)
Functional Gastrointestinal Disorders (IBS, Functional Dyspepsia)
DC 7319Gulf War Era (August 2, 1990 – present)
Undiagnosed Illness (Gulf War Syndrome)
Gulf War Era (August 2, 1990 – present)
Camp Lejeune Contaminated Water
8 conditions
Aplastic Anemia and Myelodysplastic Syndrome (Camp Lejeune)
August 1, 1953 – December 31, 1987
Bladder Cancer (Camp Lejeune)
DC 7528August 1, 1953 – December 31, 1987
Kidney Cancer (Camp Lejeune)
DC 7529August 1, 1953 – December 31, 1987
Liver Cancer (Hepatocellular Carcinoma — Camp Lejeune)
DC 7314August 1, 1953 – December 31, 1987
Multiple Myeloma (Camp Lejeune)
DC 7709August 1, 1953 – December 31, 1987
Neurobehavioral Effects (Camp Lejeune)
August 1, 1953 – December 31, 1987
Non-Hodgkin's Lymphoma (Camp Lejeune)
DC 7715August 1, 1953 – December 31, 1987
Parkinson's Disease (Camp Lejeune)
DC 8004August 1, 1953 – December 31, 1987
Ionizing Radiation
4 conditions
Frequently Asked Questions About VA Presumptive Conditions
What is a VA presumptive condition?
A presumptive condition is a disease VA accepts as connected to service when a veteran's service meets defined requirements, without the veteran producing a medical opinion linking the two. The framework is 38 CFR § 3.307 (the service requirements) and 38 CFR § 3.309 (the listed diseases). A presumption removes the requirement to prove a medical link to service. A current diagnosis and qualifying service are still required, and VA decides the claim.
Does a presumptive condition mean the claim is approved?
A presumption removes one requirement and one only: the veteran does not have to prove a medical link between the condition and service. Everything else still applies. There must be a current diagnosis, the service has to meet the requirements below, and VA decides the claim on the evidence in the record.
How many VA presumptive conditions are there?
The number changes. Congress adds presumptions by statute and VA adds them by final rule, which is why lists that print a fixed number go stale. Each condition on this page carries the citation and the effective date VA applies to it, so the authority behind the entry is checkable rather than counted.
What evidence does a presumptive claim still need?
A current diagnosis of the condition from a medical provider, and service records showing the service the presumption requires. Each condition page lists the evidence its own corpus entry names. What the presumption removes is the medical opinion connecting the condition to service.
VeteranHQ publishes VA rules and the citations behind them. It does not prepare, file, or represent claims, and nothing here is legal advice or a prediction of what VA will decide.
Understand the whole picture
A presumption settles how a condition connects to service. The rating percentage comes from the 38 CFR Part 4 criteria for its diagnostic code.
Browse rating criteria