Kidney Cancer (PACT Act): VA Presumptive Condition (PACT Act)
VeteranHQ lists Kidney Cancer (PACT Act) as a presumptive condition in the PACT Act (Burn Pits and Airborne Hazards) group. The exposure it is tied to is: Airborne hazards, burn pit smoke, trichloroethylene exposure, heavy metal contamination. The presumption is effective August 10, 2022. It is governed by PACT Act of 2022, Public Law 117-168, § 406(b); 38 USC § 1120(b)(2)(G).
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.
What qualifies: Kidney Cancer (PACT Act)
- Service era
- Post-9/11 (2001–present) or Post-Gulf War (1990–present)
- Service location
- Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia or the United Arab Emirates (on or after August 2, 1990); Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen or Uzbekistan (on or after September 11, 2001); or another country the Secretary determines relevant
- Exposure
- Airborne hazards, burn pit smoke, trichloroethylene exposure, heavy metal contamination
- Effective date
- August 10, 2022
- Filing deadline
- No statutory deadline
- Diagnostic code
- 7528
Service required for this presumption
Qualifying service is defined by 38 USC § 1119(c)(1): active military, naval, air, or space service while assigned to a duty station in, or in the airspace above, Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia or the United Arab Emirates on or after August 2, 1990; or Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen, Uzbekistan or another country the Secretary determines relevant, on or after September 11, 2001. NO MINIMUM NUMBER OF DAYS IS REQUIRED: neither 38 USC § 1119 nor § 1120 sets one. Covers renal cell carcinoma (RCC) of all histological subtypes (clear cell, papillary, chromophobe, collecting duct), as well as transitional cell carcinoma of the renal pelvis. Applicability under Public Law 117-168 § 406(d): August 10, 2022 for claimants for dependency and indemnity compensation and for veterans VA determines are terminally ill, homeless, under extreme financial hardship, more than 85 years old, or capable of demonstrating other sufficient cause; October 1, 2025 for everyone else.
About this presumption
Kidney cancer (renal cell carcinoma) is presumptively service-connected under the PACT Act for veterans with qualifying airborne hazard exposure. Trichloroethylene (TCE), a solvent heavily used in military operations, is classified by IARC as a Group 1 human carcinogen with the strongest evidence for renal cell carcinoma. Veterans may also have had exposure to TCE through base camp water contamination in addition to burn pit smoke. Both localized and metastatic renal cell carcinoma are covered.
Evidence still needed
A presumption does not remove the evidence requirement. VA still needs a current diagnosis from a medical provider and service records that show the qualifying service above. What it removes is the medical opinion connecting the two.
Service records confirming qualifying duty location; CT urogram or MRI with contrast confirming renal mass characteristics; pathology from surgical resection (partial or radical nephrectomy) or percutaneous biopsy confirming renal cell carcinoma subtype; urology or oncology records.
Controlling legal authority
PACT Act of 2022, Public Law 117-168, § 406(b); 38 USC § 1120(b)(2)(G)
Related on VeteranHQ
- Malignant neoplasms of the genitourinary system: 38 CFR Part 4 rating criteriaThe percentage tiers VA applies once service connection is established, under DC 7528.
- VA presumptive conditions, explainedHow presumptive service connection works, and what it does not cover.
- All presumptive conditions by exposureAgent Orange, PACT Act, Camp Lejeune, Gulf War, and ionizing radiation.
Questions About Kidney Cancer (PACT Act) and Presumptive Service Connection
Is Kidney Cancer (PACT Act) a VA presumptive condition?
Yes. VeteranHQ lists Kidney Cancer (PACT Act) as presumptive in the PACT Act (Burn Pits and Airborne Hazards) group, effective August 10, 2022, under PACT Act of 2022, Public Law 117-168, § 406(b); 38 USC § 1120(b)(2)(G). 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.
What service qualifies for the Kidney Cancer (PACT Act) presumption?
Qualifying service is defined by 38 USC § 1119(c)(1): active military, naval, air, or space service while assigned to a duty station in, or in the airspace above, Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia or the United Arab Emirates on or after August 2, 1990; or Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen, Uzbekistan or another country the Secretary determines relevant, on or after September 11, 2001. NO MINIMUM NUMBER OF DAYS IS REQUIRED: neither 38 USC § 1119 nor § 1120 sets one. Covers renal cell carcinoma (RCC) of all histological subtypes (clear cell, papillary, chromophobe, collecting duct), as well as transitional cell carcinoma of the renal pelvis. Applicability under Public Law 117-168 § 406(d): August 10, 2022 for claimants for dependency and indemnity compensation and for veterans VA determines are terminally ill, homeless, under extreme financial hardship, more than 85 years old, or capable of demonstrating other sufficient cause; October 1, 2025 for everyone else. Service era: Post-9/11 (2001–present) or Post-Gulf War (1990–present). Service location: Bahrain, Iraq, Kuwait, Oman, Qatar, Saudi Arabia, Somalia or the United Arab Emirates (on or after August 2, 1990); Afghanistan, Djibouti, Egypt, Jordan, Lebanon, Syria, Yemen or Uzbekistan (on or after September 11, 2001); or another country the Secretary determines relevant.
What evidence is still needed for a Kidney Cancer (PACT Act) claim?
Service records confirming qualifying duty location; CT urogram or MRI with contrast confirming renal mass characteristics; pathology from surgical resection (partial or radical nephrectomy) or percutaneous biopsy confirming renal cell carcinoma subtype; urology or oncology records. 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.
Is there a filing deadline for Kidney Cancer (PACT Act)?
No statutory deadline
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.