Barrett's esophagus — VA Rating Criteria (38 CFR DC 7207)

The VA rates Barrett's esophagus under Diagnostic Code 7207 at the following tiers: 10%, 30%. The minimum 10% rating requires: Documented by pathologic diagnosis with low-grade dysplasia. The maximum 30% rating requires: Documented by pathologic diagnosis with high-grade dysplasia.

Diagnostic Code 7207 is the VA rating identifier for Barrett's esophagus within 38 CFR 38 CFR § 4.114. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Barrett's esophagus under DC 7207 is 30%. This tier requires: Documented by pathologic diagnosis with high-grade dysplasia. Veterans who cannot secure substantially gainful employment due to Barrett's esophagus alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Barrett's esophagus is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7207. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Barrett's esophagus may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Barrett's esophagus requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.