Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation — VA Rating Criteria (38 CFR DC 7009)

The VA rates Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation under Diagnostic Code 7009 at the following tiers: 100%. The minimum 100% rating requires: For one month following hospital discharge for implantation or re-implantation. The maximum 100% rating requires: For one month following hospital discharge for implantation or re-implantation.

Diagnostic Code 7009 is the VA rating identifier for Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation within 38 CFR 38 CFR § 4.104. 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 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation under DC 7009 is 100%. This tier requires: For one month following hospital discharge for implantation or re-implantation. Veterans who cannot secure substantially gainful employment due to Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation is rated under 38 CFR 38 CFR § 4.104, Diagnostic Code 7009. 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 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation 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 Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation 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.