Erythromelalgia — VA Rating Criteria (38 CFR DC 7119)
The VA rates Erythromelalgia under 38 CFR 38 CFR § 4.104, Diagnostic Code 7119, from 10% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities. Related conditions in the Cardiovascular body system share this rating framework.
What are the VA rating criteria for Erythromelalgia?
Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment
Characteristic attacks that occur daily or more often but that respond to treatment
Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities
Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities
“Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities”
How does the VA rate Cardiovascular conditions?
Common Questions About Erythromelalgia VA Ratings
What is the VA disability rating for Erythromelalgia?
The VA rates Erythromelalgia under Diagnostic Code 7119 at the following tiers: 10%, 30%, 60%, 100%. The minimum 10% rating requires: Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment. The maximum 100% rating requires: Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities.
What is Diagnostic Code 7119?
Diagnostic Code 7119 is the VA rating identifier for Erythromelalgia 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.
What is the highest rating for Erythromelalgia?
The highest schedular rating for Erythromelalgia under DC 7119 is 100%. This tier requires: Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities. Veterans who cannot secure substantially gainful employment due to Erythromelalgia alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.
What 38 CFR section governs Erythromelalgia ratings?
Erythromelalgia is rated under 38 CFR 38 CFR § 4.104, Diagnostic Code 7119. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.
Which conditions are commonly secondary to Erythromelalgia?
Secondary conditions caused or aggravated by Erythromelalgia may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.
What evidence do I need to establish service connection for Erythromelalgia?
Service connection for Erythromelalgia 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.
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