Liver transplant — VA Rating Criteria (38 CFR DC 7351)

The VA rates Liver transplant under Diagnostic Code 7351 at the following tiers: 30%, 60%, 100%. The minimum 30% rating requires: Following transplant surgery, minimum rating. The maximum 100% rating requires: For an indefinite period from the date of hospital admission for transplant surgery.

Diagnostic Code 7351 is the VA rating identifier for Liver transplant 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 Liver transplant under DC 7351 is 100%. This tier requires: For an indefinite period from the date of hospital admission for transplant surgery. Veterans who cannot secure substantially gainful employment due to Liver transplant alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Liver transplant is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7351. 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 Liver transplant 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 Liver transplant 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.