What are the VA rating percentages for Chronic Venous Insufficiency?

Chronic Venous Insufficiency (DC 7121) is rated at 0%, 10%, 20%, 40%, 60%, 100% under 38 CFR § 4.104, DC 7121. Asymptomatic palpable or visible varicose veins.

What rates 0% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 0% rating for Chronic Venous Insufficiency requires: Asymptomatic palpable or visible varicose veins.

What rates 20% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 20% rating for Chronic Venous Insufficiency requires: Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema.

What rates 40% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 40% rating for Chronic Venous Insufficiency requires: Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration.

What rates 60% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 60% rating for Chronic Venous Insufficiency requires: Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration.

What rates 100% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 100% rating for Chronic Venous Insufficiency requires: Massive board-like edema with constant pain at rest.

What happens during a C&P exam for Chronic Venous Insufficiency?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Chronic Venous Insufficiency

Q: What rates 10% for Chronic Venous Insufficiency under 38 CFR § 4.104, DC 7121?

Under 38 CFR § 4.104, DC 7121 (DC 7121), a 10% rating for Chronic Venous Insufficiency requires: Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery.

Q: What evidence do I need for a Chronic Venous Insufficiency VA claim?

Key evidence for a Chronic Venous Insufficiency claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 7121 | 38 CFR § 4.104, DC 7121 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.104 (Cardiovascular system) · reviewed 2026-05-15 · ClaimRecon Editorial Team

Chronic Venous Insufficiency is rated by the U.S. Department of Veterans Affairs under DC 7121 of 38 CFR § 4.104, DC 7121 across 6 severity tiers (0% / 10% / 20% / 40% / 60%…). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Impaired venous blood return from the legs to the heart, causing pooling, swelling, and skin changes

RATING CRITERIA (6 LEVELS)

Asymptomatic palpable or visible varicose veins.

10%

Intermittent edema of extremity or aching and fatigue in leg after prolonged standing or walking, with symptoms relieved by elevation of extremity or compression hosiery.

20%

Persistent edema, incompletely relieved by elevation of extremity, with or without beginning stasis pigmentation or eczema.

40%

Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration.

60%

Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration.

100%

Massive board-like edema with constant pain at rest.

KEY EVIDENCE TO GATHER

-Service treatment records showing injury or complaints

-Imaging (X-ray, MRI, CT)

-Range of motion measurements

-Flare-up documentation per Sharp v. Shulkin

-Buddy statements describing limitations

-Prescription history

-Physical therapy records

-Employment impact documentation

C&P EXAM TIPS (6)

1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5.If you use assistive devices (brace, cane), bring them.

6.Describe daily activity impact: work, sleep, household tasks.

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SOURCES & EDITORIAL

Rating criteria text quoted verbatim from 38 C.F.R. § 4.104 (Cardiovascular system). Source verified 2026-05-15 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

→ View § 4.104 on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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