What rates 80% for Chronic Kidney Disease under 38 CFR § 4.115a-b, DC 7530?

Under 38 CFR § 4.115a-b, DC 7530 (DC 7530), a 80% rating for Chronic Kidney Disease requires: Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

What rates 60% for Chronic Kidney Disease under 38 CFR § 4.115a-b, DC 7530?

Under 38 CFR § 4.115a-b, DC 7530 (DC 7530), a 60% rating for Chronic Kidney Disease requires: Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

What rates 30% for Chronic Kidney Disease under 38 CFR § 4.115a-b, DC 7530?

Under 38 CFR § 4.115a-b, DC 7530 (DC 7530), a 30% rating for Chronic Kidney Disease requires: Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

What secondary conditions are linked to Chronic Kidney Disease?

Common secondary conditions for Chronic Kidney Disease include Anemia, Secondary Hyperparathyroidism, Bone Disease, Cardiovascular Disease, Peripheral Neuropathy. Secondary service connection is established under 38 C.F.R. 3.310 when a condition is caused or aggravated by an already service-connected disability.

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Chronic Kidney Disease

Q: What are the VA rating percentages for Chronic Kidney Disease?

Chronic Kidney Disease (DC 7530) is rated at 100%, 80%, 60%, 30%, 0% under 38 CFR § 4.115a-b, DC 7530. Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months; or requiring regular routine dialysis; or eligible kidney transplant recipient

Q: What rates 100% for Chronic Kidney Disease under 38 CFR § 4.115a-b, DC 7530?

Under 38 CFR § 4.115a-b, DC 7530 (DC 7530), a 100% rating for Chronic Kidney Disease requires: Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months; or requiring regular routine dialysis; or eligible kidney transplant recipient

Q: What rates 0% for Chronic Kidney Disease under 38 CFR § 4.115a-b, DC 7530?

Under 38 CFR § 4.115a-b, DC 7530 (DC 7530), a 0% rating for Chronic Kidney Disease requires: GFR from 60 to 89 mL/min/1.73 m2 and either recurrent red blood cell (RBC) casts, white blood cell (WBC) casts, or granular casts for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m2 and structural kidney abnormalities (cystic, obstructive, or glomerular) for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m2 and albumin/creatinine ratio (ACR) ≥30 mg/g for at least 3 consecutive months during the past 12 months

Q: What evidence do I need for a Chronic Kidney Disease VA claim?

Key evidence for a Chronic Kidney Disease claim includes: A voiding diary recording pad/appliance changes per day, daytime voiding intervals, and nighttime awakenings; Lab reports showing GFR or eGFR across at least 3 consecutive months (renal dysfunction); Urology records showing post-void residual volume, uroflowmetry peak flow, or catheterization needs; Records of recurrent UTIs, including hospitalizations and any suppressive drug therapy; Imaging or operative reports confirming the genitourinary diagnosis. All evidence should document both the condition and its impact on daily functioning.

DC 753038 C.F.R. § 4.115a-b

Diagnostic Code

DC 7530

38 C.F.R. § 4.115a-b

Rating Range

0–100%

5 severity tiers

Source

Verified

38 C.F.R. § 4.115b

Chronic Kidney Disease is rated by the U.S. Department of Veterans Affairs under DC 7530 of 38 CFR § 4.115a-b, DC 7530 across 5 severity tiers (100% / 80% / 60% / 30% / 0%). 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. This condition is frequently rated as secondary to Anemia or Secondary Hyperparathyroidism under 38 C.F.R. § 3.310.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Progressive loss of kidney function over time. Stages range from mild (Stage 1) to end-stage renal disease (Stage 5) requiring dialysis or transplant. Common secondary to diabetes, hypertension, and nephrotoxic medications.

Rating Criteria

100%

Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months; or requiring regular routine dialysis; or eligible kidney transplant recipient

80%

Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

60%

Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

30%

Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m2 for at least 3 consecutive months during the past 12 months

GFR from 60 to 89 mL/min/1.73 m2 and either recurrent red blood cell (RBC) casts, white blood cell (WBC) casts, or granular casts for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m2 and structural kidney abnormalities (cystic, obstructive, or glomerular) for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m2 and albumin/creatinine ratio (ACR) ≥30 mg/g for at least 3 consecutive months during the past 12 months

Key Evidence

—A voiding diary recording pad/appliance changes per day, daytime voiding intervals, and nighttime awakenings

—Lab reports showing GFR or eGFR across at least 3 consecutive months (renal dysfunction)

—Urology records showing post-void residual volume, uroflowmetry peak flow, or catheterization needs

—Records of recurrent UTIs, including hospitalizations and any suppressive drug therapy

—Imaging or operative reports confirming the genitourinary diagnosis

—Complete list of genitourinary medications

C&P Exam Tips

1If your condition causes voiding dysfunction, the rating often turns on absorbent materials or appliance use (38 CFR 4.115a) - count and report how many times per day you change a pad or appliance (more than 4x/day supports the highest level).

2For urinary frequency, document your daytime voiding interval and how many times you wake to void at night - both are explicit thresholds.

3For obstructed voiding, ask whether your record shows post-void residual volume, peak flow rate (uroflowmetry), or a need for catheterization.

4If the kidneys are involved, the rating is driven by GFR (38 CFR 4.115a) - request an eGFR lab and note that it must persist for at least 3 consecutive months in the past 12 months.

5For recurrent urinary tract infections, document drainage by stent/nephrostomy, hospitalizations per year, and any continuous/suppressive drug therapy.

6Report your worst days, bring a voiding diary, and describe how the condition affects sleep, work, and daily activity.

Secondary Conditions

AnemiaMODERATE

Reduced erythropoietin production

Secondary HyperparathyroidismMODERATE

Phosphate retention stimulates PTH

Bone DiseaseMODERATE

Mineral metabolism disturbance weakens bones

Cardiovascular DiseaseMODERATE

CKD accelerates atherosclerosis

Peripheral NeuropathyMODERATE

Uremic toxins damage nerves

HypertensionMODERATE

Kidney dysfunction affects blood pressure regulation

Erectile DysfunctionMODERATE

Hormonal and vascular changes

DepressionMODERATE

Chronic disease burden and dialysis stress

Restless Leg SyndromeMODERATE

Uremic toxins cause neurological symptoms

Sleep DisordersMODERATE

Uremia disrupts sleep

More in Genitourinary

Chronic Kidney Disease Chronic Orchialgia (Chronic Testicular Pain)Chronic Renal Failure Chronic UTI Diabetic Nephropathy Epididymitis (Chronic)Erectile Dysfunction Erectile Dysfunction All Genitourinary conditions →All conditions →

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.115b (Genitourinary system — diagnoses). Source verified 2026-06-04 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.115b 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.
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