EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
← All Condition GuidesCLAIM RECON INTEL
Chronic Liver Disease
✓ VERIFIED AGAINST 38 C.F.R.§ 4.114 (Digestive system) · reviewed 2026-05-17 · ClaimRecon Editorial Team
Chronic Liver Disease is rated by the U.S. Department of Veterans Affairs under DC 7312 of 38 CFR § 4.114, DC 7312 across 5 severity tiers (0% / 10% / 30% / 60% / 100%). 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
Progressive liver damage and dysfunction from various causes, leading to fibrosis and impaired function
RATING CRITERIA (5 LEVELS)
0%
Asymptomatic, but with a history of liver disease.
10%
Liver disease with Model for End-Stage Liver Disease (MELD) score greater than 6 but less than 10; or with evidence of either anorexia, weakness, abdominal pain, or malaise.
30%
MELD score of 10 or 11; or with signs of portal hypertension such as splenomegaly or ascites and either weakness, anorexia, abdominal pain, or malaise.
60%
MELD score greater than 11 but less than 15; or with daily fatigue and at least one episode in the last year of either (1) variceal hemorrhage, or (2) portal gastropathy or hepatic encephalopathy.
100%
MELD score greater than or equal to 15; or with continuous daily debilitating symptoms, generalized weakness and at least one of: (1) ascites, (2) history of spontaneous bacterial peritonitis, (3) hepatic encephalopathy, (4) variceal hemorrhage, (5) coagulopathy, (6) portal gastropathy, or (7) hepatopulmonary or hepatorenal syndrome.
KEY EVIDENCE TO GATHER
-Service treatment records
-Current medical diagnosis and treatment records
-Buddy/lay statements
-Prescription history
-Employment impact documentation
-Any relevant diagnostic testing
C&P EXAM TIPS (5)
1.Bring all relevant medical records and a written list of symptoms.
2.Report your worst days, not your best. The VA rates based on overall impairment.
3.Document how the condition affects daily activities, work, and relationships.
4.Mention all medications and their side effects.
5.Bring buddy statements from people who observe your symptoms.
SOURCES & EDITORIAL
Rating criteria text quoted verbatim from 38 C.F.R. § 4.114 (Digestive system). Source verified 2026-05-17 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026