Condition Guides

Paralysis of cranial nerve VI causing inability to abduct the eye, resulting in diplopia (double vision).

Failure of the lower esophageal sphincter to relax, causing difficulty swallowing and food retention

Complete or partial tear of the Achilles tendon causing significant loss of push-off strength, gait impairment, and calf weakness

Inflammation or progressive degeneration of the Achilles tendon causing posterior heel pain, stiffness, and difficulty with push-off gait

Tear or reconstruction of the anterior cruciate ligament causing knee instability, giving way, and difficulty with pivoting activities

Chronic skin condition causing pimples, blackheads, and inflamed lesions on the face and body

Benign, slow-growing tumor on the vestibulocochlear nerve (cranial nerve VIII) connecting the inner ear to the brain. Causes progressive unilateral hearing loss, tinnitus, and balance problems. May compress the brainstem in advanced cases.

Condition caused by excess growth hormone in adults, usually from a pituitary adenoma. Results in enlargement of bones in the hands, feet, and face. Associated with diabetes, hypertension, and cardiovascular disease.

Separation of the acromioclavicular (AC) joint where the collarbone meets the shoulder blade, causing a visible bump and pain

Precancerous rough, scaly patches on sun-exposed skin areas

Develops within one month after exposure to a traumatic event and lasts between three days and one month. Symptoms include intrusion, negative mood, dissociation, avoidance, and arousal, similar to PTSD but with a shorter duration.

Primary adrenal insufficiency caused by autoimmune destruction (most common in developed world), tuberculosis, hemorrhage, or metastatic infiltration of the adrenal cortex. Results in deficient cortisol + aldosterone production, causing weakness, fatigue, weight loss, hyperpigmentation, hypotension, salt craving, and life-threatening adrenal CRISIS in stress (infection, surgery, trauma). Requires lifetime corticosteroid + mineralocorticoid replacement therapy. Critical "stress-dose steroid" protocol for any acute illness or procedure.

Attention-deficit/hyperactivity disorder characterized by persistent inattention, hyperactivity, and impulsivity. Pre-existing ADHD may be service-connected if aggravated beyond natural progression during military service, or if symptoms worsened due to TBI, PTSD, or other service-connected conditions.

Emotional or behavioral symptoms developing within three months of an identifiable stressor, causing marked distress or significant impairment in functioning. Subtypes include with depressed mood, with anxiety, with mixed anxiety and depressed mood, and with disturbance of conduct.

The adrenal glands do not produce enough cortisol and sometimes aldosterone. Addison's disease is the primary form. Can be life-threatening if untreated. Requires lifelong hormone replacement.

Complete loss of the sense of taste, often associated with anosmia, TBI, or medication side effects.

Marked fear or anxiety about situations where escape might be difficult or help unavailable during a panic-like episode. Commonly includes fear of open spaces, enclosed spaces, crowds, public transportation, or being outside the home alone.

Allergic reaction to Aspergillus fungus causing bronchial inflammation and mucus plugging

Chronic nasal inflammation from allergies causing congestion, sneezing, and rhinorrhea

VA disability condition rated under DC 6522.

Autoimmune hair loss causing patchy or complete loss of hair on the scalp and body

Absence of menstrual periods. Primary amenorrhea is failure to menstruate by age 15. Secondary amenorrhea is absence of periods for 3+ months in someone who previously had regular cycles. Can indicate hormonal, structural, or stress-related causes.

Progressive neurodegenerative disease affecting motor neurons causing muscle weakness, atrophy, and eventual paralysis.

Tear or crack in the lining of the anal canal causing sharp pain during and after bowel movements

Aneurysm of any large artery other than the aorta, including iliac, femoral, popliteal, or subclavian

Episodes of rapid swelling beneath the skin, particularly affecting the face, lips, tongue, and throat

Chronic ankle pain and instability from repeated sprains or ligament damage, causing limited dorsiflexion and plantar flexion

Residual limitations from a healed ankle fracture including reduced range of motion, chronic pain, and instability with weight-bearing

Chronic lateral ankle instability from repeated sprains with ligament laxity, causing recurrent giving way and difficulty on uneven surfaces

VA disability condition rated under DC 5271.

Degenerative joint disease of the ankle with cartilage loss, bone spurs, and progressive stiffness reducing dorsiflexion and plantar flexion

Prosthetic replacement of the ankle joint (total ankle arthroplasty) with residual pain and functional limitations

Chronic inflammatory autoimmune disease that progressively fuses spinal vertebrae, causing severe stiffness and reduced mobility

Complete loss of the sense of smell, often resulting from TBI, upper respiratory infection, or toxic exposure.

Paralysis of the femoral nerve causing quadriceps weakness, knee extension difficulty, and anterior thigh numbness.

Abnormal bulging or dilation of the aorta, the body's largest artery, with risk of rupture

Tear in the inner wall of the aorta causing blood to flow between the layers of the aortic wall

Backward leaking of blood through the aortic valve into the left ventricle during diastole

Narrowing of the aortic valve opening, restricting blood flow from the heart to the aorta

Absence of the crystalline lens of the eye, either from surgical removal (after cataract surgery without intraocular lens implant), trauma, or congenital absence. Causes severe refractive error and loss of accommodation. Modern cataract surgery with IOL implant is technically pseudophakia, not aphakia.

Complete loss of voice due to organic disease or injury to the larynx

Rare condition where the bone marrow fails to produce enough blood cells. Causes fatigue, frequent infections, and uncontrolled bleeding. Can be triggered by chemical exposure, radiation, medications, or autoimmune disease.

Residual symptoms following surgical removal of the appendix, including adhesions and scarring

Amputation of the upper extremity above the elbow (transhumeral), requiring prosthetic use and causing significant functional loss

Amputation of the forearm below the elbow (transradial), requiring prosthetic use and causing loss of hand function

Chronic lung disease caused by inhalation of asbestos fibers, causing progressive fibrosis

Abnormal accumulation of fluid in the abdominal cavity, typically from advanced liver disease

Chronic, relapsing inflammatory skin condition often associated with allergies and asthma

Irregular and often rapid heart rhythm originating in the atria, increasing stroke risk

Organized rapid heart rhythm from the atria, often related to atrial fibrillation

Congenital hole in the wall between the heart's upper chambers, potentially worsened by military service

Impaired electrical conduction between the atria and ventricles of the heart

Chronic liver inflammation caused by the immune system attacking liver cells, requiring immunosuppression (typically azathioprine + prednisone, or budesonide for mild cases)

Damage to autonomic nerves controlling involuntary functions including blood pressure, heart rate, digestion, and bladder control.

Death of bone tissue from disrupted blood supply in joints such as the knee, shoulder, or ankle, leading to joint collapse and arthritis

Death of bone tissue in the femoral head from disrupted blood supply, leading to progressive joint collapse and severe hip pain

Chronic bacterial infection of the nasal mucosa with crusting and purulent discharge

Fluid-filled synovial cyst in the popliteal fossa (behind the knee) causing tightness, swelling, and limited knee flexion

Precancerous changes to the esophageal lining from chronic acid reflux, with intestinal metaplasia

Most common form of skin cancer originating in basal cells, often from sun/UV exposure

Common inner ear disorder causing brief episodes of vertigo triggered by specific head position changes. Caused by displaced calcium carbonate crystals (otoconia) in the semicircular canals. Common after head trauma and blast injuries in military service.

Non-cancerous enlargement of the prostate gland that compresses the urethra and causes lower urinary tract symptoms (LUTS): urinary frequency, urgency, nocturia, weak stream, incomplete emptying, hesitancy, and post-void dribbling. Extremely common in older male veterans (50%+ prevalence over age 60). Often comorbid with obesity, diabetes, and metabolic syndrome. Treatment ranges from watchful waiting → alpha-blockers (tamsulosin) → 5-alpha-reductase inhibitors (finasteride) → minimally invasive procedures (UroLift, Rezum) → TURP/HoLEP surgery.

Enlarged prostate gland causing difficulty urinating, weak stream, frequency, urgency, and nocturia. Very common in aging male veterans. Rated on voiding dysfunction or urinary tract infection criteria.

Chronic lung disease caused by exposure to beryllium, causing granulomatous inflammation

Inflammation or degeneration of the biceps tendon at the shoulder joint causing anterior shoulder pain and limited overhead motion

Diminished hearing acuity in both ears, rated objectively based on puretone audiometric thresholds and speech discrimination scores using the Maryland CNC word list. The most common service-connected condition among veterans.

Chronic inflammation and micro-tearing of the plantar fascia on the bottom of the foot, causing severe heel pain especially with first morning steps

Reduced visual acuity in BOTH eyes where neither eye is anatomically lost, light-perception only, or at 5/200 (those higher-severity findings rate under DC 6063, DC 6064, or DC 6065 respectively). DC 6066 covers the seven sub-tables for vision-in-one-eye 10/200, 15/200, 20/200, 20/100, 20/70, 20/50, and 20/40 — each paired with fellow-eye Snellen acuity to yield a rating from 0% to 90% across 28 pairings. Common clinical drivers: bilateral diabetic retinopathy, bilateral macular degeneration (AMD), bilateral cataracts (postoperative residuals), retinitis pigmentosa, optic neuropathy.

Impaired gallbladder motility with reduced ejection fraction, causing biliary-type pain without stones

Recurrent episodes of eating significantly more food in a short period than most people would eat under similar circumstances, accompanied by a sense of lack of control, without regular compensatory purging behaviors. Episodes cause marked distress.

Mood disorder characterized by at least one manic episode with periods of abnormally elevated, expansive, or irritable mood and increased energy. Manic episodes may alternate with major depressive episodes.

Mood disorder characterized by at least one hypomanic episode and at least one major depressive episode, without full manic episodes. Depressive episodes tend to be more prominent and disabling.

Malignant neoplasm of the urinary bladder. Rated 100% during active disease. Common in veterans exposed to Agent Orange, burn pits, and certain industrial chemicals during service.

Malignant neoplasm of the urinary bladder. Added as a presumptive condition for Agent Orange exposure. Rated 100% during active disease. After treatment, rated on voiding dysfunction residuals.

Chronic inflammation of the eyelid margins, causing redness, swelling, crusting, and irritation. Types include anterior (affecting the base of the eyelashes) and posterior (affecting the meibomian glands). Often co-occurs with dry eye syndrome and rosacea.

Total loss of vision in both eyes, encompassing four verbatim § 4.79 pathways: anatomical loss of both eyes (DC 6061), no more than light perception in both eyes (DC 6062), anatomical loss of one eye with the other eye 5/200 or worse (DC 6063), and no more than light perception in one eye with the other eye 5/200 or worse (DC 6064). Each pathway triggers § 4.79 footnote 1: "Review for entitlement to special monthly compensation under 38 CFR 3.350."

Functional or anatomical blindness in one eye, paired with varying acuity in the fellow eye. DC 6063 covers anatomical loss of one eye (enucleation / evisceration / congenital absence); DC 6064 covers no more than light perception in one eye; DC 6065 covers vision of 5/200 (1.5/60) in one eye. Rating depends on the best-corrected Snellen acuity of the fellow eye via verbatim paired-acuity tables — better fellow eye = lower rating; 5/200 fellow eye = 100% (bilateral-blindness pathway).

Residuals of primary bone malignancy (osteosarcoma, chondrosarcoma) or bone metastases including pain, weakness, and functional loss

Bony projections (osteophytes) developing along bone edges at joints, causing pain, inflammation, and restricted range of motion

Damage to the brachial plexus nerve network controlling the shoulder, arm, and hand causing weakness, numbness, and pain.

Abnormally slow heart rate, typically below 60 beats per minute, potentially requiring a pacemaker

Focal infection within the brain parenchyma rated on residual neurological deficits.

Malignant new growth of the brain. Includes primary CNS malignancies (glioblastoma multiforme, astrocytoma, oligodendroglioma, medulloblastoma) and metastatic brain disease from other primary cancers. Veterans with documented in-service exposure to Agent Orange (presumptive per § 3.309), ionizing radiation (presumptive), Camp Lejeune contaminated water (presumptive), or Gulf War burn pits / PACT Act qualifying exposures may have a presumptive service-connection pathway.

Benign neoplasm of the brain rated on neurological residuals after treatment.

Malignant neoplasm of the brain rated at 100% during active disease and on residuals thereafter.

Malignant neoplasm of the breast. One of the most common cancers claimed by female veterans. Rated 100% during active disease. After treatment, rated on residuals including mastectomy, lymphedema, and scarring.

Sudden onset of at least one psychotic symptom (delusions, hallucinations, disorganized speech, or grossly disorganized/catatonic behavior) lasting at least one day but less than one month, with eventual full return to premorbid functioning.

Chronic airway inflammation causing breathing difficulty, wheezing, and bronchospasm

Permanent dilation and damage to bronchial tubes causing chronic infections and mucus production

VA disability condition rated under DC 6601.

Involuntary grinding, clenching, or gnashing of teeth, often during sleep. Extremely common secondary to PTSD, anxiety, and stress. Causes tooth damage, jaw pain, headaches, and TMJ dysfunction.

Inflammatory disease causing blood clots in small and medium arteries and veins of the extremities, strongly linked to tobacco use

Autoimmune blistering skin disorder causing large, fluid-filled blisters on the skin

VA disability condition rated under DC 7801/7802.

VA disability condition rated under DC 7801.

Deep nonlinear burn scars on areas other than the head, face, or neck

Disfiguring burn scars on the head, face, or neck rated on visible disfigurement characteristics

Chronic burning sensation in the mouth without an identifiable cause. Affects the tongue, gums, lips, palate, or entire mouth. Often associated with dry mouth, taste changes, and medication side effects. More common in post-menopausal women and veterans on multiple medications.

Chronic inflammation of the bursa sacs that cushion joints, causing pain, swelling, and limited range of motion at the affected site

Residual pain, deformity, and limited subtalar motion from a healed calcaneus (heel bone) fracture affecting weight-bearing and gait

Calcium pyrophosphate crystal deposition in joints causing recurrent acute inflammatory attacks similar to gout with joint cartilage calcification

Chronic strain or recurrent tears of the gastrocnemius or soleus muscles causing posterior calf pain and reduced push-off strength

Malignant neoplasm of the larynx; rated 100% during active disease and treatment

Survived sudden cardiac arrest with residual cardiac and neurological deficits

Irregular heartbeat caused by abnormal electrical activity in the heart

Granulomatous inflammation of the heart muscle caused by sarcoidosis, leading to arrhythmias and heart failure

Surgical replacement of a diseased heart with a donor heart; rated 100% for one year following transplant

VA disability condition rated under DC 7020.

Narrowing of the carotid arteries in the neck that supply blood to the brain, increasing stroke risk

Instability of the carpal bones in the wrist from ligament damage causing pain, clicking, weakness, and reduced grip strength

Compression of the median nerve at the wrist causing numbness, tingling, and weakness in the hand.

VA disability condition rated under DC 8515.

VA disability condition rated under DC 8515.

Clouding of the natural lens of the eye, causing blurred vision, glare, and decreased visual acuity. DC 6027 covers traumatic cataracts; DC 6028 covers senile/age-related cataracts; DC 6029 covers aphakia or dislocation of the crystalline lens. Service connection often established for traumatic cataracts from blast or radiation exposure.

Compression of the cauda equina nerve bundle causing severe low back pain, bilateral leg weakness, saddle anesthesia, and bowel/bladder dysfunction.

Autoimmune disorder triggered by gluten ingestion, causing damage to the small intestine lining with malabsorption sequelae

Deficiency in the neural processing of auditory information not due to higher-order language, cognitive, or related factors. Individuals can hear sounds but have difficulty understanding speech, especially in noisy environments. Often associated with TBI and blast exposure in veterans.

Accumulation of fluid under the retina due to leakage from the choroidal vasculature, causing a localized retinal detachment at the macula. Common in young to middle-aged men, associated with stress and corticosteroid use. Most cases resolve spontaneously but may recur or become chronic.

Brain fails to signal breathing muscles during sleep, causing repeated cessation of breathing

Impaired coordination and balance due to cerebellar dysfunction causing gait instability and limb incoordination.

Malignant neoplasm of the cervix. Rated 100% during active disease and treatment. After treatment, rated on residuals. Often related to HPV exposure which may have occurred during military service.

Abnormal cell changes on the cervix surface detected by Pap smear. Precancerous condition graded as mild (CIN 1), moderate (CIN 2), or severe (CIN 3). Often caused by HPV infection. Requires ongoing monitoring and may need surgical treatment.

Compression of cervical nerve roots causing radiating arm pain, numbness, tingling, and weakness in the upper extremities

VA disability condition rated under DC 8510.

VA disability condition rated under DC 8510.

Traumatic injury to the spinal cord in the cervical region causing quadriplegia, weakness, or partial paralysis of the extremities

Narrowing of the cervical spinal canal compressing the spinal cord, causing myelopathy, arm weakness, and balance problems

Progressive deterioration of intervertebral discs in the cervical spine causing neck pain, stiffness, and radiating symptoms

Age-related degenerative changes in the cervical spine including bone spurs, disc narrowing, and cartilage wear causing neck pain and stiffness

Strain or sprain of the cervical (neck) muscles and ligaments causing pain, stiffness, and limited neck mobility

Headaches originating from the cervical spine or neck structures radiating to the head.

Chronic, sterile, lipogranulomatous inflammation of a meibomian gland in the eyelid, presenting as a painless firm nodule. Different from a stye (hordeolum), which is an acute infection. Recurrent chalazia may require surgical drainage and can be associated with blepharitis or rosacea.

Hereditary motor and sensory neuropathy causing progressive muscle weakness and atrophy, primarily in the feet, legs, hands, and arms.

Skin condition directly caused by exposure to dioxin-containing chemicals like Agent Orange. Characterized by cysts, comedones (blackheads), and pustules, primarily on the face. Must have manifested within one year of exposure.

Severe acneiform skin eruption caused by exposure to chlorinated chemicals including Agent Orange dioxins

Inflammation or infection of the bile duct system, often from obstruction by gallstones

Inflammation of the gallbladder, usually caused by gallstones blocking the cystic duct

Hardened deposits in the gallbladder causing pain, inflammation, and potential bile duct obstruction

Abnormal non-cancerous skin growth (keratinized squamous epithelium) in the middle ear behind the eardrum. Can erode bones of the middle ear, leading to hearing loss, dizziness, and facial nerve damage. Often develops as a complication of chronic ear infections or eustachian tube dysfunction.

Softening and progressive deterioration of the articular cartilage on the underside of the kneecap causing anterior knee pain

Involuntary, irregular, unpredictable brief jerky movements affecting any part of the body, including Huntington's disease.

Inflammation of the choroid layer of the eye (posterior uveitis). May also involve the retina (chorioretinitis). Causes blurred vision, floaters, light sensitivity, and can lead to permanent vision loss if untreated. May be associated with autoimmune conditions or infections.

Chronic inflammation of the bronchial tubes with persistent cough and mucus production

Chronic inflammation of the conjunctiva (membrane lining the eyelids and covering the white of the eye). May be allergic, viral, bacterial, or chemical in origin. In veterans, often related to environmental exposures (dust, sand, burn pit smoke) during deployments.

Persistent cough lasting more than 8 weeks without identifiable underlying respiratory disease

Chronic inflammation of the bladder, usually caused by recurrent bacterial infections. Symptoms include urinary frequency, urgency, pain with urination, and pelvic discomfort.

Lung inflammation characterized by eosinophil accumulation in the airways and lung tissue

Chronic inflammation of the ethmoid sinuses between the eyes causing pain and pressure

Extreme fatigue not explained by any underlying medical condition, not improved by rest, and worsened by physical or mental activity. Also known as myalgic encephalomyelitis (ME). A qualifying condition for Gulf War illness claims.

VA disability condition rated under DC 6354.

Chronic inflammation of the frontal sinuses above the eyes causing headaches and forehead pain

Persistent infrequent or difficult bowel movements, often with straining and incomplete evacuation

Chronic or recurrent bleeding from the gastrointestinal tract, causing anemia and requiring treatment

Chronic inflammation of the stomach lining causing pain, nausea, and digestive symptoms

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.

Chronic inflammation of the larynx causing hoarseness, voice changes, and throat discomfort

Progressive liver damage and dysfunction from various causes, leading to fibrosis and impaired function

Chronic inflammation of the maxillary sinuses causing facial pain and pressure below the eyes

Persistent or recurrent nausea with or without vomiting, from various gastrointestinal causes

Progressive lung disease causing airflow limitation, chronic cough, and dyspnea

VA disability condition rated under DC 6604.

Persistent or intermittent testicular pain lasting more than 3 months. Can result from prior infections, surgery, trauma, varicocele, or have no identifiable cause (idiopathic). Significantly impacts quality of life.

Chronic bacterial infection of the bone requiring prolonged antibiotic treatment and potentially surgical debridement

Long-standing bone infection of the jaw requiring ongoing management. Characterized by recurring episodes of pain, swelling, and drainage. May cause pathological fractures and require multiple surgeries.

Chronic inflammation of the external ear canal, commonly known as "swimmer's ear." In military personnel, often caused by exposure to water, humid environments, use of hearing protection, or chronic skin conditions affecting the ear canal.

VA disability condition rated under DC 6200.

Persistent widespread pain lasting beyond normal tissue healing time, with central sensitization and functional impairment

VA disability condition rated under DC 7347.

Chronic inflammation of the pharynx causing persistent sore throat and throat discomfort

Persistent generalized itching without identifiable primary skin disease, causing significant distress

Inability of the lungs to provide adequate oxygenation or remove carbon dioxide

Chronic inflammation of the paranasal sinuses causing congestion, pain, and recurrent infections

VA disability condition rated under DC 6510.

Chronic inflammation of the sphenoid sinuses behind the nose causing deep headaches

Persistent inflammation and infection of the middle ear with purulent drainage through a perforated tympanic membrane lasting more than six weeks. May result from untreated acute otitis media, blast injuries, or chronic eustachian tube dysfunction.

Progressive degenerative brain disease associated with repeated head trauma causing cognitive decline and behavioral changes.

Chronic condition causing recurrent hives (raised, itchy welts) on the skin

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

Recurrent bacterial skin infection causing redness, swelling, warmth, and pain

Paralysis of the axillary (circumflex) nerve causing deltoid weakness and inability to abduct the arm.

Advanced scarring of the liver from long-term damage, impairing liver function and blood flow. Current DC 7312 schedule is MELD-score-based (Model for End-Stage Liver Disease).

Fracture, malunion, or nonunion of the clavicle (collarbone) causing shoulder pain, weakness, and limited motion

Abnormally high foot arch with claw-like toes, shortened plantar fascia, and painful callosities affecting weight distribution

VA disability condition rated under DC 5278.

Severe unilateral headaches occurring in cyclical clusters with autonomic symptoms including tearing and nasal congestion.

Chronic pain and tenderness in the coccyx (tailbone) area, aggravated by sitting and transitional movements

Impairment in cognitive functioning including memory, attention, concentration, and executive function due to neurological condition.

Inflammation of the colon from various causes including infection, ischemia, or microscopic colitis

Malignant tumor of the colon; rated 100% during active treatment, then on residuals

Surgically created opening connecting the colon to the abdominal wall surface for waste elimination

VA disability condition rated under DC 8521.

Paralysis of the common peroneal nerve causing foot drop, inability to dorsiflex the foot, and numbness on the outer lower leg.

Elevated pressure within a closed muscle compartment during exercise, causing pain, tightness, and numbness that resolves with rest

Chronic neuropathic pain condition with continuous burning pain, swelling, skin changes, and temperature sensitivity disproportionate to injury

Chronic pain condition with disproportionate pain, swelling, skin changes, and autonomic dysfunction in an extremity following injury or surgery.

Narrowing of the peripheral visual field from all sides toward the center, creating a "tunnel vision" effect. Caused by glaucoma, retinitis pigmentosa, optic nerve damage, or neurological conditions. Rated under DC 6080 based on the remaining field of vision in degrees (5°/6-15°/16-30°/31-45°/46-60° rows) with separate bilateral and unilateral columns. The 5° bilateral row triggers § 4.79 footnote 1 SMC review.

Hearing loss caused by problems in the outer or middle ear that prevent sound from being properly conducted to the inner ear. Common causes include fluid in the middle ear, ear infections, perforated eardrum, otosclerosis, or impacted cerumen.

Group of inherited disorders affecting the adrenal glands, causing abnormal production of cortisol and sex hormones. Requires lifelong hormone replacement therapy. Can cause adrenal crises if not properly managed with glucocorticoids.

The heart is unable to pump blood efficiently enough to meet the body's needs, causing fluid buildup

Irreversible obstruction of small airways, strongly associated with burn pit and toxic exposure

Skin inflammation caused by direct contact with irritants or allergens

One or more symptoms of altered voluntary motor or sensory function incompatible with recognized neurological or medical conditions. Symptoms include weakness, paralysis, abnormal movements, swallowing difficulties, speech problems, seizure-like episodes, or sensory loss.

Group of genetic disorders causing abnormal material to accumulate in the cornea, leading to progressive corneal clouding, visual impairment, and recurrent corneal erosions. Includes Fuchs dystrophy, map-dot-fingerprint dystrophy, lattice dystrophy, and granular dystrophy.

Residual effects after corneal transplant surgery (penetrating keratoplasty or lamellar keratoplasty), including graft rejection risk, residual astigmatism, ongoing need for immunosuppressive eye drops, and potential for decreased visual acuity.

Surgical procedure to bypass blocked coronary arteries using grafted blood vessels

VA disability condition rated under DC 7005.

VA disability condition rated under DC 7005.

Narrowing or blockage of the coronary arteries due to atherosclerotic plaque, reducing blood flow to the heart muscle

Placement of a metal mesh tube in a coronary artery to keep it open after angioplasty

VA rates visual acuity impairment based on best-corrected vision using glasses, contact lenses, or intraocular lenses. Per § 4.76(a), only best-corrected Snellen acuity counts — refractive error itself is not service-connectable (§ 3.303(c)); only underlying pathology causing the acuity loss is rateable. Even with correction, residual visual impairment from disease, injury, or surgical complications may warrant a compensable rating up through DC 6066's paired-acuity sub-tables.

Chronic inflammation of the costochondral cartilage where the ribs attach to the sternum, causing sharp chest wall pain mimicking cardiac symptoms

VA disability condition rated under DC 7326.

Chronic inflammatory bowel disease affecting any part of the GI tract, causing transmural inflammation

VA disability condition rated under DC 7326.

Compression of the ulnar nerve at the elbow causing numbness in the ring-3 and little fingers, grip weakness, and hand clumsiness.

Condition caused by prolonged exposure to high levels of cortisol. May result from adrenal tumors, pituitary tumors, or long-term corticosteroid use. Symptoms include weight gain, moon face, muscle weakness, and osteoporosis.

Chronic fluctuating mood disturbance involving numerous periods of hypomanic and depressive symptoms that do not meet criteria for a full manic or major depressive episode, lasting at least two years.

Severe form of acne with deep, painful, pus-filled cysts causing significant scarring

Infection or inflammation of the lacrimal sac, usually resulting from obstruction of the nasolacrimal duct. Causes swelling, pain, and redness near the inner corner of the eye with excessive tearing (epiphora) and sometimes purulent discharge.

Painful tenosynovitis affecting the abductor pollicis longus and extensor pollicis brevis tendons on the thumb side of the wrist

Paralysis of the deep peroneal nerve causing foot and toe dorsiflexion weakness (foot drop component).

Blood clot forming in a deep vein, typically in the legs, with risk of pulmonary embolism

VA disability condition rated under DC 7121.

VA disability condition rated under DC 7121.

Blood clot in a deep vein (usually legs) that can lead to chronic venous insufficiency with persistent swelling, pain, skin changes, and ulceration. Post-thrombotic syndrome develops in many DVT patients. Recurrent DVT indicates underlying clotting disorder.

Progressive wear-and-tear degeneration of joint cartilage causing pain, stiffness, bone spurs, and reduced range of motion

VA disability condition rated under DC 5242.

VA disability condition rated under DC 5242.

Progressive deterioration of intervertebral discs in the thoracic (mid-back) spine causing pain, stiffness, and reduced mobility

Degenerative changes in the spinal facet joints including cartilage loss, osteophytes, and joint space narrowing causing pain and stiffness

Characterized by one or more delusions persisting for at least one month without the full symptom picture of schizophrenia. Functioning is not markedly impaired apart from the impact of the delusion(s), and behavior is not obviously bizarre.

Residual effects from traumatic dental injuries sustained during military service including fractured teeth, avulsed teeth, alveolar fractures, and damage to dental structures. Service-connected dental trauma qualifies for VA dental treatment and possible compensation.

Persistent or recurrent experiences of depersonalization (feeling detached from one's own mental processes or body) and/or derealization (feeling that surroundings are unreal), with intact reality testing.

VA disability condition rated under DC 7806.

VA disability condition rated under DC 7806.

Intensely itchy blistering skin condition associated with celiac disease and gluten sensitivity

Autoimmune inflammatory myopathy causing proximal muscle weakness, characteristic heliotrope rash, and Gottron papules on the hands

Chronic fungal infection of the skin including athlete foot, jock itch, and body ringworm

Displacement of the nasal septum causing obstruction of one or both nasal passages

VA disability condition rated under DC 6502.

Condition causing excessive thirst and urination due to insufficient antidiuretic hormone (ADH) or kidney resistance to ADH. Not related to diabetes mellitus despite the similar name. Can result from pituitary damage or TBI.

Autoimmune condition where the pancreas produces little or no insulin. Requires lifelong insulin therapy. Rated under the same diagnostic code as Type II but typically warrants higher ratings due to mandatory insulin dependence.

VA disability condition rated under DC 7913.

Chronic metabolic disorder characterized by insulin resistance and high blood sugar. One of the most commonly claimed VA disabilities, especially as a presumptive condition for Agent Orange exposure.

Foot complications from diabetes mellitus including chronic ulcers, Charcot arthropathy, deformity, and risk of amputation

Kidney damage caused by diabetes mellitus. Progressive condition that can lead to end-stage renal disease. One of the most common secondary conditions to diabetes. Requires regular monitoring of kidney function and albumin levels.

Peripheral nerve damage caused by chronic diabetes mellitus, typically affecting feet and hands in a stocking-glove pattern.

Damage to the retinal blood vessels caused by diabetes mellitus, progressing from non-proliferative (microaneurysms, hemorrhages) to proliferative (abnormal new blood vessel growth) stages. A leading cause of vision loss in working-age adults and commonly secondary to service-connected diabetes.

The heart chambers enlarge and weaken, reducing the heart's ability to pump blood effectively

Seeing two images of a single object, either overlapping or side by side. Binocular diplopia (resolves when one eye is covered) is caused by eye misalignment from cranial nerve palsy, TBI, orbital fracture, or muscle injury. Monocular diplopia may result from cataracts or corneal disease.

Chronic autoimmune skin condition causing disc-shaped scaly lesions, scarring, and skin discoloration

Severe visible disfigurement from scars on the head, face, or neck, causing social and psychological impact

Inability to recall important autobiographical information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. May include localized, selective, or generalized amnesia, or dissociative fugue.

VA disability condition rated under DC 9416.

Disruption of identity characterized by two or more distinct personality states, with marked discontinuity in sense of self and agency, accompanied by alterations in affect, behavior, consciousness, memory, perception, cognition, and/or sensory-motor functioning.

Measurable muscle wasting and weakness from prolonged immobilization, casting, or disuse following injury or surgery

Inflammation or infection of small pouches (diverticula) that form in the walls of the colon

Chronic condition of inadequate tear production or excessive tear evaporation, causing eye discomfort, visual disturbance, and potential corneal damage. Very common in veterans due to environmental exposures (desert dust, burn pits, wind) and LASIK surgery during service.

Rapid gastric emptying causing nausea, cramping, diarrhea, and vasomotor symptoms after eating

Combined gastric and duodenal ulcer disease with chronic or recurrent ulceration

Open sore in the first part of the small intestine, often from H. pylori, causing pain relieved by eating

Progressive fibrous thickening of the palmar fascia causing one or more fingers to permanently curl inward toward the palm

Difficulty speaking due to weakness or impaired coordination of the muscles used for speech, caused by neurological damage.

Severe, recurrent menstrual cramps and pain during menstruation that interferes with daily activities. Primary dysmenorrhea has no underlying cause. Secondary dysmenorrhea is caused by conditions like endometriosis or fibroids.

Difficulty swallowing foods or liquids, often secondary to esophageal or neurological conditions

Movement disorder causing sustained or intermittent muscle contractions resulting in abnormal postures and repetitive movements.

Peripheral neuropathy that manifested within a year of herbicide exposure or within one year of last exposure. Presumptive for Agent Orange-exposed veterans. Causes numbness, tingling, burning pain in extremities.

Eating disorder characterized by restriction of energy intake leading to significantly low body weight, intense fear of gaining weight, and disturbance in self-perceived body weight or shape.

Eating disorder characterized by recurrent episodes of binge eating followed by compensatory behaviors such as self-induced vomiting, misuse of laxatives, fasting, or excessive exercise, along with self-evaluation unduly influenced by body shape and weight.

VA disability condition rated under DC 9520/9521.

Residual effects from ectopic pregnancy where a fertilized egg implants outside the uterus, usually in the fallopian tube. Surgical treatment may result in tubal loss, adhesions, chronic pain, and reduced fertility.

Chronic inflammatory skin condition causing itching, redness, and dry, cracked skin

Hereditary connective tissue disorder causing joint hypermobility, chronic dislocations, widespread pain, and fragile skin

Residual limitation of motion and pain from a healed elbow fracture affecting forearm extension and flexion

VA disability condition rated under DC 5207.

VA disability condition rated under DC 5206.

Degenerative joint disease of the elbow with cartilage loss, bone spurs, and progressive stiffness reducing forearm motion

Prosthetic replacement of the elbow joint (total elbow arthroplasty) with residual pain and functional limitations

Inflammation of the brain tissue causing cognitive impairment, seizures, and neurological deficits.

Benign cartilage tumor growing within the medullary cavity of bone, commonly in the hand, potentially causing pathologic fractures

Infection or inflammation of the inner lining of the heart chambers and valves

Tissue similar to the uterine lining grows outside the uterus, causing chronic pelvic pain, painful periods, pain during intercourse, and infertility. Very common in female veterans and often underdiagnosed.

Chronic immune-mediated esophageal disease with eosinophilic infiltration causing dysphagia and food impaction

Inflammation of the epididymis (tube at the back of the testicle). Causes scrotal pain and swelling. Can be acute from infection or chronic from recurrent episodes. Common in military due to physical activity and UTIs.

VA disability condition rated under DC 8910.

VA disability condition rated under DC 8911.

Seizure disorder characterized by generalized tonic-clonic convulsions with loss of consciousness.

Seizures originating from the diencephalon causing autonomic symptoms including flushing, sweating, and blood pressure changes.

Focal seizures beginning in one part of the body and potentially spreading, originating from motor cortex.

Seizure disorder with brief episodes of staring, unresponsiveness, and subtle body movements without convulsions.

Complex partial seizures from the temporal lobe causing altered consciousness, automatisms, and behavioral changes.

Inability to achieve or maintain an erection sufficient for sexual intercourse. Very commonly secondary to medications (antidepressants, blood pressure meds), diabetes, cardiovascular disease, or psychological conditions.

Rare vascular condition causing episodes of burning pain, redness, and warmth in the extremities

Malignant tumor of the esophagus; rated 100% during active treatment, then on residuals

Narrowing of the esophagus that restricts the passage of food and liquids, often requiring dilation

Involuntary rhythmic shaking, most commonly in the hands, that worsens with voluntary movement and stress.

Impaired function of the eustachian tube resulting in inability to equalize middle ear pressure. Causes ear fullness, popping, muffled hearing, pain, and predisposition to middle ear infections. Common in personnel exposed to altitude changes and blast overpressure.

Paralysis or paresis of one or more extraocular muscles controlling eye movement, typically due to cranial nerve damage (CN III, IV, or VI). CN III (oculomotor) palsy causes ptosis, outward eye deviation, and dilated pupil. CN IV (trochlear) palsy causes vertical diplopia. CN VI (abducens) palsy causes inward eye deviation. Common after TBI and blast injuries.

Paralysis of cranial nerve VII causing unilateral facial drooping, inability to close eye, and loss of facial expression.

Inability to control bowel movements, ranging from occasional leakage to complete loss of control

Protrusion of abdominal contents through the femoral canal below the inguinal ligament

Residual pain, malunion, and limited motion from a healed femur (thighbone) fracture, often with leg length discrepancy

Chronic widespread musculoskeletal pain with tender points, fatigue, sleep disturbance, and cognitive difficulties (fibro fog)

VA disability condition rated under DC 5025.

Residual pain and limited function from a healed fibula fracture in the lower leg, potentially affecting ankle stability

Permanent stiffness or fixation of one or more finger joints in a fixed position, limiting grip, pinch, and fine motor function

Residual stiffness, pain, and limited motion from a healed finger phalanx or metacarpal fracture affecting grip and dexterity

Abnormal tunnel between the anal canal and the skin near the anus, often following an abscess

VA disability condition rated under DC 5276.

Chronic infection or inflammation of hair follicles causing itchy, painful bumps

Residual pain and limited rotation from a healed radius or ulna fracture in the forearm affecting wrist and elbow function

Amputation through the metatarsal bones of the forefoot, requiring specialized footwear and causing significant gait impairment

Severely restricted hip movement from joint capsule inflammation and scarring, limiting flexion, rotation, and abduction

Stiffness and pain in the shoulder joint capsule with severely limited range of motion in all planes (frozen shoulder)

Abnormal walking pattern (antalgic, lurching, or shuffling gait) resulting from musculoskeletal pain or structural deformity

Fluid-filled cyst arising from a joint capsule or tendon sheath, commonly on the wrist, causing pain and limited motion

Malignant tumor of the stomach; rated 100% during active treatment, then on residuals

Open sore in the stomach lining, often caused by H. pylori or NSAID use, causing pain and bleeding

Chronic backward flow of stomach acid into the esophagus causing heartburn, regurgitation, and tissue damage

Cancer of the gastrointestinal tract including esophagus, stomach, small intestine, colon, and rectum. Rated 100% during active disease. Presumptive under the PACT Act for burn pit and post-9/11 veterans.

Delayed stomach emptying without mechanical obstruction, causing nausea, vomiting, and bloating

Excessive, uncontrollable worry and anxiety about a variety of events or activities, persisting for at least six months and causing significant distress or functional impairment.

Group of eye diseases causing damage to the optic nerve, usually due to elevated intraocular pressure. Open-angle glaucoma (DC 6013) is the most common type and is a leading cause of irreversible blindness. Angle-closure glaucoma (DC 6012) presents with acute attacks of eye pain and vision loss.

Severe pain in the tongue, throat, ear, and tonsils along cranial nerve IX distribution.

Inflammatory arthritis caused by monosodium urate crystal deposits in joints, causing recurrent painful flares and joint damage

VA disability condition rated under DC 5017.

Chronic skin condition causing ring-shaped raised bumps, often on hands and feet

Chronic nasal inflammation with granuloma formation, often related to Wegener granulomatosis or other systemic conditions

Amputation of the great (big) toe affecting push-off mechanics, balance, and normal gait pattern during walking

Significant loss of grip and pinch strength in the hand affecting ability to hold objects, open containers, and perform daily tasks

Chronic strain or recurrent injury of the adductor muscles in the groin causing inner thigh pain with lateral movements and running

Insufficient production of growth hormone by the pituitary gland. In adults, causes increased body fat, decreased muscle mass, reduced bone density, fatigue, and impaired quality of life. Can result from TBI, pituitary surgery, or radiation.

Acute autoimmune disorder attacking the peripheral nervous system causing rapid-onset muscle weakness and potentially paralysis.

Bony enlargement on the posterior superior calcaneus (pump bump) causing retrocalcaneal bursitis and Achilles tendon irritation

Stiffness and arthritis of the first metatarsophalangeal joint causing painful, limited motion of the big toe during walking

VA disability condition rated under DC 5280.

Bony deformity at the base of the big toe causing lateral deviation, pain with footwear, and difficulty walking

VA disability condition rated under DC 5280.

VA disability condition rated under DC 5280.

Deformity where the toe bends permanently downward at the middle joint, causing pain with footwear and callus formation

VA disability condition rated under DC 5282.

Chronic or recurrent tears of the hamstring muscles causing posterior thigh pain, weakness, and limited hip extension and knee flexion

Amputation or complete loss of the hand at the wrist level, requiring prosthetic use and causing total loss of grip and manipulation

Degenerative joint disease of the hand and finger joints causing stiffness, swelling, bony nodules, and reduced grip strength

Loss or defect of the hard palate from trauma, surgery, or disease. Causes difficulty eating, nasal regurgitation of food and liquids, and speech impairment. May require prosthetic obturator.

Chronic pain from retained surgical hardware (screws, plates, rods, pins) causing discomfort, sensitivity to temperature, and limited motion

Autoimmune disorder where the immune system attacks the thyroid gland, gradually destroying it. The most common cause of hypothyroidism. Rated under hypothyroidism criteria as it typically results in an underactive thyroid.

Malignant tumors of the head and neck region including throat, larynx, pharynx, and oral cavity

Surgical replacement of a diseased heart valve with a mechanical or biological prosthesis

Bony calcium deposit (spur) on the calcaneus (heel bone) causing chronic heel pain with weight-bearing and walking

Involuntary twitching or spasm of the muscles on one side of the face due to facial nerve compression.

Weakness (hemiparesis) or paralysis (hemiplegia) of one side of the body, typically resulting from stroke or TBI.

Condition where red blood cells are destroyed faster than the body can replace them. Can be inherited (G6PD deficiency, spherocytosis) or acquired (autoimmune, medication-induced). Causes jaundice, dark urine, and enlarged spleen.

Inherited bleeding disorder where blood does not clot properly due to deficiency of clotting factors (Factor VIII in Hemophilia A, Factor IX in Hemophilia B). Causes spontaneous bleeding into joints and muscles.

Swollen and inflamed veins in the rectum and anus causing bleeding, pain, and itching

Brain dysfunction caused by severe liver disease allowing toxins to accumulate in the blood

Chronic viral infection of the liver caused by the hepatitis C virus. Very common in Vietnam-era veterans from blood transfusions, jet gun inoculations, and combat exposure. Modern oral DAA antiviral treatments achieve SVR ("cure") but residual liver damage may persist and rates on the post-treatment manifestations.

Herniated or ruptured intervertebral disc in the cervical spine causing nerve root compression, radiating arm pain, and numbness

Herniated or ruptured intervertebral disc in the lumbar spine causing nerve root compression, radiating pain, and numbness

Herniated or ruptured intervertebral disc in the thoracic spine causing mid-back pain, nerve compression, and radiating symptoms

Residuals of varicella-zoster virus reactivation causing painful blistering rash along nerve distributions

Abnormal formation of bone tissue within muscles or soft tissues following injury, surgery, or blast exposure, restricting joint motion

Protrusion of the upper stomach through the diaphragm into the chest cavity, causing reflux and discomfort

Chronic painful skin condition causing abscesses and tunneling wounds in areas with skin-to-skin contact

Abnormally high foot arch causing lateral foot instability, metatarsal pain, callus formation, and difficulty finding proper footwear

Hip pain and limited range of motion from muscle strain or bursal inflammation affecting walking, sitting, and daily activities

Residual limitations from a hip or proximal femur fracture including pain, limited motion, and impaired weight-bearing

Abnormal bone contact between the femoral head and acetabulum (cam or pincer type) causing groin pain and limited hip flexion/rotation

Tear of the labrum (cartilage ring) in the acetabular socket of the hip, causing clicking, catching, and limited motion

VA disability condition rated under DC 5251.

VA disability condition rated under DC 5252.

Degenerative joint disease of the hip with cartilage loss, bone spurs, and progressive pain reducing mobility and weight-bearing ability

Prosthetic replacement of the hip joint (total or partial hip arthroplasty) with residual pain and functional limitations

Human immunodeficiency virus infection that attacks the immune system. Without treatment, can progress to AIDS. Veterans may have been exposed through combat injuries, blood transfusions, or occupational exposure during military service.

Human Immunodeficiency Virus infection that progressively impairs the immune system. Untreated infection can progress to Acquired Immunodeficiency Syndrome (AIDS), characterized by opportunistic infections, certain cancers, and severe immune dysfunction. Modern antiretroviral therapy (ART) can suppress viral load to undetectable levels and prevent progression. Service members may have been exposed through transfusions, sharps injuries, sexual contact, or in-service medical procedures.

Persistent difficulty discarding or parting with possessions regardless of their actual value, due to a perceived need to save items and distress associated with discarding them. Results in accumulation of possessions that congest living areas and substantially compromise their intended use.

Cancer of the lymphatic system characterized by Reed-Sternberg cells. Distinguished from non-Hodgkin's lymphoma by specific cell characteristics. Presumptive for Agent Orange exposure. Generally has high cure rates with modern treatment.

Loss of the same half of the visual field in both eyes (left or right), caused by damage to the optic tract, lateral geniculate nucleus, or visual cortex on one side of the brain. Common after stroke, TBI, or brain tumors. Significantly impacts reading, driving, and spatial awareness. Rated at a flat 30% under DC 6080 — unlike the temporal/nasal/inferior/superior half-field rows, homonymous hemianopsia has NO "or evaluate each affected eye as <Snellen>" rate-as alternative.

Residual pain, malunion, and limited motion from a healed fracture of the humerus (upper arm bone) affecting shoulder and elbow function

Fluid-filled sac surrounding the testicle causing scrotal swelling. May develop after injury, infection, or surgery. Usually painless but can cause discomfort from size and weight.

Abnormal accumulation of cerebrospinal fluid within the brain ventricles causing increased intracranial pressure.

Swelling of the kidney due to urine backup from obstruction. Can be caused by kidney stones, tumors, enlarged prostate, or congenital abnormalities. Prolonged obstruction damages kidney tissue.

Increased sensitivity to normal environmental sounds, making everyday noises seem intolerably loud or painful. Frequently co-occurs with tinnitus and hearing loss. Common after noise exposure, blast injury, or traumatic brain injury in military service.

Overproduction of aldosterone by the adrenal glands, leading to high blood pressure and low potassium levels. Conn's syndrome refers to the primary form caused by an adrenal adenoma.

Conditions that increase the tendency for blood clots. Includes Factor V Leiden, prothrombin gene mutation, antiphospholipid syndrome, and protein C/S deficiency. Requires lifelong anticoagulation in many cases.

Excessive sweating beyond what is needed for temperature regulation

One or more parathyroid glands produce too much parathyroid hormone, causing elevated calcium levels in the blood. Leads to bone loss, kidney stones, fatigue, and neuropsychiatric symptoms.

Allergic lung inflammation caused by inhaling organic dusts, molds, or chemicals

Chronically elevated blood pressure requiring continuous medication or with documented elevated readings

High blood pressure added as a presumptive condition for Agent Orange-exposed veterans. One of the most commonly claimed conditions overall. Requires diastolic pressure predominantly 100 or more, or systolic 160 or more, or history of diastolic 100+ requiring continuous medication.

Heart disease caused by prolonged high blood pressure, leading to thickening and weakening of the heart muscle

Overactive thyroid gland producing excess thyroid hormone. Graves' disease is the most common cause, an autoimmune disorder. Symptoms include weight loss, rapid heartbeat, tremors, and heat intolerance.

VA disability condition rated under DC 7900.

Abnormal thickening of the heart muscle, which can obstruct blood flow and cause arrhythmias

Paralysis of cranial nerve XII causing tongue deviation, difficulty speaking, and swallowing problems.

Condition where the body does not produce enough sex hormones (testosterone in men, estrogen in women). Can be primary (gonadal) or secondary (pituitary/hypothalamic). Common in veterans due to TBI, medications, or aging.

Insufficient parathyroid hormone production, leading to low calcium and high phosphorus levels. Often occurs after thyroid or parathyroid surgery. Causes muscle cramps, tingling, seizures, and cardiac problems.

Deficiency of one or more pituitary hormones. The pituitary gland fails to produce adequate amounts of growth hormone, TSH, ACTH, LH/FSH, or prolactin. Can result from tumors, surgery, radiation, or traumatic brain injury.

Underactive thyroid gland that does not produce enough thyroid hormone. Common symptoms include fatigue, weight gain, cold intolerance, and depression. Often develops secondary to thyroid surgery or radiation treatment.

VA disability condition rated under DC 7903.

Residual effects from surgical removal of the uterus. Complete hysterectomy includes cervix removal. If ovaries are also removed (bilateral salpingo-oophorectomy), additional hormonal effects apply. Common after fibroids, cancer, or endometriosis.

Group of skin disorders causing dry, scaly, fish-like skin due to abnormal keratinization

Paralysis of the ilio-inguinal nerve causing groin pain, sensory loss in the inguinal region, and lower abdominal discomfort.

Friction and inflammation of the iliotibial band as it crosses the lateral femoral condyle, causing outer knee or hip pain during activity

Preoccupation with having or acquiring a serious illness despite minimal or no somatic symptoms. Characterized by high health anxiety, excessive health-related behaviors (frequent checking, doctor visits), and maladaptive avoidance of medical situations.

Reduced visual acuity (sharpness of vision) measured at distance with best correction. VA rates based on best-corrected Snellen acuity in each eye, cross-referenced via paired-acuity tables. Covers the full range from non-compensable (both eyes 20/40 or better) through 100% bilateral blindness; the worse the fellow eye, the higher the rating. Anatomical loss / light perception only carries a "Footnote 1: Review for SMC entitlement under 38 CFR § 3.350" flag.

Recurrent bacterial skin infection causing crusty, honey-colored sores

Implanted device that monitors heart rhythm and delivers shocks to correct life-threatening arrhythmias

Slowly progressive inflammatory muscle disease causing asymmetric weakness in the finger flexors and quadriceps, resistant to treatment

Amputation of the index (pointer) finger affecting pinch grip, fine motor skills, and overall hand dexterity

Inability to conceive after 12 months of unprotected intercourse. Can result from tubal damage, endometriosis, ovulatory disorders, or uterine abnormalities. Often secondary to PID, endometriosis, or surgical complications from military service.

Protrusion of tissue through the inguinal canal in the groin area. Very common in veterans due to heavy lifting and physical training. Can be direct or indirect, unilateral or bilateral. May recur after surgical repair.

Persistent difficulty initiating or maintaining sleep, or nonrestorative sleep, causing clinically significant distress or impairment in social, occupational, or other important areas of functioning. Often co-occurs with or secondary to PTSD, anxiety, or depression.

Recurrent behavioral outbursts representing a failure to control aggressive impulses, manifested by verbal aggression or physical aggression toward property, animals, or other individuals. The degree of aggressiveness is grossly out of proportion to the provocation.

Paralysis of the tibial nerve causing difficulty with foot plantarflexion, toe flexion, and foot inversion.

Paralysis of the saphenous nerve causing sensory loss along the medial leg and foot with no motor deficit.

Chronic bladder condition causing pressure and pain in the bladder area, frequent urination, and urgency without infection. Also known as painful bladder syndrome. More common in women but affects male veterans as well.

Group of disorders causing progressive scarring of interstitial lung tissue

Disc abnormality causing incapacitating episodes of pain requiring bed rest prescribed by a physician and treatment by a physician

VA disability condition rated under DC 5243.

Progressive deterioration of intervertebral discs in the lumbar spine causing chronic pain, stiffness, and reduced mobility

Abnormal connection between the intestine and another organ or the skin surface

Partial or complete blockage of the intestine that prevents normal passage of food and digestive products

Elevated intracranial pressure without tumor causing severe headaches, vision changes, and pulsatile tinnitus.

Inflammation of the iris (anterior uveitis), the most common form of uveitis. Causes eye pain, redness, photophobia, blurred vision, and tearing. May be idiopathic or associated with autoimmune conditions (ankylosing spondylitis, reactive arthritis), infections, or trauma.

Most common type of anemia where the body lacks sufficient iron to produce adequate hemoglobin. Causes fatigue, weakness, pale skin, shortness of breath, and dizziness. Often secondary to service-connected GI bleeding (peptic ulcer, IBD, colorectal cancer), chronic renal disease (anemia of CKD), heavy menstruation, or poor absorption.

Abnormal uterine bleeding patterns including irregular timing, heavy flow, prolonged periods, or breakthrough bleeding. Can result from hormonal imbalances, fibroids, endometriosis, or medications.

Chronic functional gastrointestinal disorder with abdominal pain related to defecation and altered bowel habits

Heart disease caused by reduced blood flow to the heart muscle. Presumptive condition for veterans exposed to Agent Orange. Includes coronary artery disease, angina, and myocardial infarction. One of the most commonly claimed Agent Orange conditions.

Residual effects from fracture of the mandible or maxilla. Common in veterans from combat injuries, training accidents, or assaults. Residuals may include malunion, nonunion, limited jaw opening, numbness, and chronic pain.

Recurrent accumulation of excess synovial fluid within a joint causing swelling, stiffness, and reduced range of motion

Revision surgery to replace a failed, worn, or infected joint prosthesis, often with greater bone loss and worse functional outcomes

Inflammation of the cornea that can be caused by infection (bacterial, viral, fungal, parasitic), trauma, contact lens wear, or autoimmune conditions. Symptoms include eye pain, redness, tearing, blurred vision, and light sensitivity. Herpes simplex keratitis is a common recurrent form in veterans.

Progressive thinning and cone-shaped bulging of the cornea, causing irregular astigmatism, myopia, and visual distortion. Usually develops in adolescence or young adulthood. Service connection may be established if aggravated by military service.

Malignant neoplasm of the kidney, most commonly renal cell carcinoma. Rated 100% during active disease or treatment. Presumptive under the PACT Act for burn pit and post-9/11 veterans.

Surgical procedure to replace a diseased kidney with a healthy one from a donor. Post-transplant requires lifelong immunosuppressive medication. Rated 100% for one year following transplant, then on residuals.

Limited ability to fully straighten (extend) the knee, causing a flexion contracture that impairs walking and standing

Limited ability to bend (flex) the knee, affecting squatting, kneeling, stair climbing, and sitting comfort

Chronic knee instability with recurrent subluxation or giving way episodes, requiring bracing and limiting weight-bearing activities

Progressive loss of articular cartilage in the knee joint causing bone-on-bone contact, pain, swelling, and crepitus

Knee pain with recurrent subluxation or lateral instability causing giving way, buckling, and limited weight-bearing ability

Degenerative joint disease of the knee with cartilage loss, bone spurs, and progressive pain reducing mobility and weight-bearing

Prosthetic replacement of the knee joint (total or partial knee arthroplasty) with residual pain and functional limitations

Excessive forward curvature of the upper (thoracic) spine causing a rounded back, pain, and restricted range of motion

Inflammation of the labyrinth (inner ear structures responsible for balance and hearing), usually caused by viral or bacterial infection. Causes sudden onset of vertigo, hearing loss, nausea, and nystagmus. May leave residual balance problems or hearing loss.

Inability to fully close the eyelids, leaving the cornea partially exposed. May be caused by facial nerve (CN VII) palsy, scarring from burns or surgery, thyroid eye disease, or trauma. Results in corneal exposure, dryness, irritation, and risk of corneal ulceration.

Inflammation and degeneration of the lateral (outer) elbow tendons causing pain with gripping, lifting, and wrist extension

Compression of the lateral femoral cutaneous nerve causing burning pain, tingling, and numbness on the outer thigh.

VA disability condition rated under DC 5271.

VA disability condition rated under DC 5206/5207.

VA disability condition rated under DC 5252/5253.

VA disability condition rated under DC 5201.

VA disability condition rated under DC 5201/5200.

Amputation of the leg above the knee (transfemoral), requiring prosthetic use and causing major mobility and balance impairment

Amputation of the leg below the knee (transtibial), requiring prosthetic use and causing gait impairment and balance difficulties

One leg measurably shorter than the other due to fracture, surgery, or growth disturbance, causing compensatory gait and spinal problems

Cancer of the blood-forming tissues including bone marrow. Types include ALL, AML, CLL, and CML. Rated 100% during active disease. Presumptive for Agent Orange, radiation, and certain toxic exposures.

Inflammatory condition causing purplish, flat-topped, itchy bumps on skin and mucous membranes

Inability to fully rotate the forearm palm up (supination) or palm down (pronation), affecting daily tasks and tool use

Amputation of the little (pinky) finger at various levels, affecting grip power and ulnar hand function

Primary malignant tumor of the liver; rated 100% during active treatment, then on residuals

Surgical replacement of a diseased liver with a donor liver; rated 100% for one year post-transplant

Paralysis of the long thoracic nerve causing winged scapula due to serratus anterior weakness.

Free-floating fragment of bone or cartilage within a joint causing intermittent locking, catching, pain, and joint effusion

Loss of the lower half of the visual field in one or both eyes (inferior altitudinal defect). Most commonly caused by anterior ischemic optic neuropathy (AION), branch retinal artery occlusion of superior vessels, or occipital cortex injury. The functional impact on reading and walking is significant — the schedule rates bilateral inferior loss at 30% (the same as bitemporal/homonymous hemianopia).

Loss of part or all of the upper jaw (maxilla) or lower jaw (mandible). Can result from combat trauma, blast injury, surgical resection for cancer, or severe infection. Causes significant functional impairment in eating, speaking, and facial appearance.

Loss of the inner (nasal) half of the visual field in one or both eyes. Bilateral nasal-half loss (binasal hemianopia) is uncommon and typically caused by bilateral lateral chiasmal compression, internal carotid artery aneurysms, or chiasmal arachnoiditis. The schedule treats bilateral and unilateral nasal-half loss identically at 10%.

Loss of the upper half of the visual field in one or both eyes (superior altitudinal defect). Most commonly caused by branch retinal artery occlusion of inferior vessels or inferior occipital cortex injury. The schedule rates both bilateral and unilateral superior loss at 10% — functionally less disabling than inferior loss (which rates 30% bilateral), reflecting the asymmetric impact of upper vs. lower field on reading and ambulation.

Loss of teeth due to injury, disease, or bone loss. VA dental disability compensation requires loss of teeth due to loss of substance of the body of the maxilla or mandible. Service-connected tooth loss from trauma is separately compensable.

Loss of the outer (temporal) half of the visual field in both eyes (bitemporal hemianopia), typically caused by compression of the optic chiasm by a pituitary tumor, craniopharyngioma, or other sellar/parasellar mass. Impairs peripheral vision on both sides. Rated under DC 6080 at 30% bilateral / 10% unilateral, with verbatim "or evaluate each affected eye as 20/70 (6/21)" rate-as alternative.

Partial or complete loss of the tongue from trauma, surgery (glossectomy for cancer), or injury. Causes severe difficulty with speech, eating, swallowing, and taste. Profoundly impacts quality of life.

Surgical or traumatic loss of part or all of a lower extremity (toe, foot, leg, hip). Anatomic-level specific canonicals — leg-amputation-above-knee (DC 5161), leg-amputation-below-knee (DC 5164), great-toe-amputation (DC 5171), forefoot-amputation (DC 5166), toe-amputation-multiple — carry the full rating tiers. This record covers cross-cutting concerns (phantom limb pain, prosthesis-fitting issues, contralateral overuse arthropathy, opioid dependence from chronic pain) that apply regardless of amputation level.

Injury to lower brachial plexus (C8-T1) causing hand weakness, claw hand deformity, and sensory loss.

VA disability condition rated under DC 8520.

VA disability condition rated under DC 8520.

Compression of lumbar nerve roots causing radiating leg pain, numbness, tingling, and weakness in the lower extremities

Narrowing of the lumbar spinal canal compressing nerve roots, causing neurogenic claudication and leg symptoms with walking

Strain or sprain of the lower back (lumbosacral) muscles and ligaments causing chronic pain and limited range of motion

Surgical replacement of one or both diseased lungs; rated 100% for one year post-transplant

Chronic swelling usually in arms or legs caused by blockage or damage to the lymphatic system. Can result from cancer surgery (lymph node removal), radiation, infection, or trauma. Requires lifelong management with compression and manual lymphatic drainage.

Cancer that begins in the lymphatic system. Includes many subtypes ranging from indolent to aggressive. Rated 100% during active disease. Presumptive for Agent Orange exposure, burn pit exposure, and radiation.

Progressive deterioration of the macula, the central portion of the retina responsible for sharp central vision. Dry (atrophic) form involves gradual thinning; wet (neovascular) form involves abnormal blood vessel growth causing rapid vision loss. Age-related macular degeneration (AMD) is the most common form.

Accumulation of fluid in the macula (central retina) causing thickening and swelling, resulting in blurred and distorted central vision. May be secondary to diabetic retinopathy (diabetic macular edema/DME), retinal vein occlusion, uveitis, or post-surgical inflammation.

Persistent depressed mood or loss of interest in activities, accompanied by changes in appetite, sleep, energy, concentration, and self-worth. Episodes must last at least two weeks and represent a change from previous functioning.

Impaired absorption of nutrients from the small intestine, causing nutritional deficiencies and weight loss

Serious skin cancer originating in melanocytes; rated 100% during active disease

Malignant tumor of the pleural lining, strongly associated with asbestos exposure

Cancerous tumors of the eye or orbit, including ocular melanoma (most common primary intraocular malignancy in adults), retinoblastoma, lymphoma, and metastatic tumors. Treatment may include enucleation, radiation, or chemotherapy.

Malignant tumor of the lung; rated 100% during active disease and treatment

Malignant tumors of the skin including basal cell, squamous cell, and other non-melanoma skin cancers

Hereditary connective tissue disorder affecting the skeleton (tall stature, long limbs, scoliosis), heart, and eyes due to fibrillin deficiency

Residual effects from surgical removal of breast tissue including scarring, chest wall pain, lymphedema, restricted range of motion, and psychological impact. Rating depends on extent of tissue loss and whether reconstruction was performed.

Infection of the mastoid bone behind the ear, usually resulting from untreated or chronic middle ear infection. Can cause bone destruction, abscess formation, and in severe cases, intracranial complications.

Tear or sprain of the medial collateral ligament causing inner knee pain, instability, and difficulty with lateral movements

Inflammation and degeneration of the medial (inner) elbow tendons causing pain with gripping, throwing, and wrist flexion

VA disability condition rated under DC 8515.

VA disability condition rated under DC 8515.

VA disability condition rated under DC 8515.

Significant impairment in short-term or long-term memory function due to TBI, stroke, or other neurological conditions.

Inner ear disorder characterized by episodic vertigo, fluctuating sensorineural hearing loss, tinnitus, and aural fullness. Caused by abnormal fluid buildup (endolymphatic hydrops) in the inner ear. Severely impacts daily functioning during attacks.

Inflammation of the meninges (membranes surrounding the brain and spinal cord) with potential lasting neurological damage.

Tear of the medial or lateral meniscus cartilage in the knee, often requiring arthroscopic surgery and causing chronic symptoms

Abnormally heavy or prolonged menstrual bleeding. Defined as blood loss exceeding 80 mL per cycle or periods lasting longer than 7 days. Causes iron deficiency anemia, fatigue, and significant daily impact.

Cluster of conditions including high blood pressure, high blood sugar, excess body fat around the waist, and abnormal cholesterol or triglyceride levels. Increases risk of heart disease, stroke, and type 2 diabetes.

Stress fracture in the metatarsal bones of the foot from repetitive impact, common in military marching and running activities

Chronic pain and inflammation in the ball of the foot at the metatarsal heads, aggravated by standing, walking, and impact activities

Injury to middle brachial plexus (C7) causing weakness in wrist and finger extension.

Post-traumatic arthritis in the tarsometatarsal (Lisfranc) joints of the midfoot causing pain with push-off, standing, and walking

Recurrent headaches characterized by unilateral pulsating pain, nausea, photophobia, and phonophobia.

Backward leaking of blood through the mitral valve when the heart contracts

The mitral valve leaflets bulge back into the left atrium during contraction, sometimes causing regurgitation

Combination of conductive and sensorineural hearing loss, indicating damage in both the outer or middle ear and the inner ear or auditory nerve. May result from blast injuries, chronic infections affecting multiple ear structures, or concurrent conditions.

Blood condition where an abnormal protein (monoclonal protein or M protein) is found in the blood. Can progress to multiple myeloma or other blood cancers. Presumptive for Agent Orange exposure under the PACT Act. Requires lifelong monitoring.

Localized hardening and thickening of the skin from excess collagen, limited to skin without systemic involvement

Thickened nerve tissue (neuroma) between the metatarsal heads causing sharp, burning pain and numbness in the toes

Disc deterioration affecting multiple spinal levels simultaneously, causing widespread pain, stiffness, and significant loss of spinal mobility

Amputation of two or more fingers causing severe loss of hand function, grip strength, and fine motor dexterity

Cancer of plasma cells in the bone marrow. Causes bone pain, fractures, kidney damage, anemia, and recurrent infections. Treated with chemotherapy, stem cell transplant, and targeted therapy.

VA disability condition rated under DC 8018.

Chronic autoimmune demyelinating disease of the central nervous system causing variable neurological deficits.

VA disability condition rated under DC 8018.

Injury to extrinsic shoulder girdle muscles (trapezius, levator scapulae, serratus magnus) controlling upward rotation of the scapula

Injury to extrinsic shoulder girdle muscles (pectoralis major II, latissimus dorsi, teres major, rhomboid) controlling arm depression

Injury to intrinsic shoulder girdle muscles (pectoralis major I, deltoid) controlling elevation and abduction of the arm

Injury to forearm flexor muscles controlling wrist flexion, finger flexion, and grip strength for grasping and holding

Injury to elbow flexor muscles (biceps, brachialis, brachioradialis) controlling elbow flexion and forearm supination

Injury to elbow extensor muscles (triceps, anconeus) controlling extension and stabilization of the elbow joint

Injury to forearm extensor muscles controlling wrist extension, finger extension, and dorsal forearm stabilization

Injury to posterior and lateral calf muscles (gastrocnemius, soleus) controlling plantar flexion and propulsion during gait

Injury to posterior thigh (hamstring) muscles controlling hip extension and knee flexion, affecting running and stair climbing

Injury to anterior thigh (quadriceps) muscles controlling knee extension, stair climbing, and standing from seated position

Injury to abdominal wall muscles (rectus abdominis, obliques, transversus) controlling core support and abdominal compression