Education · 38 CFR § 4.104 · Heart, arteries, and veins (cardiovascular system) · not your rating · we do not file
Hypertension VA rating (DC 7101)
VA rates hypertension under diagnostic code 7101 in 38 CFR § 4.104. The rule book lists 10%, 20%, 40%, and 60%. Below: each level in plain English, then the exact words.
Rule-book name: Diseases of the Arteries and Veins: Hypertensive vascular disease (hypertension and isolated systolic hypertension). Last checked against eCFR on 2026-10-10 (eCFR issue 2026-08-27). Official text: 38 CFR § 4.104 on eCFR.
Each rating level in plain English
- 60%: The published words look at: blood pressure readings in your records.
- 40%: The published words look at: blood pressure readings in your records.
- 20%: The published words look at: blood pressure readings in your records.
- 10%: The published words look at: blood pressure readings in your records; and medicine you take for it.
Plain words come from our reading aid for the published words. They never add a symptom. The quotes below are the rule.
Exact words in 38 CFR § 4.104
60% · “Diastolic pressure predominantly 130 or more”
40% · “Diastolic pressure predominantly 120 or more”
20% · “Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more”
10% · “Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for control”
Notes printed with this code
“Note (1): Hypertension or isolated systolic hypertension must be confirmed by readings taken two or more times on at least three different days. For purposes of this section, the term hypertension means that the diastolic blood pressure is predominantly 90mm. or greater, and isolated systolic hypertension means that the systolic blood pressure is predominantly 160mm. or greater with a diastolic blood pressure of less than 90mm.”
“Note (2): Evaluate hypertension due to aortic insufficiency or hyperthyroidism, which is usually the isolated systolic type, as part of the condition causing it rather than by a separate evaluation.”
“Note (3): Evaluate hypertension separately from hypertensive heart disease and other types of heart disease.”
What records usually show this
VA reads these things from your records: service treatment records, VA and private treatment records, and the VA claim exam (C&P exam). The published words on this page talk about:
- Blood pressure readings in your records: usually found in a test or exam result in your records. The rule book reads this number from the test, not from a statement.
- Medicine you take for it: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
Education only. This does not say you have any of these, and a record that mentions them does not decide a rating. Only write what is true for you. Evidence needed for your disability claim · VA claim exam (C&P exam)
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Common questions
What percentages does the VA rating schedule list for Hypertension (DC 7101)?
38 CFR § 4.104 lists 10%, 20%, 40%, and 60% for diagnostic code 7101. VA decides which line fits from the evidence. This page is not your rating.
Where do these words come from?
They are quoted from the public eCFR copy of 38 CFR § 4.104, last checked 2026-10-10. The official page is linked on this page so you can check every word.
Does this page tell me what my rating will be?
No. It shows what the published rule book says. It does not predict a rating, a decision, or a dollar amount, and it does not say you have this condition.
Who can file a VA claim for me for free?
Accredited Veterans Service Officers (VSOs) can prepare and file a claim with you at no cost. VA lists accredited representatives on VA.gov. We do not file.
This page quotes the public VA rule book. It is not your rating and not your pay. We do not say you have this condition. We do not file. You, or a free accredited representative, file with VA.
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