Education · 38 CFR § 4.114 · Digestive system · not your rating · we do not file
Chronic liver disease without cirrhosis VA rating (DC 7345)
VA rates chronic liver disease without cirrhosis under diagnostic code 7345 in 38 CFR § 4.114. The rule book lists 0%, 20%, 40%, 60%, and 100%. Below: each level in plain English, then the exact words.
Rule-book name: Chronic liver disease without cirrhosis. Last checked against eCFR on 2026-10-10 (eCFR issue 2026-08-27). Official text: 38 CFR § 4.114 on eCFR.
Each rating level in plain English
- 100%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
- 60%: The published words look at: food or liquid going into the lungs, or losing weight; medicine you take for it; and how often it happens.
- 40%: The published words look at: food or liquid going into the lungs, or losing weight; medicine you take for it; and how often it happens.
- 20%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
- 0%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
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 § 4.114
100% · “Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment”
60% · “Progressive chronic liver disease requiring continuous medication and causing substantial weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia”
40% · “Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia”
20% · “Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus”
0% · “Previous history of liver disease, currently asymptomatic”
Notes printed with this code
“Note (1): 100% evaluation shall continue for six months following discontinuance of parenteral antiviral therapy and administration of parenteral immunomodulatory drugs. Six months after discontinuance of parenteral antiviral therapy and parenteral immunomodulatory drugs, determine the appropriate disability rating by mandatory VA exam. Apply the provisions of § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination.”
“Note (2): For individuals for whom physicians recommend both parenteral antiviral therapy and parenteral immunomodulatory drugs, but for whom treatment is medically contraindicated, rate according to DC 7312 (Cirrhosis of the liver).”
“Note (3): This diagnostic code includes Hepatitis B (confirmed by serologic testing), primary biliary cirrhosis (PBC), primary sclerosing cholangitis (PSC), autoimmune liver disease, Wilson's disease, Alpha-1-antitrypsin deficiency, hemochromatosis, drug-induced hepatitis, and non-alcoholic steatohepatitis (NASH). Track Hepatitis C (or non-A, non-B hepatitis) under DC 7354 but evaluate it using the criteria in this entry.”
“Note (4): Evaluate sequelae, such as cirrhosis or malignancy of the liver, under an appropriate diagnostic code, but do not use the same signs and symptoms as the basis for evaluation under DC 7354 and under a diagnostic code for sequelae. (See § 4.14)”
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:
- Food or liquid going into the lungs, or losing weight: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
- 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.
- How often it happens: 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 Chronic liver disease without cirrhosis (DC 7345)?
38 CFR § 4.114 lists 0%, 20%, 40%, 60%, and 100% for diagnostic code 7345. 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 § 4.114, 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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