CardiovascularDC 7113
Arteriovenous Fistula
Arteriovenous fistula is rated under DC 7113 based on the location and severity of the abnormal connection between an artery and a vein, and the resulting impact on circulation and cardiac function.
VA Rating Levels
0%
Asymptomatic arteriovenous fistula with no significant circulatory impact.
20%
With edema of the extremity or other evidence of impaired circulation.
60%
With significant edema, stasis changes, or cardiac involvement without heart failure.
100%
With high-output heart failure.
Exam Tips & Key Evidence
- →If the fistula causes heart failure due to the extra workload on the heart, that supports a 100% rating.
- →Document any swelling, circulatory changes, or cardiac symptoms that result from the fistula.
- →This condition can be caused by trauma, including combat injuries. If your fistula resulted from an injury during service, establish that connection clearly.
- →Regular imaging and vascular studies help track the progression of this condition and support your claim at re-evaluation.
Commonly Related Conditions
Coronary Artery DiseasePeripheral Vascular Disease
38 CFR Reference
38 CFR 4.104, DC 7113