CardiovascularDC 7114

Peripheral Arterial Disease

Peripheral arterial disease is rated under 38 CFR § 4.104, Diagnostic Code 7114. The VA evaluates symptom severity, walking tolerance (claudication distance), and arterial pressure measurements (ankle-brachial index).

VA Rating Levels

10%

Intermittent claudication on walking more than 25 yards; normal or near-normal ABI; occasional cold sensation or numbness.

20%

Claudication on walking 25 yards or less, or constant pain at rest with evidence of arterial insufficiency.

40%

Persistent coldness, paresthesias, or pain limiting ability to ambulate meaningfully.

60%

Persistent coldness and pain at rest with gangrene or severe recurrent skin breakdown.

Exam Tips & Key Evidence

→Smoking history may complicate service connection — document all in-service exposures
→PAD is commonly secondary to diabetes and hypertension
→ABI testing and vascular Doppler studies are key supporting evidence

Commonly Related Conditions

Hypertension (High Blood Pressure)Diabetes (Type 2)Peripheral Neuropathy (Diabetes-Related)

38 CFR Reference

38 CFR § 4.104, Diagnostic Code 7114