Peripheral Vascular Disease (Arteriosclerosis Obliterans)
Peripheral vascular disease is rated under DC 7114 based on the ankle/brachial index (ABI) and symptoms like claudication (pain when walking). Each affected limb is rated individually. This is a presumptive condition if diagnosed within one year of separation.
VA Rating Levels
Claudication on walking more than 100 yards, with diminished peripheral pulses or an ankle/brachial index of 0.9 or less.
Claudication on walking between 25 and 100 yards on a flat surface at 2 mph. Trophic changes (thin skin, hair loss, thickened or dystrophic nails) may be present. ABI of 0.7 or less.
Claudication on walking less than 25 yards on a flat surface at 2 mph, with trophic changes present. ABI of 0.5 or less.
Ischemic limb pain at rest, or deep ischemic ulcers with severe arterial insufficiency confirmed by ABI or other vascular studies.
Exam Tips & Key Evidence
- →Each affected limb gets its own separate rating. If both legs are impacted, you can receive a rating for each one individually.
- →The ankle/brachial index (ABI) is the key objective measurement. If you have not had one recently, ask your doctor to order it. It directly supports your rating level.
- →Document how far you can walk before pain forces you to stop. That distance is one of the main factors the VA uses to determine your rating.
- →This condition is commonly claimed secondary to diabetes, hypertension, or service-connected smoking-related conditions. Make sure any secondary link is documented by your provider.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.104, DC 7114