Varicose Veins
Varicose veins are rated under DC 7120 as part of the circulatory disturbances schedule. Each affected limb is rated individually, and the bilateral factor applies when both legs are involved. Ratings are based on symptoms like edema, skin changes, and ulceration.
VA Rating Levels
Asymptomatic, palpable or visible varicose veins.
Intermittent edema of the extremity or aching and fatigue in the leg after prolonged standing or walking, relieved by elevation or compression hosiery.
Persistent edema, incompletely relieved by elevation of the extremity, with or without beginning stasis pigmentation or eczema.
Persistent edema and stasis pigmentation or eczema, with or without intermittent ulceration.
Persistent edema or subcutaneous induration, stasis pigmentation or eczema, and persistent ulceration.
Massive board-like edema with constant pain at rest. Typically associated with active deep vein thrombosis or severe post-thrombotic syndrome.
Exam Tips & Key Evidence
- →Each leg is rated separately. If both legs are affected, you receive a rating for each one, and the bilateral factor may boost your combined rating slightly.
- →Take photos of your legs regularly, especially when symptoms are at their worst. Visual evidence of swelling, skin discoloration, or ulceration can be very persuasive.
- →If you wear compression stockings, document that. The need for compression hosiery supports at least a 10% rating.
- →Stasis pigmentation (darkening of the skin near the ankles) and eczema are important signs that can push your rating to 20% or higher. Point these out to your examiner.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.104, DC 7120