Esophagus or GERD VA Rating
Veterans Can Receive a Barrett’s Esophagus or GERD VA Rating
Gastroesophageal reflux disease, also called GERD, is a relatively common disorder that affects many veterans. GERD is a more severe version of acid reflux than heartburn. It has many different causes, including medications, physical trauma, and psychological stress. That means many veterans may be entitled to VA disability benefits for GERD either as a primary or secondary service-connected disability.
Over-the-counter antacids and acid blockers are your best friend. You have to take them with just about every meal, or you get uncomfortable heartburn. But did you know that your reflux may be related to your military service? This post explains the VA rating for GERD.
GERD in veterans
Gastroesophageal reflux disease (GERD) is a digestive disease that happens when acid or stomach bile climbs into the esophagus.
GERD and acid reflux are often used as interchangeable terms, but this is not exactly accurate. Both conditions cause heartburn, a burning pain in your chest that sometimes feels like it’s rising into your throat after you eat. However, GERD is more severe than acid reflux. If you experience heartburn twice a week or more, you’re most likely dealing with GERD.
GERD often is rated as a secondary condition related to another service-connected condition. About 10-15% of people with GERD also develop Barrett’s esophagus. Barrett’s esophagus is a condition that causes the tissue like that in the lining of your intestine to replace the tissue in your esophagus. People with Barrett’s esophagus are more prone to esophageal cancer, which veterans may already be at an increased risk of developing.
GERD VA disability
GERD is rated using the diagnostic code 7206 for gastroesophageal reflux disease, which rates at 0%, 10%, 30%, 50%, or 80%, depending on the frequency and severity of symptoms.
| Description | VA Rating | Monthly payment (vet only) |
|---|---|---|
| Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube) | 80% | $2,044.89 |
| Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia which requires at least one of the following (1) dilatation 3 or more times per year, (2) dilatation using steroids at least one time per year, or (3) esophageal stent placement | 50% | $1,102.04 |
| Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year | 30% | $537.42 |
| Documented history of esophageal stricture(s) that requires daily medications to control dysphagia otherwise asymptomatic | 10% | $175.51 |
| Documented history without daily symptoms or requirement for daily medications | 0% | None |
Barrett’s esophagus VA rating
Over time, the damage to the esophagus caused by GERD can result in a condition called Barrett’s esophagus. This damage causes thickening and reddening of the esophageal lining.
The VA rates Barrett’s esophagus using either diagnostic code 7207 for Barrett’s esophagus or diagnostic code 7203 for stricture of the esophagus, depending on whether there is esophageal stricture.
If there is not esophageal stricture, the Barrett’s esophagus VA rating is as follows:
| Description | VA Rating | Monthly payment (vet only) |
|---|---|---|
| Documented by pathologic diagnosis with high-grade dysplasia | 30% | $537.42 |
| Documented by pathologic diagnosis with low-grade dysplasia | 10% | $175.51 |
If a veteran experiences esophageal stricture, the VA will rate Barrett’s esophagus using DC 7203 as follows:
| Description | VA Rating | Monthly payment (vet only) |
|---|---|---|
| Permitting passage of liquids only, with marked impairment of general health | 80% | $2,044.89 |
| Severe, permitting liquids only | 50% | $1,102.04 |
| Moderate | 30% | $537.42 |
Conditions related to GERD
Veterans may be able to prove that their GERD was directly caused by their service. If your GERD predated your service, you may also be able to establish a service connection on the basis of aggravation if your condition became worse because of your service.
GERD may also be a secondary disability if another service-connected condition caused it. Likewise, if you have a service-connected condition that causes you to develop GERD, you may be owed VA disability compensation for both conditions.
Examples include:
- Mental health disorders. Research suggests GERD can cause higher rates of mental health disorders like anxiety and PTSD. If you have both a mental health condition and GERD, it’s possible you could be owed VA disability for both.
- Medications. Many medications can cause GERD. Prescription and over-the-counter pain medication, can lead to GERD or intensify already existing symptoms of GERD GERD. Muscle relaxants can also cause GERD. Similarly, high blood pressure medication can also relax the muscles around the esophageal sphincter, causing GERD. You could be owed additional compensation if you have a service-connected condition like chronic pain or high blood pressure and your medication causes GERD.
- Sleep disorders. GERD may cause sleep apnea. GERD is more likely to occur during sleep because the muscles are relaxed, your esophagus is horizontal with respect to your stomach, and you swallow less frequently. This allows gravity to pull acid from your stomach past the valve.
- Disabilities involving coughing. Researchers believe there may be an association between chronic coughing and GERD, though the extent of this relationship is not fully clear.