/ Conditions · Cardiovascular

Hypertension VA Claim Guide

Rated under DC 7101 based on diastolic and systolic readings. Often filed secondary to PTSD, sleep apnea, or diabetes. As of 2024 hypertension is presumptive for Agent Orange exposure.

38 CFR §4.104, DC 7101

Common symptoms

  • Often asymptomatic
  • Headaches
  • Dizziness
  • Vision changes (severe cases)

Common evidence

  • BP readings over time
  • Diagnosis from PCP or cardiologist
  • Medication records
  • STR with elevated BP readings

Primary service connection examples

  • Agent Orange exposure (presumptive)
  • In-service diagnosis
  • Repeated elevated BP readings in service

Secondary service connection examples

  • Secondary to PTSD
  • Secondary to sleep apnea
  • Secondary to diabetes
  • Secondary to kidney disease

Rating basics

10% (diastolic 100+ requiring medication, or history of diastolic predominantly 100+), 20% (diastolic 110+ or systolic 200+), 40% (diastolic 120+), 60% (diastolic 130+).

Common denial reasons

  • Single elevated reading instead of pattern
  • Diagnosis after presumptive window
  • No medication required