Autoimmune Hepatitis

DC 7345Digestive38 CFR 4.114, DC 7345

A chronic condition where the immune system attacks the liver, causing inflammation and progressive damage. The VA rates autoimmune hepatitis based on symptom severity, treatment requirements, and the degree of liver impairment.

How the VA rates this condition

The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.

Diagnostic code

DC 7345

Rating range

10% – 100%

Rating levels

Rating criteria are defined in 38 CFR 4.114, DC 7345. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have near-constant debilitating symptoms such as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant pain from autoimmune hepatitis.

What the VA looks for

Near-constant debilitating symptoms documented
Inability to maintain employment
Severe liver damage or cirrhosis
Failed or inadequate response to immunosuppressive therapy

Common Pitfalls

⚠Not documenting the autoimmune nature of the hepatitis — the VA needs to see autoimmune markers (ANA, anti-smooth muscle antibodies) distinguishing this from viral hepatitis.
⚠Not filing for secondary conditions caused by long-term immunosuppressive therapy, such as osteoporosis, diabetes, or frequent infections.
⚠Not tracking incapacitating episodes with specific dates and durations — the rating criteria are tied to exact weekly totals over a 12-month period.

Related DBQ Forms

DBQ Liver Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…