HIV-Related Illness

DC 6351Infectious Diseases38 CFR 4.88b, DC 6351

Human immunodeficiency virus (HIV) attacks your immune system. The VA rates HIV based on how many infections you get, your T-cell counts, and how much it limits your daily life.

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 6351

Rating range

0% – 100%

Rating levels

Rating criteria are defined in 38 CFR 4.88b, DC 6351. 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 AIDS with very serious infections, wasting syndrome, or other life-threatening complications. You need regular medical care and cannot work.

What the VA looks for

Recurrent opportunistic infections (PCP, toxoplasmosis, CMV)
HIV wasting syndrome
Multiple body systems affected
Debility with progressive weight loss
Inability to maintain employment
Frequent or prolonged hospitalizations

Common Pitfalls

⚠Not documenting your T4/CD4 cell counts over time — the VA uses these lab values to determine severity, so request copies from every blood draw.
⚠Failing to report every opportunistic infection or hospitalization — each episode supports a higher rating.
⚠Not filing secondary claims for conditions caused by HIV or its medications, such as peripheral neuropathy, depression, or lipodystrophy.
⚠Assuming an undetectable viral load means you cannot get a rating — the VA rates based on treatment burden and residual symptoms, not just viral load.

Related DBQ Forms

DBQ Infectious Diseases — HIV-Related Illness

View evidence checklist →C&P exam prep guide →See secondary conditions →

Condition Rating Guides

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

How the VA rates this condition

Diagnostic code

DC 6351

Rating range

0% – 100%

Rating levels

Rating Levels

You have AIDS with very serious infections, wasting syndrome, or other life-threatening complications. You need regular medical care and cannot work.

What the VA looks for

Recurrent opportunistic infections (PCP, toxoplasmosis, CMV)
HIV wasting syndrome
Multiple body systems affected
Debility with progressive weight loss
Inability to maintain employment
Frequent or prolonged hospitalizations

Common Pitfalls

⚠Not documenting your T4/CD4 cell counts over time — the VA uses these lab values to determine severity, so request copies from every blood draw.

⚠Failing to report every opportunistic infection or hospitalization — each episode supports a higher rating.

⚠Not filing secondary claims for conditions caused by HIV or its medications, such as peripheral neuropathy, depression, or lipodystrophy.

⚠Assuming an undetectable viral load means you cannot get a rating — the VA rates based on treatment burden and residual symptoms, not just viral load.