Hypertension (High Blood Pressure)

DC 7101Cardiovascular38 CFR 4.104, DC 7101

Chronically elevated blood pressure. The VA rates hypertension based on your diastolic and systolic blood pressure readings and whether you need continuous medication.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 7101

Rating range

10% – 60%

Rating levels

Rating criteria are defined in 38 CFR 4.104, DC 7101. 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

Your diastolic pressure is predominantly 130 or more.

What the VA looks for

Diastolic pressure predominantly 130+
Hypertensive crisis or emergency episodes

Common Pitfalls

⚠Not understanding that most veterans with controlled hypertension receive 10% — if medication controls your blood pressure below 100/160, you still qualify for 10% based on medication requirement.
⚠Not documenting blood pressure readings consistently — the VA looks at "predominant" readings, so multiple measurements over time matter.
⚠Missing secondary connection to PTSD, sleep apnea, kidney disease, or diabetes — hypertension is commonly secondary to these conditions.
⚠Hypertension is a presumptive condition for Agent Orange exposure veterans and a chronic disease presumptive within 1 year of separation.