Evidence Checklist: Coronary Artery Bypass Graft Residuals
DC 7017
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Post-CABG exercise stress test with METs estimationCritical
Post-surgical stress test documenting current functional exercise capacity in METs. METs are the primary rating driver for CABG residuals — 3 or less = 100%, 3-5 = 60%, 5-7 = 30%, over 7 = 10%.
Post-CABG echocardiogram with ejection fractionCritical
Post-operative echocardiography documenting recovery of EF, wall motion improvement, and any residual dysfunction. Important for patients who do not achieve full recovery.
Nexus opinion linking CAD requiring CABG to serviceCritical
A medical opinion connecting the underlying CAD to service. For Agent Orange-exposed veterans, ischemic heart disease (the basis for CABG) is a presumptive condition.
Treatment Records
Operative report from CABG surgeryCritical
Surgical records documenting the number of bypass grafts, vessels grafted, bypass time, and any intraoperative complications. Essential for establishing the severity of the underlying disease.
Post-CABG cardiology follow-up records
Serial post-surgical cardiology records documenting functional recovery, symptom status, graft patency imaging, and any complications.
Documentation of sternotomy scar (if separate claim)
Records documenting the sternotomy scar from open-heart surgery. Scars can be rated separately under diagnostic code 7804-7805 in addition to the cardiac rating.
Lay Statements & Personal Documentation
Buddy statement from spouse, family, or fellow service member
A written statement from someone who can describe observable symptoms and how your condition affects daily life.
Personal statement describing symptoms and functional impact
Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Heart Conditions (Ischemic Heart Disease)Critical
Standardized form capturing METs, ejection fraction, and functional limitations from CABG residuals.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.