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Evidence checklist

Dysphagia (Difficulty Swallowing)

DC 720338 CFR § 4.114Digestive

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 2 collected
Barium swallow or endoscopy documenting obstructionCritical

Modified barium swallow study or upper endoscopy results documenting the nature and severity of swallowing difficulty, stricture, or obstruction.

Private provider · independent opinion
Nexus opinion linking dysphagia to service ("at least as likely as not")Critical

A medical opinion connecting your dysphagia to service-connected GERD, TBI, surgical scarring, or other service-related cause.

Private provider · independent opinion
02

Treating physician

0 of 1 collected
Modified diet documentation

Records from your physician or speech pathologist documenting dietary modifications required (soft foods, liquids only, thickened liquids). Note that the current DC 7203 ladder does not rate on diet consistency — this is supporting context. What the code counts is daily medication, dilatations per year, steroid-assisted dilatation, a stent, and aspiration or substantial weight loss with surgery or a feeding tube.

Your treating provider · written request
03

Treatment records

0 of 2 collected
Weight loss documentation

Medical records documenting weight loss attributable to difficulty swallowing, with serial weight measurements over time.

VA or private records · written request
Aspiration pneumonia records (if applicable)

Hospitalization or treatment records for aspiration pneumonia episodes caused by swallowing dysfunction.

VA or private records · written request
04

Lay statements

0 of 2 collected
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
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.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
05

Benefits questionnaire

0 of 1 collected
Completed DBQ Esophageal ConditionsCritical

Standardized form capturing swallowing study results, dietary restrictions, weight impact, and functional limitations.

Provider-completed · VA DBQ formHow to get this →
06

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.