- Diagnostic Code
- 7007
- CFR Section
- §4.104 — Cardiovascular
Rated Under Formula
This condition is rated using the §4.104 general rating formula.
100%
Workload of 3.0 METs or less results in heart failure symptoms
60%
Workload of 3.1-5.0 METs results in heart failure symptoms
30%
Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging)
10%
Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control
What Raters Look For
Based on M21-1 adjudication criteria for Cardiovascular conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.C- •Ejection fraction percentage from echocardiogram or MUGA scan
- •Exercise tolerance in METs from stress test results
- •NYHA functional class (I–IV) documented in treatment records
- •Arrhythmia type, documented frequency, and whether it requires intervention
- •Workup findings: EKG, Holter monitor, echocardiogram, cardiac catheterization
- •Episodes of heart failure, hospitalizations, or emergency care
- •Current medications and whether the condition is controlled or progressive
NoteMETs on stress testing directly correspond to rating percentages under 38 CFR §4.104. A stress test result in the records is critical evidence.