Heart and blood pressure

Hypertension

Hypertensive vascular disease. Diagnostic Code 7101.

Veticare EducationUpdated October 2026Source: 38 CFR 4.104

Overview

Hypertension is high blood pressure. Over time it can strain the heart, kidneys, and blood vessels.

How VA rates it

Diagnostic Code 7101 · 38 CFR 4.104

Here is a plain language summary of the rating levels in the regulation. Read the official text for the exact wording.

RatingSummary of the criteria
60%Diastolic pressure predominantly 130 or more.
40%Diastolic pressure predominantly 120 or more.
20%Diastolic predominantly 110 or more, or systolic predominantly 200 or more.
10%Diastolic predominantly 100 or more, systolic predominantly 160 or more, or a history of diastolic 100 or more with continuous medication for control.

The regulation requires readings taken two or more times on at least three different days.

Common secondary connections

These are conditions often discussed in connection with Hypertension. A secondary claim generally needs medical evidence that one condition caused or worsened another. This list is general education, not a suggestion about any claim.

  • Often discussed as secondary to kidney conditions, sleep apnea, or PTSD
  • Heart disease
  • Erectile dysfunction

Presumptive notes

VA added hypertension as an Agent Orange presumptive condition under the PACT Act. Read the full eligibility rules on VA.gov.

Evidence veterans generally gather

VA describes evidence types in its evidence guide. For this condition, veterans often collect:

  • Blood pressure readings over time
  • Medication records
  • Service records showing qualifying locations
  • A current diagnosis from a medical provider
  • Service treatment records and personnel records
  • VA and private treatment records
  • Statements from you, family, or fellow service members (lay statements)
  • A Disability Benefits Questionnaire (DBQ) completed by a provider, if available

Official source

Rating levels: 38 CFR 4.104 on eCFR. Rules change; always confirm the current text.

Back to the conditions library

Education only. This page explains how VA publishes its rating rules in plain language. It is not advice about your claim, and it does not predict or promise any rating or outcome. Only VA decides ratings. Veticare is not a VA accredited representative and has no referral partnerships. For help with a claim, find free accredited help at the VA accreditation search.
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