What rates 10% for Ischemic Heart Disease (Agent Orange Presumptive) under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 10% rating for Ischemic Heart Disease (Agent Orange Presumptive) requires: Workload of 7.1-10.0 METs results in heart failure symptoms. OR continuous medication required (e.g., antianginal, antihypertensive, antiarrhythmic).

What happens during a C&P exam for Ischemic Heart Disease (Agent Orange Presumptive)?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Ischemic Heart Disease (Agent Orange Presumptive)

Q: What are the VA rating percentages for Ischemic Heart Disease (Agent Orange Presumptive)?

Ischemic Heart Disease (Agent Orange Presumptive) (DC 7005) is rated at 100%, 60%, 30%, 10% under 38 CFR § 4.104, DC 7005. Per § 4.104 General Rating Formula for Diseases of the Heart: workload of 3.0 METs or less results in heart failure symptoms (breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope). OR left ventricular dysfunction with ejection fraction less than 30 percent. OR chronic congestive heart failure.

Q: What rates 100% for Ischemic Heart Disease (Agent Orange Presumptive) under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 100% rating for Ischemic Heart Disease (Agent Orange Presumptive) requires: Per § 4.104 General Rating Formula for Diseases of the Heart: workload of 3.0 METs or less results in heart failure symptoms (breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope). OR left ventricular dysfunction with ejection fraction less than 30 percent. OR chronic congestive heart failure.

Q: What rates 60% for Ischemic Heart Disease (Agent Orange Presumptive) under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 60% rating for Ischemic Heart Disease (Agent Orange Presumptive) requires: Workload of 3.1-5.0 METs results in heart failure symptoms. OR left ventricular dysfunction with ejection fraction of 30 to 50 percent. OR more than one episode of acute congestive heart failure in the past year.

Q: What rates 30% for Ischemic Heart Disease (Agent Orange Presumptive) under 38 CFR § 4.104, DC 7005?

Under 38 CFR § 4.104, DC 7005 (DC 7005), a 30% rating for Ischemic Heart Disease (Agent Orange Presumptive) requires: Workload of 5.1-7.0 METs results in heart failure symptoms. OR evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram, multigated acquisition (MUGA) scan, or magnetic resonance imaging.

Q: What evidence do I need for a Ischemic Heart Disease (Agent Orange Presumptive) VA claim?

Key evidence for a Ischemic Heart Disease (Agent Orange Presumptive) claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 700538 C.F.R. § 4.104

Diagnostic Code

DC 7005

38 C.F.R. § 4.104

Rating Range

10–100%

4 severity tiers

Source

Verified

38 C.F.R. § 4.104

Ischemic Heart Disease (Agent Orange Presumptive) is rated by the U.S. Department of Veterans Affairs under DC 7005 of 38 CFR § 4.104, DC 7005 across 4 severity tiers (100% / 60% / 30% / 10%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Heart disease caused by reduced blood flow to the heart muscle. Presumptive condition for veterans exposed to Agent Orange. Includes coronary artery disease, angina, and myocardial infarction. One of the most commonly claimed Agent Orange conditions.

Rating Criteria

100%

Per § 4.104 General Rating Formula for Diseases of the Heart: workload of 3.0 METs or less results in heart failure symptoms (breathlessness, fatigue, angina, dizziness, arrhythmia, palpitations, or syncope). OR left ventricular dysfunction with ejection fraction less than 30 percent. OR chronic congestive heart failure.

60%

Workload of 3.1-5.0 METs results in heart failure symptoms. OR left ventricular dysfunction with ejection fraction of 30 to 50 percent. OR more than one episode of acute congestive heart failure in the past year.

30%

Workload of 5.1-7.0 METs results in heart failure symptoms. OR evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram, multigated acquisition (MUGA) scan, or magnetic resonance imaging.

10%

Workload of 7.1-10.0 METs results in heart failure symptoms. OR continuous medication required (e.g., antianginal, antihypertensive, antiarrhythmic).

03Key Evidence

—Service treatment records showing injury or complaints

—Imaging (X-ray, MRI, CT)

—Range of motion measurements

—Flare-up documentation per Sharp v. Shulkin

—Buddy statements describing limitations

—Prescription history

—Physical therapy records

—Employment impact documentation

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.104 (Cardiovascular system). Source verified 2026-05-27 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.104 on eCFR →Cornell Law mirror →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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