What rates 0% for Non-Alcoholic Fatty Liver Disease under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH)?

Under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) (DC 7345), a 0% rating for Non-Alcoholic Fatty Liver Disease requires: Previous history of liver disease, currently asymptomatic.

What rates 20% for Non-Alcoholic Fatty Liver Disease under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH)?

Under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) (DC 7345), a 20% rating for Non-Alcoholic Fatty Liver Disease requires: Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus.

What rates 40% for Non-Alcoholic Fatty Liver Disease under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH)?

Under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) (DC 7345), a 40% rating for Non-Alcoholic Fatty Liver Disease requires: Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of: daily fatigue, malaise, anorexia, hepatomegaly, pruritus, or arthralgia.

What rates 60% for Non-Alcoholic Fatty Liver Disease under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH)?

Under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) (DC 7345), a 60% rating for Non-Alcoholic Fatty Liver Disease requires: Progressive chronic liver disease requiring continuous medication and causing substantial weight loss and at least two of: daily fatigue, malaise, anorexia, hepatomegaly, pruritus, or arthralgia.

What rates 100% for Non-Alcoholic Fatty Liver Disease under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH)?

Under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) (DC 7345), a 100% rating for Non-Alcoholic Fatty Liver Disease requires: Progressive chronic liver disease requiring use of both parenteral antiviral therapy AND parenteral immunomodulatory therapy; and for six months following discontinuance of treatment.

What happens during a C&P exam for Non-Alcoholic Fatty Liver Disease?

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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Non-Alcoholic Fatty Liver Disease

Q: What are the VA rating percentages for Non-Alcoholic Fatty Liver Disease?

Non-Alcoholic Fatty Liver Disease (DC 7345) is rated at 0%, 20%, 40%, 60%, 100% under 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH). Previous history of liver disease, currently asymptomatic.

Q: What evidence do I need for a Non-Alcoholic Fatty Liver Disease VA claim?

Key evidence for a Non-Alcoholic Fatty Liver Disease 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 734538 C.F.R. § 4.114

Diagnostic Code

DC 7345

38 C.F.R. § 4.114

Rating Range

0–100%

5 severity tiers

Source

Verified

38 C.F.R. § 4.114

Non-Alcoholic Fatty Liver Disease is rated by the U.S. Department of Veterans Affairs under DC 7345 of 38 CFR § 4.114, DC 7345 (current text per 2024-05-19 amendment; Note (3) explicitly covers NASH) across 5 severity tiers (0% / 20% / 40% / 60% / 100%). 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

Accumulation of fat in the liver not caused by alcohol, ranging from simple steatosis to non-alcoholic steatohepatitis (NASH). DC 7345 Note (3) explicitly covers NASH; if progression to cirrhosis is established, cirrhosis rates separately under DC 7312.

Rating Criteria

Previous history of liver disease, currently asymptomatic.

20%

Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus.

40%

Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of: daily fatigue, malaise, anorexia, hepatomegaly, pruritus, or arthralgia.

60%

Progressive chronic liver disease requiring continuous medication and causing substantial weight loss and at least two of: daily fatigue, malaise, anorexia, hepatomegaly, pruritus, or arthralgia.

100%

Progressive chronic liver disease requiring use of both parenteral antiviral therapy AND parenteral immunomodulatory therapy; and for six months following discontinuance of treatment.

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. § 4.114 (Digestive system). Source verified 2026-05-27 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.114 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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