Hypertension is one of the most commonly service-connected cardiovascular conditions and a frequent secondary claim to PTSD and sleep apnea. Understanding how the VA measures and rates it ensures you get accurate compensation.
The VA rates hypertension based on your predominant blood pressure readings -- the levels that occur most often -- not a single reading on exam day.
How the VA Rates Hypertension
Rated under Diagnostic Code 7101 based on diastolic and systolic readings:
| Rating | Diastolic | OR Systolic | Monthly Pay |
|---|---|---|---|
| 10% | 100-109 | 160-199 | $180.42 |
| 20% | 110-119 | 200+ | $356.71 |
| 40% | 120+ | Continuous medication required | $796.05 |
| 60% | 130+ with symptoms | Serious complications | $1,433.37 |
Medication and Your Rating
If your blood pressure is controlled by medication, the VA should rate you based on your pre-medication levels. Many veterans are underrated because examiners use their current medicated readings. Document your blood pressure history before medication began.
Hypertension Secondary to PTSD
Chronic stress from PTSD activates the sympathetic nervous system and raises blood pressure -- a well-documented medical connection. Veterans with service-connected PTSD have a strong basis for a secondary hypertension claim supported by a nexus letter.
Secondary Conditions From Hypertension
- Ischemic heart disease -- major risk factor
- Stroke -- rateable under DC 8007
- Chronic kidney disease -- leading cause is hypertension
- Hypertensive heart disease -- DC 7007
Calculate Your Combined Rating
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If you have PTSD or sleep apnea already service-connected, filing hypertension as a secondary condition is one of the strongest moves you can make. Get your pre-medication blood pressure history documented and get a nexus letter connecting it to your primary condition.