VA Diagnostic Code 7011Ventricular arrhythmias (sustained)

A single 100% rating under § 4.104. Here is what the VA requires for it.

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100%
For an indefinite period from the date of inpatient hospital admission for initial medical therapy for a sustained ventricular arrhythmia; or, for an indefinite period from the date of inpatient hospital admission for ventricular aneurysmectomy; or, with an automatic implantable cardioverter-defibrillator (AICD) in place

How it is applied

General rating formula

General Rating Formula for Diseases of the Heart

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

For DCs 7009, 7010, 7011, and 7015, a single evaluation will be assigned under the diagnostic code that reflects the predominant disability picture.
Note: When inpatient hospitalization for sustained ventricular arrhythmia or ventricular aneurysmectomy is required, a 100-percent evaluation begins on the date of hospital admission with a mandatory VA examination six months following hospital discharge. Evaluate post-surgical residuals under the General Rating Formula. Apply the provisions of § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination.

Sustained Ventricular Arrhythmias (VA Diagnostic Code 7011)

Understanding This Condition

Sustained ventricular arrhythmias are a cardiovascular condition rated by the VA under Diagnostic Code 7011, part of the cardiovascular system rating rules found in 38 CFR § 4.104.

This entry covers how the VA assigns a disability evaluation for a sustained ventricular arrhythmia, including situations that require inpatient hospitalization, ventricular aneurysmectomy, or the placement of an automatic implantable cardioverter-defibrillator (AICD).

Available Rating Level

Under Diagnostic Code 7011, the following evaluation is defined:

100% Rating

A 100-percent evaluation applies in any of these circumstances:

For an indefinite period from the date of inpatient hospital admission for initial medical therapy for a sustained ventricular arrhythmia; or
For an indefinite period from the date of inpatient hospital admission for ventricular aneurysmectomy; or
With an automatic implantable cardioverter-defibrillator (AICD) in place.

What the VA Looks For

When evaluating this condition, the VA considers the following points:

Combined evaluation across related heart conditions. For Diagnostic Codes 7009, 7010, 7011, and 7015, a single evaluation is assigned under the diagnostic code that reflects the predominant disability picture.
Hospitalization and surgery timelines. When inpatient hospitalization for a sustained ventricular arrhythmia or a ventricular aneurysmectomy is required, a 100-percent evaluation begins on the date of hospital admission. A mandatory VA examination is scheduled six months following hospital discharge.
Post-surgical residuals. Any remaining effects after surgery are evaluated under the General Rating Formula.
Changes in evaluation. The provisions of § 3.105(e) apply to any change in evaluation based upon that six-month examination or any subsequent examination.

This information is drawn from the VA rating schedule under 38 CFR § 4.104, Diagnostic Code 7011. It is provided for general educational purposes and does not guarantee any particular rating or outcome.

These criteria are a rendering of § 4.104, diagnostic code 7011. The official version is the one that governs your rating.

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