Digestive System§ 4.114Updated
Rating criteria

VA Diagnostic Code 7351Liver transplant

Rated from 30% to 100% under § 4.114. Here is what the VA requires at each level.

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What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 100%

    For an indefinite period from the date of hospital admission for transplant surgery

  2. 60%

    Eligible and awaiting transplant surgery, minimum rating

  3. 30%

    Following transplant surgery, minimum rating

From the schedule

Notes on this code

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

  • Note: Assign a rating of 100% as of the date of hospital admission for transplant surgery. One year following discharge, determine the appropriate disability rating by mandatory VA examination. Apply the provisions of § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination. Rate residuals of any recurrent underlying liver disease under the appropriate diagnostic code and, when appropriate, combine with other post-transplant residuals under the appropriate body system(s), subject to the provisions of § 4.14 and this section.

Liver Transplant — VA Disability Rating (Diagnostic Code 7351)

Digestive System · 38 CFR § 4.114

Understanding This Condition

A liver transplant is a major surgical procedure to replace a diseased liver. Because of the significant nature of this surgery and the recovery and monitoring it requires, the VA rates it under Diagnostic Code 7351 within the Digestive System schedule.

The VA recognizes the different stages associated with a liver transplant — from the period when someone is eligible and awaiting surgery, through the surgery itself and the recovery period afterward.

Available Rating Levels

RatingWhat It Reflects
100%For an indefinite period from the date of hospital admission for transplant surgery
60%Eligible and awaiting transplant surgery — this is a minimum rating
30%Following transplant surgery — this is a minimum rating

What the VA Looks For

When rating a liver transplant, the VA follows a specific process:

  • A 100% rating is assigned as of the date of hospital admission for transplant surgery.
  • One year following discharge, the VA determines the appropriate disability rating through a mandatory VA examination.
  • Any change in evaluation based on that examination — or any subsequent examination — is handled under the provisions of § 3.105(e).
  • Residuals of any recurrent underlying liver disease are rated under the appropriate diagnostic code and, when appropriate, combined with other post-transplant residuals under the appropriate body system(s), subject to the provisions of § 4.14 and this section.

The rating levels above include established minimum ratings: a minimum of 60% for those eligible and awaiting transplant surgery, and a minimum of 30% following transplant surgery.


This information is drawn directly from the VA rating schedule under 38 CFR § 4.114, Diagnostic Code 7351. Individual evaluations depend on the specifics of your case and the required VA examination.

These criteria are a rendering of § 4.114, diagnostic code 7351. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 7351 and attach the evidence for the level you are asking for. Other Digestive System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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