This guide covers how the VA actually rates acid reflux / stomach under diagnostic code 7206 — the criteria the rater applies, the evidence that carries weight, and the related conditions veterans most often leave unclaimed. It's the same playbook our own case managers work from.
How the VA rates it
Rated on documented symptoms and complications under the revised digestive schedule.
Honest ceiling: 30% for persistent symptoms with weight loss or anemia.
The evidence that wins
Service connection: Secondary anchor (NSAIDs or MH).
Medical opinion (nexus): Nexus needed — NSAID-use or MH pathway.
Filing it right the first time
Most denials on acid reflux / stomach claims trace to the same failures: the evidence never addressed the actual rating criteria, the connection to service was asserted instead of supported, or the C&P exam went sideways because nobody prepared for it. A complete file — records, statements written to the criteria above, and honest exam preparation — is the difference.
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