This guide covers how the VA actually rates heart condition under diagnostic code 7005 / 7010 — 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
METs-based: 60% = workload of 3–5 METs causes symptoms · 30% = 5–7 METs · 10% = 7–10 METs. 100% for chronic CHF. Documented cardiac event or procedure rates on residuals.
Honest ceiling: 60% at a workload of 3–5 METs.
The evidence that wins
Service connection: Ischemic heart disease is AGENT ORANGE PRESUMPTIVE. Also secondary to HTN.
Medical opinion (nexus): Not needed if presumptive; otherwise cardiology opinion.
Secondary conditions veterans miss
Conditions that commonly develop because of this one can be service-connected on top of it:
- Ischemic heart disease from hypertension — If HTN is service-connected, the chain is literature-supported
Filing it right the first time
Most denials on heart condition 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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