This guide covers how the VA actually rates varicose veins under diagnostic code 7120 — 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 PER LEG: 10% = aching/fatigue after standing, relieved by elevation · 20% = persistent edema · 40% = edema with skin changes. Two bad legs = two ratings, plus the bilateral factor.
Honest ceiling: 40% PER LEG with persistent edema and skin changes.
The evidence that wins
Service connection: Years of standing duty, rucking, flight line, ship decks.
Medical opinion (nexus): Usually documented on exam — low nexus burden.
Filing it right the first time
Most denials on varicose veins 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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