The VA has implemented major changes to GERD disability ratings, creating new hurdles for veterans seeking compensation while facing a $2.8 billion budget shortfall.
• As of May 19, 2024, GERD has its own diagnostic code (7206) and is no longer rated under hiatal hernia criteria
• Veterans now need documented esophageal stricture or esophagitis through invasive testing (EGD, barium swallow, or CT scan) for a compensable rating
• Symptoms like heartburn, regurgitation, and sleep disturbance are no longer considered in the new rating criteria
• Veterans with existing GERD ratings are grandfathered under old criteria but must document symptoms in statements since they're no longer on the DBQ
• VA justified changes using 20-year-old medical references that don't discuss disability impacts of GERD
• Veterans may receive better ratings by pursuing peptic ulcer disease claims rather than GERD if they qualify
• Rating specialists seem focused on "disability picture" rather than symptoms that affect daily functioning
• Veterans should obtain necessary diagnostic testing before C&P exams and submit detailed symptom statements
• These changes may be motivated by budget concerns despite VA claims they reflect "medical advances"
If you're affected by these GERD rating changes, document your symptoms regularly in writing and submit them to VA, especially if you have a grandfathered rating. Consider speaking with a VSO or attorney about the best path forward for your specific situation.
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