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Effective May 19, 2024, veterans are eligible to receive VA disability for GERD at either 0%, 10%, 30%, 50%, or 80% depending on the frequency, severity, and duration of symptoms and how those symptoms negatively impact your work, life, and social functioning.
Gastroesophageal reflux disease (GERD) is a big problem for veterans. In fact, the gastrointestinal condition is among the Top 50 Most Common VA Claims.
Pro Tip: Under the new Diagnostic Code (DC) 7206 for gastroesophageal reflux disease (GERD), veterans are eligible for ratings of either 0%, 10%, 30%, 50%, or 80%. In my opinion, this change is bad because the new rating criteria for GERD depends on “esophageal stricture” (difficulty swallowing) and doesn’t contain any of the most common symptoms of GERD, which is bonkers. I think this change will result in veterans getting lower ratings for GERD than under the previous ratings analogous to hiatal hernia.
Summary of Key Points
- Effective May 19, 2024, the VA now rates GERD under its own diagnostic code, DC 7206, with disability ratings of 0%, 10%, 30%, 50%, or 80% based primarily on esophageal strictures, dysphagia, and required treatment.
- The updated GERD rating criteria are more restrictive than the old hiatal hernia criteria because they focus heavily on swallowing difficulties rather than common GERD symptoms like heartburn, acid reflux, chest pain, and sleep disruption.
- Veterans can strengthen a GERD VA claim by providing detailed medical evidence, documenting symptom severity and functional impairment, reviewing the GERD DBQ before the C&P exam, and clearly explaining how symptoms affect work, sleep, and daily life.
- GERD can qualify as a secondary service-connected condition linked to other disabilities such as PTSD, anxiety, depression, asthma, medication side effects, obesity, and sleep apnea. Veterans already rated under the old GERD criteria are generally protected under grandfathered rules.
Table of Contents
What is Gastroesophageal Reflux Disease (GERD)?
GERD occurs when stomach acid frequently flows back into the tube connecting your mouth and stomach (esophagus).
This backwash (acid reflux) can irritate the lining of your esophagus.
Many veterans experience GERD, often due to the stresses and dietary habits associated with their military service.
It’s also worth noting that GERD can be linked to other service-related health issues, such as PTSD or certain respiratory conditions, which may exacerbate symptoms.
According to the Mayo Clinic, common symptoms of GERD include:
- A burning sensation in your chest (heartburn), usually after eating, which may worsen at night
- Chest pain
- Difficulty eating and swallowing
- Regurgitation of food particles or sour liquid
- Sensation of a lump in your throat
If you have nighttime GERD and acid reflux, you might also experience:
- Chronic cough
- Laryngitis
- New or worsening asthma
- Disrupted sleep and insomnia
What are the GERD VA Disability Ratings?
Historically, the VA rated GERD analogous to Hiatal Hernia, DC 7346, with ratings of 10%, 30%, or 60%.
But with the new digestive systems VA rating changes, GERD now has it’s own DC under 7206, with VA ratings of either 0%, 10%, 30%, 50%, or 80%.
Note: GERD and acid reflux are both rated under DC 7206, which is a new DC and rating criteria beginning May 19, 2024. Learn more about VA disability ratings and how the VA rating system works.
Here’s a detailed chart for how the VA rates GERD:
VA Ratings for GERD [Effective May 19, 2024]
| DC 7206, Gastroesophageal Reflux Disease (GERD) | VA Rating |
|---|---|
| Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia with at least one of the symptoms present: (1) aspiration, (2) undernutrition, and/or (3) substantial weight loss as defined by § 4.112(a) and treatment with either surgical correction of esophageal stricture(s) or percutaneous esophago-gastrointestinal tube (PEG tube). | 80% |
| Documented history of recurrent or refractory esophageal stricture(s) causing dysphagia which requires at least one of the following (1) dilatation 3 or more times per year, (2) dilatation using steroids at least one time per year, or (3) esophageal stent placement. | 50% |
| Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year. | 30% |
| Documented history of esophageal stricture(s) that requires daily medications to control dysphagia otherwise asymptomatic. | 10% |
| Documented history without daily symptoms or requirement for daily medications. | 0% |
| Note (#1): Findings must be documented by barium swallow, computerized tomography, or esophagogastroduodenoscopy | |
| Note (#2): Non-gastrointestinal complications of procedures should be rated under the appropriate system | |
| Note (#3): This diagnostic code applies, but is not limited to, esophagitis, mechanical or chemical; Mallory Weiss syndrome (bleeding at junction of esophagus and stomach due to tears) due to caustic ingestion of alkali or acid; drug-induced or infectious esophagitis due to Candida, virus, or other organism; idiopathic eosinophilic, or lymphocytic esophagitis; esophagitis due to radiation therapy; esophagitis due to peptic stricture; and any esophageal condition that requires treatment with sclerotherapy | |
| Note (#4): Recurrent esophageal stricture is defined as the inability to maintain target esophageal diameter beyond 4 weeks after the target diameter has been achieved | |
| Note (#5): Refractory esophageal stricture is defined as the inability to achieve target esophageal diameter despite receiving no fewer than 5 dilation sessions performed at 2-week intervals |
How Do I Maximize My VA Disability for GERD?
Here are some tips to help you get a higher GERD VA rating:
- Gather Records and Documents: Collect all relevant medical records, including diagnosis reports, treatment history, and any correspondence related to your GERD. This documentation will provide essential evidence to support your claim during the examination. Review your records and documents in detail before your C&P exam!
- Create a Symptoms Diary: Keep a detailed log of your GERD symptoms, noting the frequency, severity, and duration of episodes. Document any factors that exacerbate or alleviate your symptoms, such as stress, spicy foods, or certain activities. This diary will help you articulate the impact of GERD on your work, life, and social functioning during the C&P exam. Remember, the more severe your symptoms, the higher the VA rating you’ll receive.
- List Functional Impacts: Make a list of specific ways in which GERD affects your ability to perform daily tasks and activities. This may include pain, sleep disturbances, increased sick leave, etc. Providing concrete examples of how GERD negatively impacts your daily functioning will strengthen your case during the exam.
- Tell the Examiner About Your Worst Days: In our experience, veterans tend to downplay their symptoms at the C&P exam. Bad move. We know it’s tough, but this is your chance to explain how you are on your very worst days. Be sure to give the examiner some specific examples of how your GERD is negatively affecting you. For example, “My GERD is so severe that I have trouble falling asleep and staying asleep because I have horrible acid reflux, chest pain, and arm and shoulder pain. These symptoms affect me daily and I must take regular prescription medications and over-the-counter antiacids. The other night I lost at least 4 hours of sleep because I had to sit upright in a chair to prevent me from throwing up.”
- Review the DBQ for GERD: It’s a good idea to review the GERD DBQ before your exam. Be prepared to describe the onset and progression of your GERD symptoms over time, as well as any treatments you have pursued and their effectiveness.
Can GERD Be a Secondary Condition?
Yes, GERD is a very common secondary claim for secondary service connection.
Here’s a list of the 10 most common GERD secondary conditions:
- GERD Secondary to Asthma
- GERD Secondary to Medications
- GERD Secondary to Anxiety
- GERD Secondary to Depression
- GERD Secondary to PTSD
- GERD Secondary to Weight Gain Obesity as Interim Link
- Asthma Secondary GERD
- Migraines Secondary to GERD
- Sleep Apnea Secondary to GERD
- Esophagitis and Barrett’s Esophagus Secondary to GERD
What About My Current VA Rating for GERD?
If you already have a VA rating for GERD under Hiatal Hernia, there will be no change to your current rating; you are “grandfathered” in under the old rating criteria.
A reduction in evaluation of GERD will only occur if there is improvement in a disability sufficient to warrant a reduction under the former criteria (not the new criteria).
All VA claims for GERD that were submitted and in “pending” status as of May 19, 2024, will be considered under both the old and new rating criteria, and whichever criteria are more favorable to the veteran will be applied.
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Conclusion
GERD is one of the most common gastrointestinal disabilities affecting veterans, and the VA’s updated rating criteria have significantly changed how claims are evaluated. While the new DC 7206 provides rating levels from 0% to 80%, many veterans may find it harder to qualify for higher ratings because the criteria now focus on esophageal strictures and dysphagia rather than classic acid reflux symptoms.
The key to maximizing your GERD VA disability rating is strong medical evidence, consistent treatment records, and clear documentation showing how your condition impacts your health, sleep, work performance, and overall quality of life.
If you already have a GERD rating under the old criteria, your current evaluation is generally protected unless there is documented improvement. For pending claims, the VA must apply whichever rating criteria are more favorable to the veteran.
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FAQs | Frequently Asked Questions
What is the VA disability rating for GERD in 2026?
The VA rates GERD under Diagnostic Code 7206 with disability ratings of 0%, 10%, 30%, 50%, or 80%. Ratings depend on the severity of esophageal strictures, swallowing difficulty (dysphagia), required treatments, and related health complications.
How do I increase my VA rating for GERD?
To increase your GERD VA rating, submit strong medical evidence including treatment records, diagnostic testing, prescription history, and documentation of severe symptoms such as dysphagia, reflux, sleep disruption, chest pain, vomiting, or weight loss. Keeping a symptom diary and explaining functional limitations during your C&P exam can also help strengthen your claim.
Can GERD be secondary to PTSD or anxiety?
Yes. GERD is commonly service connected as a secondary condition to PTSD, anxiety, depression, chronic stress, medication side effects, obesity, and respiratory conditions like asthma. Many veterans develop GERD symptoms due to stress-related digestive issues or medications used to treat other service-connected disabilities.
Will the new GERD VA rating criteria lower my current rating?
If you already have a GERD rating under the old criteria, you are generally grandfathered into that evaluation. The VA cannot reduce your rating solely because the regulations changed. A reduction would typically require evidence that your condition has materially improved.
What symptoms qualify for a higher GERD VA rating?
Symptoms that may support a higher GERD VA rating include recurrent esophageal strictures, difficulty swallowing, severe reflux, aspiration, substantial weight loss, malnutrition, chronic vomiting, and the need for repeated esophageal dilation procedures or surgical intervention. Objective medical testing such as endoscopy or barium swallow studies is often required.
About the Author
Brian Reese
Brian Reese is a world-renowned VA disability benefits expert and the #1 bestselling author of VA Claim Secrets and You Deserve It. Motivated by his own frustration with the VA claim process, Brian founded VA Claims Insider to help disabled veterans secure their VA disability compensation faster, regardless of their past struggles with the VA. Since 2013, he has positively impacted the lives of over 10 million military, veterans, and their families.
A former active-duty Air Force officer, Brian has extensive experience leading diverse teams in challenging international environments, including a combat tour in Afghanistan in 2011 supporting Operation ENDURING FREEDOM.
Brian is a Distinguished Graduate of Management from the United States Air Force Academy and earned his MBA from Oklahoma State University’s Spears School of Business, where he was a National Honor Scholar, ranking in the top 1% of his class.
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