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Diagnostic Code 7009: Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation
Cardiovascular System · 38 CFR §4.104 · All codes in this system
| Evaluation criteria | Rating |
|---|---|
| For one month following hospital discharge for implantation or re-implantation | 100% |
| Thereafter, use the General Rating Formula. | |
| Note (1): Bradycardia (bradyarrhythmia) refers to conduction abnormalities that produce a heart rate less than 60 beats/min. There are five general classes of bradyarrhythmia: Sinus bradycardia, including sinoatrial block; atrioventricular (AV) junctional (nodal) escape rhythm; AV heart block (second or third degree) or AV dissociation; atrial fibrillation or flutter with a slow ventricular response; and, idioventricular escape rhythm. | |
| Note (2): Asymptomatic bradycardia (bradyarrhythmia) is a medical finding only. It is not a disability subject to compensation. | |
Rated under: GENERAL RATING FORMULA FOR DISEASES OF THE HEART
| Evaluation criteria | Rating |
|---|---|
| Workload of 3.0 METs or less results in heart failure symptoms | 100% |
| Workload of 3.1-5.0 METs results in heart failure symptoms | 60% |
| Workload of 5.1-7.0 METs results in heart failure symptoms; or evidence of cardiac hypertrophy or dilatation confirmed by echocardiogram or equivalent (e.g., multigated acquisition scan or magnetic resonance imaging) | 30% |
| Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control | 10% |
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Source: eCFR Title 38, 38 CFR §4.104, current as of 2026-11-05. Criteria text is the regulatory text, reproduced verbatim for reference; it is not legal advice.