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Diagnostic Code 7016: Heart valve replacement (prosthesis)
Cardiovascular System · 38 CFR §4.104 · All codes in this system
| Evaluation criteria | Rating |
|---|---|
| For an indefinite period following date of hospital admission for valve replacement | 100% |
| Thereafter, use the General Rating Formula. | |
| Note: Six months following discharge from inpatient hospitalization, disability evaluation shall be conducted by mandatory VA examination using the General Rating Formula. Apply the provisions of ยง 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination. | |
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.