Diabetes mellitus (DC 7913) | VA Rating Tool

Diagnostic Code7913
CategoryThe Endocrine System
Also Known AsMellitus, diabetes, type 2 diabetes, type 1 diabetes, blood sugar, insulin, diabetic, A1C, glucose
📊 What Veterans Actually Get
20%
Most Common Rating
50.0%
of Vets Get This
78.0%
Approval Rate
#19
Most Claimed

Diabetes is most commonly rated at 20% (requiring insulin or oral medication AND restricted diet). About 50% receive 20%. The 40% rating requires regulation of activities (doctor-ordered activity restrictions).

Pro Tip: Diabetes is a secondary condition goldmine. File separately for EACH complication: neuropathy (each limb), retinopathy, nephropathy, ED (gets SMC-K). A single diabetes diagnosis can support 5+ additional ratings.
Rating Criteria
Rating Criteria
100% Requiring more than one daily injection of insulin, restricted diet, and regulation of activities (avoidance of strenuous occupational and recreational activities) with episodes of ketoacidosis or hypoglycemic reactions requiring at least three hospitalizations per year or weekly visits to a diabetic care provider, plus either progressive loss of weight and strength or complications that would be compensable if separately evaluated
60% Requiring one or more daily injection of insulin, restricted diet, and regulation of activities with episodes of ketoacidosis or hypoglycemic reactions requiring one or two hospitalizations per year or twice a month visits to a diabetic care provider, plus complications that would not be compensable if separately evaluated
40% Requiring one or more daily injection of insulin, restricted diet, and regulation of activities
20% Requiring one or more daily injection of insulin and restricted diet, or; oral hypoglycemic agent and restricted diet
10% Manageable by restricted diet only

Conditions Secondary to This

9 links
Arteriosclerotic heart disease
7005
Strong

Diabetes significantly increases cardiovascular risk.

Erectile dysfunction, with or without penile deformity
7522
Strong

Diabetes damages blood vessels and nerves that affect sexual function.

Hypertensive vascular disease
7101
Strong

Diabetes and hypertension frequently co-occur and worsen each other.

Median nerve, paralysis
8515
Strong

Diabetes increases risk of carpal tunnel syndrome through nerve damage and tissue swelling affecting the median nerve.

Nephritis, chronic
7502
Strong

Diabetic nephropathy is a leading cause of kidney failure.

Open-angle glaucoma
6013
Strong

Diabetic retinopathy is a direct complication of diabetes, progressing to glaucoma and vision loss.

Renal disease, chronic
7530
Strong

Diabetic nephropathy is a leading cause of chronic kidney disease.

Retinopathy or maculopathy not otherwise specified
6006
Strong

Diabetic retinopathy damages blood vessels in the retina.

Sciatic nerve, paralysis
8520
Strong

Diabetes is the leading cause of peripheral neuropathy, damaging nerves in the extremities.

This May Be Secondary To

3 links
Pancreatitis, chronic
DC 7347
Strong

Chronic pancreatitis damages insulin-producing cells, commonly causing diabetes mellitus.

Bipolar disorder
DC 9432
Moderate

Atypical antipsychotics used to treat bipolar disorder significantly increase diabetes risk through metabolic changes.

Schizophrenia
DC 9201
Moderate

Antipsychotic medications for schizophrenia cause metabolic syndrome and significantly increase diabetes risk.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.