Generalized anxiety disorder (DC 9400) | VA Rating Tool

Diagnostic Code9400
CategoryMental Disorders
SubcategoryMental Disorders
Also Known Asanxiety, generalized anxiety, Generalized anxiety disorder, GAD, worry, panic, nervousness, anxious, substance abuse, alcoholism, addiction
CFR Section4.125-4.130
📊 What Veterans Actually Get
50%
Most Common Rating
33.0%
of Vets Get This
72.0%
Approval Rate
#13
Most Claimed

Anxiety is rated on the same scale as PTSD and depression. Most commonly rated at 50%. If you also have PTSD or depression, they're evaluated together under one combined mental health rating.

Pro Tip: Anxiety secondary to a chronic pain condition is one of the most successful secondary claims. If your service-connected pain causes anxiety, get your mental health provider to document the connection.
Rating Criteria
Rating Criteria
100% Total occupational and social impairment, due to such symptoms as: gross impairment in thought processes or communication; persistent delusions or hallucinations; grossly inappropriate behavior; persistent danger of hurting self or others; intermittent inability to perform activities of daily living (including maintenance of minimal personal hygiene); disorientation to time or place; memory loss for names of close relatives, own occupation, or own name.
70% Occupational and social impairment, with deficiencies in most areas, such as work, school, family relations, judgment, thinking, or mood, due to such symptoms as: suicidal ideation; obsessional rituals which interfere with routine activities; speech intermittently illogical, obscure, or irrelevant; near-continuous panic or depression affecting the ability to function independently, appropriately and effectively; impaired impulse control (such as unprovoked irritability with periods of violence); spatial disorientation; neglect of personal appearance and hygiene; difficulty in adapting to stressful circumstances (including work or a worklike setting); inability to establish and maintain effective relationships.
50% Occupational and social impairment with reduced reliability and productivity due to such symptoms as: flattened affect; circumstantial, circumlocutory, or stereotyped speech; panic attacks more than once a week; difficulty in understanding complex commands; impairment of short- and long-term memory (e.g., retention of only highly learned material, forgetting to complete tasks); impaired judgment; impaired abstract thinking; disturbances of motivation and mood; difficulty in establishing and maintaining effective work and social relationships.
30% Occupational and social impairment with occasional decrease in work efficiency and intermittent periods of inability to perform occupational tasks (although generally functioning satisfactorily, with routine behavior, self-care, and conversation normal), due to such symptoms as: depressed mood, anxiety, suspiciousness, panic attacks (weekly or less often), chronic sleep impairment, mild memory loss (such as forgetting names, directions, recent events).
10% Occupational and social impairment due to mild or transient symptoms which decrease work efficiency and ability to perform occupational tasks only during periods of significant stress, or symptoms controlled by continuous medication.
0% A mental condition has been formally diagnosed, but symptoms are not severe enough either to interfere with occupational and social functioning or to require continuous medication.

Conditions Secondary to This

8 links
Hiatal hernia and paraesophageal hernia
7346
Strong

Anxiety increases stomach acid production and worsens reflux

Irritable bowel syndrome (IBS)
7319
Strong

Anxiety directly affects gut motility through the gut-brain axis

Major depressive disorder
9434
Strong

Anxiety and depression are highly comorbid conditions

Hypertensive vascular disease
7101
Moderate

Chronic anxiety elevates blood pressure over time

Migraine
8100
Moderate

Anxiety is a well-documented migraine trigger

Sleep Apnea Syndromes
6847
Moderate

Anxiety disrupts sleep patterns and may worsen sleep-disordered breathing

Temporomandibular disorder (TMD)
9905
Moderate

Anxiety causes jaw clenching and teeth grinding

Tinnitus, recurrent
6260
Moderate

Anxiety heightens awareness of tinnitus symptoms

This May Be Secondary To

32 links
Arteriosclerotic heart disease
DC 7005
Strong

Fear of cardiac events causes significant anxiety

Asthma, bronchial
DC 6602
Strong

Breathing difficulties and fear of attacks cause significant anxiety

Barrett's esophagus
DC 7207
Strong

Barrett's esophagus causes anxiety due to cancer risk and required surveillance endoscopies.

Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck
DC 7800
Strong

Social anxiety from visible scarring

Colitis, ulcerative
DC 7323
Strong

IBD causes severe anxiety through fear of flare-ups, urgency episodes in public, and concern about surgery.

Crohn's disease or undifferentiated form of inflammatory bowel disease
DC 7326
Strong

Crohn's causes severe anxiety through fear of flares, urgency episodes, and concern about complications and surgery.

Erectile dysfunction, with or without penile deformity
DC 7522
Strong

Performance anxiety and relationship stress from ED

Fibromyalgia
DC 5025
Strong

Chronic widespread pain causes significant anxiety

Grand mal
DC 8910
Strong

Fear of seizures and their unpredictability

Hyperthyroidism, including, but not limited to, Graves' disease
DC 7900
Strong

Hyperthyroidism directly causes anxiety, panic attacks, and nervousness through excess thyroid hormone stimulation of the nervous system.

Irritable bowel syndrome (IBS)
DC 7319
Strong

Fear of episodes and unpredictability causes significant anxiety

Leukemia
DC 7703
Strong

Leukemia causes anxiety through fear of recurrence, treatment side effects, and mortality concerns.

Malignant neoplasms of the breast
DC 7630
Strong

Fear of recurrence, treatment side effects, and life disruption from breast cancer commonly cause generalized anxiety disorder.

Meniere's syndrome
DC 6205
Strong

Fear of vertigo episodes causes persistent anxiety

Narcolepsy
DC 8108
Strong

Narcolepsy causes anxiety through unpredictable sleep attacks, cataplexy episodes, and driving/safety fears.

Peripheral vestibular disorders
DC 6204
Strong

Chronic vertigo and balance disorders cause severe anxiety through fear of falling, inability to drive, and unpredictable episodes.

Posttraumatic stress disorder
DC 9411
Strong

Generalized anxiety commonly develops alongside or as a result of PTSD.

Tinnitus, recurrent
DC 6260
Strong

Persistent tinnitus is a well-documented cause of anxiety.

Degenerative arthritis, degenerative disc disease other than intervertebral disc syndrome (also, see either DC 5003 or 5010)
DC 5242
Moderate

Chronic pain and worry about physical decline commonly lead to anxiety.

Degenerative arthritis, other than post-traumatic
DC 5003
Moderate

Fear of worsening condition and loss of function causes anxiety

Dermatitis or eczema
DC 7806
Moderate

Chronic itching and flare-ups cause anxiety

Detachment of retina
DC 6008
Moderate

Retinal detachment causes anxiety through sudden vision loss, surgical recovery, and fear of recurrence in the other eye.

Diverticulitis and diverticulosis
DC 7327
Moderate

Recurrent diverticulitis causes anxiety through fear of flare-ups, potential surgery, and dietary restrictions.

Endometriosis
DC 7629
Moderate

Anxiety frequently develops secondary to endometriosis due to chronic pain uncertainty, fear of infertility, and unpredictable symptom flares.

Hearing loss
DC 6100
Moderate

Hearing loss causes anxiety through difficulty in social situations, fear of missing important sounds, and communication frustration.

Intervertebral disc syndrome
DC 5243
Moderate

Pain, missed work, and fear of future limitations often contribute to anxiety.

Lumbosacral or cervical strain
DC 5237
Moderate

Chronic pain and physical limitations often cause anxiety about future function and employment.

Median nerve, paralysis
DC 8515
Moderate

Fear of losing hand function and work capability

Migraine
DC 8100
Moderate

Fear of migraine episodes and their unpredictability commonly causes anxiety.

Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis
DC 7508
Moderate

Recurrent kidney stones cause anxiety due to severe pain episodes, fear of recurrence, and ER visits.

Neurogenic bladder
DC 7542
Moderate

Anxiety develops from fear of incontinence episodes in public, driving, work, and social settings.

Open-angle glaucoma
DC 6013
Moderate

Glaucoma causes anxiety through fear of progressive vision loss and blindness.

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