๐Ÿ“Š Rating Increase Predictor

Select your condition and current rating to see exactly what the next tier requires and how to get there.

Hiatal hernia and paraesophageal hernia

Diagnostic Code: 7346

View full rating criteria โ†’

Rating Ladder

All possible ratings for this condition. Your current rating is highlighted in blue, the next tier in gold.

0%
โ†’
10%
โ†’
30%
Current
โ†’
50%
Next โ†’
โ†’
80%

Current vs. Next Tier

Current: 30%

Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year

Next: 50%

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

The Gap: You need to demonstrate symptoms that meet the 50% criteria. Focus on documenting the specific differences between your current level and the next tier.

All Rating Criteria for Hiatal hernia and paraesophageal hernia

Documented history without daily symptoms or requirement for daily medications

Documented history of esophageal stricture(s) that requires daily medications to control dysphagia otherwise asymptomatic

Documented history of recurrent esophageal stricture(s) causing dysphagia which requires dilatation no more than 2 times per year

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

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 ยง 4.112(a) and treatment with either surgical correction or percutaneous esophago-gastrointestinal tube (PEG tube)

What You Need โ€” Evidence Tips

๐Ÿ“‹ Medical Evidence
  • Recent treatment records showing worsened symptoms
  • Updated diagnostic tests or imaging
  • Specialist evaluations or nexus letters
  • Prescription changes (new or increased meds)
  • ER visits or hospitalizations
๐Ÿ—ฃ๏ธ Lay Evidence
  • Personal statement describing worsening
  • Buddy letters from family, friends, or coworkers
  • Symptom diary or daily log
  • Photos showing visible symptoms (if applicable)
  • Work records showing missed days or accommodations
๐Ÿฉบ C&P Exam Tips
  • Describe your worst days, not your best
  • Mention specific limitations (can't lift, can't bend, etc.)
  • Describe impact on work and daily activities
  • Don't downplay โ€” be accurate but thorough
  • Review the DBQ form for your condition beforehand
โšก Pro Tips
  • File a claim for increase (not a new claim)
  • Submit an Intent to File first to lock in your effective date
  • Get a copy of the DBQ and review each field
  • Consider a private medical opinion (IMO/nexus letter)
  • Request your C-file to review prior exam findings
โš ๏ธ Disclaimer: This tool shows the official rating criteria from 38 CFR Part 4. It is not legal or medical advice. Consult with a VA-accredited representative for personalized guidance.