All VA diagnostic codes › §4.104
38 CFR Diagnostic Code 7016 — Heart valve replacement (prosthesis)
Rating schedule §4.104 — § 4.104 Schedule of ratings—cardiovascular system.
The rating schedule directs:
Official 2026 VA monthly compensation, including the 2.8% COLA increase.
Dependent add-ons start at a 30% rating. Child-only and dependent-parent rates: see the full 2026 pay chart.
2026 base rates, all ratings (veteran alone)
| Rating | Monthly (2026, incl. 2.8% COLA) |
|---|---|
| 10% | $180.42 |
| 20% | $356.66 |
| 30% | $552.47 |
| 40% | $795.84 |
| 50% | $1,132.90 |
| 60% | $1,435.02 |
| 70% | $1,808.45 |
| 80% | $2,102.15 |
| 90% | $2,362.30 |
| 100% | $3,938.58 |
- Thereafter, use the General Rating Formula.
| Rating | Criteria (38 CFR §4.104) |
|---|---|
| 100% | For an indefinite period following date of hospital admission for valve replacement |
GENERAL RATING FORMULA FOR DISEASES OF THE HEART
The text under Diagnostic Code 7016 refers to this formula in §4.104.
| Rating | Criteria (38 CFR §4.104) |
|---|---|
| 100% | Workload of 3.0 METs or less results in heart failure symptoms |
| 60% | Workload of 3.1-5.0 METs results in heart failure symptoms |
| 30% | 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) |
| 10% | Workload of 7.1-10.0 METs results in heart failure symptoms; or continuous medication required for control |
Notes in the regulation
- 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 § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination.
Amendment history. eCFR records changes to the section holding this code on the dates below, with the differing passage within a few lines of code 7016. The criteria in force on a claim’s filing or decision date can govern it.
- 2021-11-14 — §4.104 amended near code 7016 (text as amended)
Source. Quoted from 38 CFR Part 4, the VA Schedule for Rating Disabilities, as published by the eCFR for 2026-07-01. We quote the regulation rather than paraphrase it. The rating schedule changes; check the eCFR link for the current text.
This is reference information, not a rating decision and not legal advice. What a claim actually receives depends on the evidence of record.
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