Diagnostic Code 7018 · 38 CFR §4.104
An implantable cardiac pacemaker is a small device placed under the skin, usually near the collarbone, that sends electrical pulses to keep the heart beating at a normal rate. Pacemakers are used to treat slow heart rhythms (bradycardia), heart block, and certain types of heart failure. Veterans who need a pacemaker due to a service-connected heart condition can receive disability compensation. The VA provides a temporary 100 percent rating for two months after pacemaker implantation, then rates based on remaining symptoms and heart function.
| Rating | Criteria |
|---|---|
| 100% | |
| 60% | |
| 30% | |
| 10% |
Operative report from pacemaker implantation surgery, Hospital discharge summary with dates, Pacemaker interrogation reports showing device settings and function, Echocardiogram results with ejection fraction, Stress test or METs estimation after the convalescent period, Service connection evidence for the underlying heart condition that required the pacemaker, Records of any pacemaker replacements or complications