Diagnostic Code 7354 · 38 CFR §4.114
Diagnostic code 7354 specifically addresses hepatitis C, the most commonly claimed liver condition among veterans. Hepatitis C is a blood-borne viral infection that attacks the liver and can cause progressive damage over decades. The VA recognizes several military-specific risk factors including jet gun (air gun) inoculations used from the 1950s through the 1990s, blood transfusions before widespread screening, combat wound exposure, and shared razors or personal items in barracks settings. Many veterans were infected decades ago and are only now experiencing symptoms as the liver damage progresses.
| Rating | Criteria |
|---|---|
| 100% | |
| 60% | |
| 40% | |
| 20% | |
| 10% | |
| 0% |
Hepatitis C antibody test (anti-HCV) and viral load (HCV RNA) results, Liver function tests (ALT, AST, bilirubin, albumin, INR), FibroScan or liver biopsy showing degree of fibrosis or cirrhosis, Service records documenting risk factors (jet gun inoculations, combat, blood exposure), VA Hepatitis Risk Factors questionnaire (completed and submitted), Treatment records including any antiviral therapy and its outcomes