Ischemic Heart Disease
DC 7005 §4.104 Cardiovascular ICD-10: I25.10 DirectPresumptive Agent Orange
Agent Orange presumptive. Includes CAD, angina, MI history.
VA rating criteria
| Rating | Criteria |
|---|---|
| 100% | Chronic congestive heart failure; or workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope; or left ventricular dysfunction with an ejection fraction of less than 30 percent |
| 60% | More than one episode of acute congestive heart failure in the past year; or workload of greater than 3 METs but not greater than 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or left ventricular dysfunction with an ejection fraction of 30 to 50 percent |
| 30% | Workload of greater than 5 METs but not greater than 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or evidence of cardiac hypertrophy or dilatation on EKG, echocardiogram, or X-ray |
| 10% | Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope; or continuous medication required |
Filing this claim
If you have qualifying service for the Agent Orange presumption, you don't need a nexus letter — file as a primary claim with proof of qualifying service and your current diagnosis. Use the letter generators to draft your nexus letter and Statement in Support of Claim.
Step by step
- File an Intent to File (Form 21-0966) to lock your effective date.
- Confirm you have a current medical diagnosis in a medical record.
- Gather proof of qualifying service (DD-214, deployment records, etc.) — no nexus letter needed.
- Write a Statement in Support of Claim (21-4138).
- If applicable, gather buddy statements (21-10210).
- File the formal 21-526EZ.
Source: 38 CFR §4.104. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.