VA Disability Rating for Hypertension: 2026 Guide
High blood pressure (hypertension) is one of the most commonly service-connected VA disabilities. It can be connected directly to service, as a presumptive condition for Agent Orange exposure, or as secondary to other service-connected conditions like PTSD.
The VA Hypertension Rating Scale (DC 7101)
| Rating | Criteria (Diastolic) | 2026 Monthly Pay |
|---|---|---|
| 10% | Diastolic 100–109, or systolic 160–199 | $175.51 |
| 20% | Diastolic 110–119, or systolic 200 or more | $352.49 |
| 40% | Diastolic 120 or more | $673.28 |
| 60% | Requires 2+ medications, diastolic 130+, or cardiovascular damage | $1,361.88 |
Readings Are Everything
The VA requires at least two separate readings taken on at least two separate occasions. Your C&P exam reading matters, but so do your VA healthcare records. If you have consistently high readings in your medical records, make sure the rater has access to them. Don't take blood pressure medication before your C&P exam — your rating should reflect your actual blood pressure, not your medicated level.
Agent Orange Presumptive
As of January 2022, hypertension is a presumptive condition for veterans exposed to Agent Orange (or other tactical herbicides). This means Vietnam-era veterans, certain Thailand veterans, and others on the Agent Orange exposure list can get service connection without proving a nexus — just the diagnosis and a qualifying deployment are sufficient.
Secondary to PTSD, Stress, or Kidney Disease
Hypertension secondary to PTSD is commonly approved. PTSD causes chronic physiological stress responses that elevate blood pressure over time. A nexus letter from your treating psychiatrist or primary care physician stating hypertension is "at least as likely as not" caused or aggravated by PTSD is usually sufficient.
Frequently Asked Questions
What is the VA rating for hypertension?
Hypertension is rated at 10%, 20%, 40%, or 60% under Diagnostic Code 7101, based on your diastolic blood pressure readings and systolic readings taken at C&P exams.
How much does 10% hypertension pay in 2026?
A 10% VA disability rating pays $175.51 per month in 2026. Most veterans receive a 10% rating for hypertension, which is the lowest compensable level.
Is hypertension a presumptive condition for Agent Orange?
Yes. Hypertension is a presumptive service-connected condition for veterans exposed to Agent Orange who served in Vietnam, Thailand, or other covered locations during specified periods.
Can hypertension be secondary to PTSD?
Yes. Chronic stress from PTSD causes elevated blood pressure. Veterans with service-connected PTSD can file for hypertension as secondary to PTSD with a supporting nexus letter.
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