Artery And Vein Conditions DBQ: Official VA Form

The public Artery and Vein Conditions Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

13 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 7110: Aortic aneurysm: Ascending, thoracic, or abdominal
• DC 7111: Aneurysm, any large artery
• DC 7112: Aneurysm, any small artery
• DC 7113: Arteriovenous fistula, traumatic
• DC 7114: Peripheral arterial disease
• DC 7115: Thrombo-angiitis obliterans (Buerger's Disease)
• DC 7117: Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's)
• DC 7118: Angioneurotic edema
• DC 7119: Erythromelalgia
• DC 7120: Varicose veins
• DC 7121: Post-phlebitic syndrome of any etiology
• DC 7123: Soft tissue sarcoma (of vascular origin)
• DC 7124: Raynaud's disease (also known as primary Raynaud's)

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

Read The Claim Examination Guide · Return To The Rating Schedule