Heart Conditions DBQ: Official VA Form

The public Heart 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

18 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 7000: Valvular heart disease (including rheumatic heart disease),
• DC 7001: Endocarditis, or
• DC 7002: Pericarditis
• DC 7003: Pericardial adhesions
• DC 7004: Syphilitic heart disease
• DC 7005: Arteriosclerotic heart disease (coronary artery disease)
• DC 7006: Myocardial infarction
• DC 7007: Hypertensive heart disease
• DC 7008: Hyperthyroid heart disease
• DC 7009: Bradycardia (Bradyarrhythmia), symptomatic, requiring permanent pacemaker implantation
• DC 7010: Supraventricular tachycardia
• DC 7011: Ventricular arrhythmias (sustained)
• DC 7015: Atrioventricular block
• DC 7016: Heart valve replacement (prosthesis)
• DC 7017: Coronary bypass surgery
• DC 7018: Implantable cardiac pacemakers
• DC 7019: Cardiac transplantation
• DC 7020: Cardiomyopathy

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