38 CFR Part 4 — 38 CFR § 4.104

Angioneurotic edema — VA Diagnostic Code 7118

Cardiovascular

Diagnostic code

7118

Start free worksheet Get the Founding Pass — $9.99/month

38 CFR § 4.104 lists Diagnostic Code 7118 as “Angioneurotic edema:”. The title ends with a colon. The rating cell on that title is empty. The lines are 40, 20, and 10. None of those cells ends with a period. The 40 and 20 lines each have a laryngeal-involvement clause. The 10 line does not. There is no note under DC 7118. Appendix B to Part 4 indexes “Angioneurotic edema.”

Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was up to date as of 2026-10-01 and last amended on 2026-08-27. The § 4.104 source note prints 62 FR 65219, Dec. 11, 1997, as amended at 63 FR 37779, July 14, 1998; 71 FR 52460, Sept. 6, 2006; 79 FR 2100, Jan. 13, 2014; 82 FR 50804, Nov. 2, 2017; 86 FR 54093, Sept. 30, 2021; 86 FR 62095, Nov. 9, 2021.

The rating criteria at each level

7118 Angioneurotic edema

Rating %: 40

Criteria (verbatim). Attacks without laryngeal involvement lasting one to seven days or longer and occurring more than eight times a year, or; attacks with laryngeal involvement of any duration occurring more than twice a year

Rating %: 20

Criteria (verbatim). Attacks without laryngeal involvement lasting one to seven days and occurring five to eight times a year, or; attacks with laryngeal involvement of any duration occurring once or twice a year

Rating %: 10

Criteria (verbatim). Attacks without laryngeal involvement lasting one to seven days and occurring two to four times a year

Rating %	Criteria (verbatim)
40	Attacks without laryngeal involvement lasting one to seven days or longer and occurring more than eight times a year, or; attacks with laryngeal involvement of any duration occurring more than twice a year
20	Attacks without laryngeal involvement lasting one to seven days and occurring five to eight times a year, or; attacks with laryngeal involvement of any duration occurring once or twice a year
10	Attacks without laryngeal involvement lasting one to seven days and occurring two to four times a year

The 40 percent line says “one to seven days or longer.” The 20 and 10 percent lines say “one to seven days” and do not add “or longer.”

The 40 percent laryngeal clause is attacks with laryngeal involvement of any duration occurring more than twice a year. The 20 percent laryngeal clause is once or twice a year. The 10 percent line has no laryngeal clause.

Each criteria cell uses “or;” before the laryngeal clause on the 40 and 20 lines. None of the three cells ends with a period.

38 CFR § 4.31 says that in every instance where the schedule does not provide a zero percent evaluation for a diagnostic code, a zero percent evaluation shall be assigned when the requirements for a compensable evaluation are not met. DC 7118 does not print a 0 percent line. 38 CFR § 4.7 assigns the higher rating when the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned. 38 CFR § 4.6 requires each element affecting the evidence to be studied so that decisions will be equitable and just.

DC 7119 is erythromelalgia. Its note defines a characteristic attack of erythromelalgia and says those evaluations are for the disease as a whole. That note is printed under DC 7119. It is not printed under DC 7118. The Raynaud’s notes above DC 7118 are printed under DC 7117. DC 7120 says to evaluate varicose veins under diagnostic code 7121. That sentence is not a DC 7118 line.

Source: 38 CFR § 4.104, Diagnostic Code 7118, eCFR full-text XML for 2026-10-01.

What the words mean in your records

Or longer is only on the 40 line

Attacks without laryngeal involvement on the 40 percent line last one to seven days or longer and occur more than eight times a year. The 20 and 10 percent lines do not say “or longer.”

Laryngeal involvement changes the count

With laryngeal involvement, any duration, more than twice a year is on the 40 percent line. Once or twice a year is on the 20 percent line. The 10 percent line does not offer a laryngeal alternative.

No note on this code

DC 7118 stops at the 10 percent line. The characteristic-attack note for erythromelalgia is the next code.

Evidence that speaks to each level

40, 20, or 10

What the rater needs to see. How many attacks occurred in a year, whether they lasted one to seven days or, on the 40 percent line, one to seven days or longer, and whether any attack included laryngeal involvement.

Where that usually lives. The treatment record of the attacks.

What this code does not define

What the rater needs to see. DC 7118 does not print a definition of an attack. The erythromelalgia definition is under DC 7119. Do not copy that sentence onto this code.

Where that usually lives. The DC 7118 row itself.

Level	What the rater needs to see	Where that usually lives
40, 20, or 10	How many attacks occurred in a year, whether they lasted one to seven days or, on the 40 percent line, one to seven days or longer, and whether any attack included laryngeal involvement.	The treatment record of the attacks.
What this code does not define	DC 7118 does not print a definition of an attack. The erythromelalgia definition is under DC 7119. Do not copy that sentence onto this code.	The DC 7118 row itself.

VA’s public DBQ list, checked October 5, 2026, names “Artery and Vein Conditions” under Cardiovascular. The file is Artery and Vein Conditions.

The exam form

DC 7118 prints 40, 20, and 10. This page does not say the form replaces those lines. Heart Conditions is a separate file on the same list.

Related codes and how they interact

The neighboring notes belong to the neighboring codes.

DC 7119 defines a characteristic attack of erythromelalgia. DC 7117’s notes are for Raynaud’s syndrome. Neither note is reprinted under angioneurotic edema.

Secondary conditions and presumptions

The 2026-10-01 text of 38 CFR § 3.309 does not contain “edema” or “angioneurotic.” It does not assign DC 7118.

A separate question, when a presumption does not decide it, is a medical question on the facts under 38 CFR § 3.310. Paragraph (a) covers disability proximately due to or the result of a service-connected disease or injury. Paragraph (b) covers increase in severity and requires a medical baseline.

Short answers

What is the VA rating for angioneurotic edema?

Under 38 CFR § 4.104, Diagnostic Code 7118 is 40, 20, or 10 percent, using the attack counts and the laryngeal clauses printed on those lines. Education only. VA decides on the evidence.

Why does only the 40 percent line say “or longer”?

That is how the cells are printed. The 40 percent line says one to seven days or longer. The 20 and 10 percent lines say one to seven days and stop there.

FAQ

How does VA rate angioneurotic edema under DC 7118?

Attacks without laryngeal involvement lasting one to seven days or longer and occurring more than eight times a year, or attacks with laryngeal involvement of any duration occurring more than twice a year, are 40 percent. Five to eight attacks a year without laryngeal involvement, or laryngeal attacks once or twice a year, are 20 percent. Two to four attacks a year without laryngeal involvement are 10 percent. Education only.

Does the 10 percent line include laryngeal involvement?

No. Only the 40 and 20 percent lines have a laryngeal clause. The 10 percent line is attacks without laryngeal involvement lasting one to seven days and occurring two to four times a year.

Is there a note under DC 7118?

No. The schedule goes from the 10 percent line to DC 7119, erythromelalgia. The erythromelalgia note is not a DC 7118 note.

Next steps

Read the decision for DC 7118, the attack count, the duration, and whether laryngeal involvement was used.
The free worksheet is a place to write the code, the findings, and the records you already have. It does not file a claim or protect a filing date. An accredited representative is at find a VSO.
Other cardiovascular codes are on the cardiovascular diagnostic-code index. The category page is cardiovascular conditions.

Education only. Not legal or medical advice. My Claim Packet is not a VA-accredited representative and does not file claims. VA decides every claim on its own evidence.

Other codes in this body system

Nearby catalog entries in Cardiovascular, ordered by diagnostic code number. All Cardiovascular codes

Also: DC code lookup (tools) lists the same index in a compact layout.

Source: 38 CFR Part 4, Diagnostic Code 7118 • va.gov

⚠️ Important Disclaimer

This page provides general educational information based on public VA regulations and VA.gov resources. It is not legal or medical advice, and My Claim Packet is not a VA-accredited representative. Any worksheets or draft documents produced by the tools must be reviewed for accuracy and are not filed with VA for you. Ratings and service connection are decided case-by-case from the individual record. Consult a VA-accredited VSO, claims agent, attorney, or qualified clinician for help with your situation, and verify current rules using the linked official source.