38 CFR Part 4 — 38 CFR § 4.104

Erythromelalgia — VA Diagnostic Code 7119

Cardiovascular

Diagnostic code

7119

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38 CFR § 4.104 lists Diagnostic Code 7119 as “Erythromelalgia:”. The lines are 100, 60, 30, and 10. Each line begins “Characteristic attacks.” The note defines a characteristic attack and says these evaluations are for the disease as a whole, regardless of the number of extremities involved.

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

7119 Erythromelalgia

Rating %: 100

Criteria (verbatim). Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities

Rating %: 60

Criteria (verbatim). Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities

Rating %: 30

Criteria (verbatim). Characteristic attacks that occur daily or more often but that respond to treatment

Rating %: 10

Criteria (verbatim). Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment

Rating %	Criteria (verbatim)
100	Characteristic attacks that occur more than once a day, last an average of more than two hours each, respond poorly to treatment, and that restrict most routine daily activities
60	Characteristic attacks that occur more than once a day, last an average of more than two hours each, and respond poorly to treatment, but that do not restrict most routine daily activities
30	Characteristic attacks that occur daily or more often but that respond to treatment
10	Characteristic attacks that occur less than daily but at least three times a week and that respond to treatment

Note: For purposes of this section, a characteristic attack of erythromelalgia consists of burning pain in the hands, feet, or both, usually bilateral and symmetrical, with increased skin temperature and redness, occurring at warm ambient temperatures. These evaluations are for the disease as a whole, regardless of the number of extremities involved.

The 100 and 60 lines both require attacks more than once a day, lasting an average of more than two hours each, that respond poorly to treatment. The 100 line adds “and that restrict most routine daily activities.” The 60 line says “but that do not restrict most routine daily activities.” The 30 line is daily or more often, and the attacks respond to treatment. The 10 line is less than daily but at least three times a week, and the attacks respond to treatment. None of the four lines 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 7119 does not print a 0 percent line.

The note’s “this section” is the sentence printed under DC 7119. It says the evaluations are for the disease as a whole, regardless of the number of extremities involved. DC 7118 is angioneurotic edema. Its lines count attacks with and without laryngeal involvement. DC 7120 is varicose veins, and it says to evaluate under diagnostic code 7121. Neither row is the erythromelalgia note. 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.

Source: 38 CFR § 4.104, Diagnostic Code 7119, eCFR full-text XML for 2026-10-01.

What the words mean in your records

Poor response versus response to treatment

The 100 and 60 lines say the attacks “respond poorly to treatment.” The 30 and 10 lines say the attacks “respond to treatment.” The frequency and duration words are not the only difference.

The disease as a whole

The note says the evaluations are for the disease as a whole, regardless of the number of extremities involved. It also says a characteristic attack is usually bilateral and symmetrical. The rating lines do not add a number for each hand or foot.

Evidence that speaks to each level

100, 60, 30, or 10

What the rater needs to see. How often the characteristic attacks occur, how long they last on the 100 and 60 lines, whether they respond poorly to treatment or respond to treatment, and, on the 100 and 60 lines, whether they restrict most routine daily activities.

Where that usually lives. The treatment record and the description of the attacks the note defines.

What the note calls a characteristic attack

What the rater needs to see. Burning pain in the hands, feet, or both, usually bilateral and symmetrical, with increased skin temperature and redness, occurring at warm ambient temperatures.

Where that usually lives. The same record. The note prints that definition.

Level	What the rater needs to see	Where that usually lives
100, 60, 30, or 10	How often the characteristic attacks occur, how long they last on the 100 and 60 lines, whether they respond poorly to treatment or respond to treatment, and, on the 100 and 60 lines, whether they restrict most routine daily activities.	The treatment record and the description of the attacks the note defines.
What the note calls a characteristic attack	Burning pain in the hands, feet, or both, usually bilateral and symmetrical, with increased skin temperature and redness, occurring at warm ambient temperatures.	The same record. The note prints that definition.

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 7119 prints 100, 60, 30, and 10, and the characteristic-attack note. This page does not say the form replaces those lines.

Related codes and how they interact

The neighboring artery-and-vein codes are different counts.

Angioneurotic edema counts attacks over a year and asks about laryngeal involvement. Varicose veins points to DC 7121. Erythromelalgia uses characteristic attacks and one evaluation for the disease as a whole.

Secondary conditions and presumptions

The 2026-10-01 text of 38 CFR § 3.309 does not contain “erythromelalgia.” DC 7119 is a rating-schedule line.

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 erythromelalgia?

Under 38 CFR § 4.104, Diagnostic Code 7119 is 100, 60, 30, or 10 percent based on characteristic attacks. The note defines that attack and says the evaluations are for the disease as a whole. Education only. VA decides on the evidence.

How is the 100 percent line different from the 60 percent line?

Both require attacks more than once a day, lasting an average of more than two hours each, that respond poorly to treatment. The 100 percent line says the attacks restrict most routine daily activities. The 60 percent line says they do not.

FAQ

What percentages does DC 7119 print?

The lines are 100, 60, 30, and 10. The 100 and 60 lines are attacks more than once a day, lasting an average of more than two hours, that respond poorly to treatment. They differ on whether the attacks restrict most routine daily activities. Education only.

Does each involved extremity get its own percentage?

The note says these evaluations are for the disease as a whole, regardless of the number of extremities involved. A characteristic attack consists of burning pain in the hands, feet, or both, usually bilateral and symmetrical, with increased skin temperature and redness, occurring at warm ambient temperatures.

Is there a printed 0 percent line?

DC 7119 does not print a 0 percent line. The lowest printed line is 10, for characteristic attacks less than daily but at least three times a week that respond to treatment. Section 4.31 addresses a zero percent evaluation when the requirements for a compensable evaluation are not met.

Next steps

Read the decision for DC 7119, the attack frequency, the duration on the higher lines, the response to treatment, and whether most routine daily activities were restricted.
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 7119 • 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.