38 CFR Part 4 — 38 CFR § 4.104

Raynaud's disease — VA Diagnostic Code 7124

Cardiovascular

Diagnostic code

7124

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38 CFR § 4.104 lists Diagnostic Code 7124 as “Raynaud's disease (also known as primary Raynaud's).” The percentage lines are 10 and 0. Note (3) says this section is for Raynaud's disease (primary Raynaud's), and it points Raynaud's syndrome to DC 7117. Section 3.309(a) lists “Raynaud's disease.” It does not list Raynaud's syndrome.

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

Raynaud's disease (primary Raynaud's) — DC 7124

Rating %: 10

Criteria (verbatim). Characteristic attacks associated with trophic change(s), such as tight, shiny skin

Rating %: 0

Criteria (verbatim). Characteristic attacks without trophic change(s)

Rating %	Criteria (verbatim)
10	Characteristic attacks associated with trophic change(s), such as tight, shiny skin
0	Characteristic attacks without trophic change(s)

Note (1): For purposes of this section, characteristic attacks consist of intermittent and episodic color changes of the digits of one or more extremities, lasting minutes or longer, with occasional pain and paresthesias, and precipitated by exposure to cold or by emotional upsets. These evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved.

Note (2): Trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities).

Note (3): This section is for evaluating Raynaud's disease (primary Raynaud's). For evaluation of Raynaud's syndrome (also known as secondary Raynaud's phenomenon, or secondary Raynaud's), see DC 7117.

The 0 percent line is printed under DC 7124. It is the line “Characteristic attacks without trophic change(s).” 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.

The Diseases of the Heart caption in 38 CFR § 4.104 is in brackets: “Unless otherwise directed, use this general rating formula to evaluate diseases of the heart.” DC 7124 prints its own 10 and 0 percent lines. Those lines do not use METs.

Source: 38 CFR § 4.104, Diagnostic Code 7124, eCFR full-text XML for 2026-10-01.

What the words mean in your records

Characteristic attacks under DC 7124

Note (1) defines them as intermittent and episodic color changes of the digits of one or more extremities, lasting minutes or longer, with occasional pain and paresthesias, precipitated by exposure to cold or by emotional upsets. The evaluations are for the disease as a whole, regardless of the number of extremities involved or whether the nose and ears are involved.

10 percent requires trophic change(s)

The 10 percent line is “Characteristic attacks associated with trophic change(s), such as tight, shiny skin.” The parentheses are in the schedule. Note (2) says trophic changes include, but are not limited to, skin changes (thinning, atrophy, fissuring, ulceration, scarring, absence of hair) as well as nail changes (clubbing, deformities). The example “tight, shiny skin” is on the 10 percent line. The longer list is in Note (2).

DC 7117 is a different code

DC 7117 is “Raynaud's syndrome (also known as secondary Raynaud's phenomenon or secondary Raynaud's).” Its lines are 100, 60, 40, 20, and 10, and they use digital ulcers, auto-amputation, and how many times a week characteristic attacks occur. Its Note (1) says sequential color changes lasting minutes to hours, sometimes with pain and paresthesias. DC 7124 Note (1) says intermittent and episodic color changes lasting minutes or longer, with occasional pain and paresthesias. DC 7124 does not print a 100, 60, 40, or 20 percent line.

Evidence that speaks to each level

10 — trophic change(s)

What the rater needs to see. Characteristic attacks, as Note (1) defines them, associated with trophic change(s). The line’s example is tight, shiny skin. Note (2) lists other trophic changes and says the list is not limited to those examples.

Where that usually lives. The examination that describes the attacks and the skin or nail changes.

0 — attacks without trophic change(s)

What the rater needs to see. Characteristic attacks without trophic change(s). That is the printed 0 percent line.

Where that usually lives. The same examination, when it describes attacks and does not describe trophic change.

Level	What the rater needs to see	Where that usually lives
10 — trophic change(s)	Characteristic attacks, as Note (1) defines them, associated with trophic change(s). The line’s example is tight, shiny skin. Note (2) lists other trophic changes and says the list is not limited to those examples.	The examination that describes the attacks and the skin or nail changes.
0 — attacks without trophic change(s)	Characteristic attacks without trophic change(s). That is the printed 0 percent line.	The same examination, when it describes attacks and does not describe trophic change.

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

The schedule text is the 10 percent line, the 0 percent line, and Notes (1) through (3). This page does not say the form replaces that text.

Related codes and how they interact

Secondary Raynaud's is DC 7117

Note (3) sends Raynaud's syndrome, also called secondary Raynaud's phenomenon or secondary Raynaud's, to DC 7117. Section 3.309(a) lists “Raynaud's disease” and does not list Raynaud's syndrome.

38 CFR § 4.14 says the evaluation of the same manifestation under different diagnoses is to be avoided.

Secondary conditions and presumptions

38 CFR § 3.309(a) lists “Raynaud's disease.” 38 CFR § 3.307(a)(3) says the disease must have become manifest to a degree of 10 percent or more within 1 year (for Hansen's disease (leprosy) and tuberculosis, within 3 years; multiple sclerosis, within 7 years) from the date of separation from service as specified in paragraph (a)(2). Paragraph (a)(1) requires 90 days or more during a war period or after December 31, 1946. 38 CFR § 3.309(a) says the listed diseases shall be granted service connection although not otherwise established as incurred in or aggravated by service if manifested to a compensable degree within those time limits, provided the rebuttable presumption provisions of § 3.307 are also satisfied. Paragraph (a) of § 3.307 also says no condition other than one listed in § 3.309(a) will be considered chronic. The parenthetical longer periods name Hansen's disease (leprosy), tuberculosis, and multiple sclerosis. They do not name Raynaud's disease.

38 CFR § 3.308(a) says there is no provision for presumptive service connection for chronic disease, as distinguished from tropical diseases, based on peacetime service before January 1, 1947.

The 2026-10-01 text of 38 CFR § 3.309(e) does not name it. 38 CFR § 3.309(f) does not name it. 38 CFR § 3.309(d) does not name it. 38 CFR § 3.320 does not name it. 38 CFR § 3.320a does not name it. 38 CFR § 3.320b does not name it. 38 CFR § 3.316 does not name it. 38 CFR § 3.317 does not name it. Section 3.309(b) does not name Raynaud's disease. Section 3.309(c) does not name it.

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 DC 7124?

Under 38 CFR § 4.104, Raynaud's disease (primary Raynaud's) is 10 percent when characteristic attacks are associated with trophic change(s), such as tight, shiny skin, and 0 percent when characteristic attacks occur without trophic change(s). Education only. VA decides on the evidence.

Which Raynaud's code is on the chronic-disease list?

Section 3.309(a) lists “Raynaud's disease.” The schedule title at DC 7124 is “Raynaud's disease (also known as primary Raynaud's).” DC 7117 is Raynaud's syndrome.

FAQ

How does VA rate Raynaud's disease under DC 7124?

The schedule prints 10 percent for characteristic attacks associated with trophic change(s), such as tight, shiny skin, and 0 percent for characteristic attacks without trophic change(s). Note (1) defines characteristic attacks. Note (3) says this section is for primary Raynaud's. Education only.

Is DC 7124 the same ladder as Raynaud's syndrome?

No. DC 7117 rates Raynaud's syndrome at 100, 60, 40, 20, and 10 percent. DC 7124 prints 10 and 0. The two notes that define characteristic attacks do not use the same words.

Is Raynaud's disease a one-year chronic disease?

Section 3.309(a) lists “Raynaud's disease.” Section 3.307(a)(3) uses one year for that group, except the longer periods it names for Hansen's disease (leprosy), tuberculosis, and multiple sclerosis.

Is Raynaud's disease on the herbicide, Camp Lejeune, or burn-pit lists?

The 2026-10-01 text of §§ 3.309(e), 3.309(f), 3.320, 3.320a, 3.320b, and 3.316 does not name Raynaud's disease. Section 3.317 does not name it.

Next steps

Read the decision for DC 7124 or DC 7117, and for whether trophic changes were 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 7124 • 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.