Chronic liver disease without cirrhosis DC 7345
VA rates it under diagnostic code 7345 in 38 CFR 4.114. Body system: Digestive.
Also searched as: hepatitis B, fatty liver, NAFLD, NASH, chronic liver disease.
How VA rates it
The schedule allows 5 rating levels for this code: 0%, 20%, 40%, 60%, and 100%. VA picks the level whose criteria best match your symptoms and records.
Source: 38 CFR 4.114 on eCFR. Read the full criteria there before you file.
Rating levels and criteria
| Rating | What the schedule says |
|---|---|
| 100% | Progressive chronic liver disease requiring use of both parenteral antiviral therapy (direct antiviral agents), and parenteral immunomodulatory therapy (interferon and other); and for six months following discontinuance of treatment |
| 60% | Progressive chronic liver disease requiring continuous medication and causing substantial weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia |
| 40% | Progressive chronic liver disease requiring continuous medication and causing minor weight loss and at least two of the following: (1) daily fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, (5) pruritus, and (6) arthralgia |
| 20% | Chronic liver disease with at least one of the following: (1) intermittent fatigue, (2) malaise, (3) anorexia, (4) hepatomegaly, or (5) pruritus |
| 0% | Previous history of liver disease, currently asymptomatic |
Criteria text from 38 CFR 4.114, eCFR as of November 10, 2026. The eCFR is the official source if anything here differs.
Notes in the schedule (4)
Note (1): 100% evaluation shall continue for six months following discontinuance of parenteral antiviral therapy and administration of parenteral immunomodulatory drugs. Six months after discontinuance of parenteral antiviral therapy and parenteral immunomodulatory drugs, determine the appropriate disability rating by mandatory VA exam. Apply the provisions of § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination.
Note (2): For individuals for whom physicians recommend both parenteral antiviral therapy and parenteral immunomodulatory drugs, but for whom treatment is medically contraindicated, rate according to DC 7312 (Cirrhosis of the liver).
Note (3): This diagnostic code includes Hepatitis B (confirmed by serologic testing), primary biliary cirrhosis (PBC), primary sclerosing cholangitis (PSC), autoimmune liver disease, Wilson's disease, Alpha-1-antitrypsin deficiency, hemochromatosis, drug-induced hepatitis, and non-alcoholic steatohepatitis (NASH). Track Hepatitis C (or non-A, non-B hepatitis) under DC 7354 but evaluate it using the criteria in this entry.
Note (4): Evaluate sequelae, such as cirrhosis or malignancy of the liver, under an appropriate diagnostic code, but do not use the same signs and symptoms as the basis for evaluation under DC 7354 and under a diagnostic code for sequelae. (See § 4.14)
Related medications
Medications that can cause or worsen it
If you take one of these for a service-connected condition, this condition may be claimable as secondary to that condition. You need a diagnosis, your prescription records, and a medical opinion.
Methotrexate (Trexall, Otrexup) Established link
Methotrexate labels warn about liver damage with long-term use.
Sources: FDA label: Methotrexate (DailyMed)
Valproate (divalproex, valproic acid) (Depakote) Established link
Valproate has a boxed warning for liver injury.
Sources: FDA label: Valproate (divalproex, valproic acid) (DailyMed)
Medications prescribed for it
A prescription shows the condition was diagnosed. It still needs its own link to service.
- Entecavir (Baraclude). FDA labels: Entecavir (DailyMed)
- Tenofovir alafenamide (Vemlidy). FDA labels: Tenofovir alafenamide (DailyMed)
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Rating schedule data as of November 10, 2026. Secondary and presumptive links checked November 13, 2026.
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