Reference: 38 CFR 4.104

Hypertension: Terminology

Plain-English definitions of the terms used

Terminology

Plain-English terms

Confirmed readings

A single elevated reading, however high, is not enough. The record should show a predominant pattern across multiple days.

This gate applies before any DC 7101 percentage tier can be evaluated.

blood pressure log; Hypertension DBQ; diastolic band; systolic band

Minimum evaluation

Well-controlled hypertension is not automatically 0% if the record shows both a qualifying history and a continuous-medication requirement together.

This is a distinct OR-path from the current-reading bands. RatingScope evaluates it separately so it is never conflated with, or silently defaulted from, the current-reading facts.

medication history; treatment records documenting prior readings; confirmed readings; continuous medication

Isolated systolic hypertension

A systolic-only elevated pattern can independently support the 10% or 20% tier, but not the 40% or 60% tiers, which are diastolic-only.

DC 7101 covers this pattern under the same diagnostic code as diastolic hypertension, not a separate one.

blood pressure log; Hypertension DBQ; systolic band; confirmed readings

Causation exception

If your hypertension is documented as caused by one of these two specific conditions, it may be rated under a different schedule entirely. RatingScope discloses this but does not yet automate the routing.

This exception depends on the still-unresearched broader cardiovascular and endocrine rating bundles, per RSCH-019's explicit deferral.

cardiology or endocrinology records; treatment records documenting causation; policy review; cardiovascular bundle; endocrine bundle

TDIU

Even if the schedular rating for Hypertension does not reach 100 percent, TDIU may still provide a pathway to compensation at the 100 percent rate, based on unemployability from this and/or other service-connected disabilities combined.

A lower schedular percentage does not by itself foreclose TDIU eligibility -- this hub computes only the schedular percentage for this specific condition and does not determine TDIU eligibility.

Employment history; vocational impact documentation; occupational impairment

Keep going

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