What is the VA rating for Nutritional Deficiencies?
Understand nutritional-deficiency guidance covering Avitaminosis (DC 6313) and Pellagra (DC 6315), which share an identical 5-tier symptom table, and Beriberi (DC 6314), which has its own distinct 3-tier table. This is a clinical grouping matching the VA Nutritional Deficiencies DBQ's own grouping, not an eCFR-native subheading.
Condition Overview & Clinical Scope
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"Nutritional Deficiencies" is RatingScope's own clinical grouping of three diagnostic codes -- it is not an eCFR-native subheading. Section 4.88b has no formal "Nutritional Deficiencies" heading; DC 6313 (Avitaminosis), DC 6314 (Beriberi), and DC 6315 (Pellagra) are three consecutive line items inside a much larger, undivided table alongside unrelated infectious-disease codes. This grouping matches the VA Nutritional Deficiencies DBQ's own choice to present these three diagnoses together. Avitaminosis (DC 6313) and Pellagra (DC 6315) share a character-for-character identical 5-tier symptom table (100/60/40/20/10 percent). Beriberi (DC 6314) has its own genuinely distinct 3-tier table (100/60/30 percent), where each tier is a self-contained list that does not reference the others' contents.
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Common Questions & FAQs
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What are you trying to understand about nutritional deficiencies?
"Nutritional Deficiencies" is RatingScope's own clinical grouping of three diagnostic codes -- it is not an eCFR-native subheading. Section 4.88b has no formal "Nutritional Deficiencies" heading; DC 6313 (Avitaminosis), DC 6314 (Beriberi), and DC 6315 (Pellagra) are three consecutive line items inside a much larger, undivided table alongside unrelated infectious-disease codes. This grouping matches the VA Nutritional Deficiencies DBQ's own choice to present these three diagnoses together. Avitaminosis (DC 6313) and Pellagra (DC 6315) share a character-for-character identical 5-tier symptom table (100/60/40/20/10 percent). Beriberi (DC 6314) has its own genuinely distinct 3-tier table (100/60/30 percent), where each tier is a self-contained list that does not reference the others' contents.
This hub explains the published DC 6313/6314/6315 schedule and common record language. It does not diagnose a nutritional-deficiency condition, determine service connection, infer undocumented findings, estimate an outcome, or replace medical care or accredited representation. Two genuine regulatory ambiguities in the shared Avitaminosis/Pellagra table are disclosed, not resolved: the 60 percent tier's "all of the symptoms listed below" language does not specify whether it means only the 40 percent row or the full combined 40/20/10 percent set, and the 100 percent tier carries no "plus the symptoms below" language unlike the 60 percent tier, leaving unclear whether it is cumulative or standalone. Beriberi's "thereafter rate residuals under the appropriate body system" language names no destination diagnostic code and is not automated here. DC 6313 (Avitaminosis) and DC 6315 (Pellagra) share a character-for-character identical symptom table; if the same documented findings support both diagnoses, evaluating them separately risks impermissible pyramiding under 38 CFR 4.14 -- disclosed here, not resolved on a case-specific basis (NHD-3). 38 CFR 3.309(c)(2)'s presumptive service connection for former POWs (covering Avitaminosis, Beriberi, and Pellagra, all three of this hub's diagnoses) is a Part 3 provision, disclosed as evidentiary context only, never applied as rating logic.
Percentage Guides
Understanding Your Percentage
Select a pathway to see what the published criteria ask about, what records may clarify it, and what should not be assumed.
100%
Highest listed pathway
Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia, documented together for Avitaminosis or Pellagra.
What separates the next level: The 60% tier requires all of the 40 percent tier's symptoms plus mental symptoms and impaired bodily vigor -- a different, and separately ambiguous, bundled finding.
Review CFR criteria, examples, and evidence
Official CFR language
Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia.
Qualification explanation
This bundled finding is modeled as its own independent criterion -- RatingScope does not derive it from the 60/40/20/10 percent facts, and does not assume it is (or is not) cumulative with them. See the 100 percent cumulative-ambiguity disclosure below (NHD-2).
Examples
Records document marked mental changes, moist dermatitis, an inability to retain adequate nourishment, exhaustion, and cachexia, all together.
Medical evidence
Nutritional Deficiencies DBQ; Treatment records documenting mental status, dermatologic findings, nutritional status, and body condition
Functional impact examples
Severe, advanced nutritional-deficiency disease with mental, dermatologic, gastrointestinal, and constitutional findings together.
Common misconceptions
Unlike the 60 percent tier, this tier's text does not say "plus the symptoms below" -- whether it is meant to be cumulative with lower tiers, or fully standalone, is a genuine, disclosed ambiguity in the regulation's own drafting (NHD-2).; This exact same 100 percent tier text applies identically to Avitaminosis (DC 6313) and Pellagra (DC 6315) -- the diagnosis label does not change the criteria.
38 CFR 4.88b; 6313; Current DC 6313 educational pathway and highest listed schedular percentage.
60%
Next: 100%
All of the 40 percent tier's symptoms (stomatitis, diarrhea, and symmetrical dermatitis), plus mental symptoms and impaired bodily vigor, documented together for Avitaminosis or Pellagra.
What separates the next level: The 40% tier requires only stomatitis, diarrhea, and symmetrical dermatitis together, without the additional mental symptoms and impaired bodily vigor this tier requires.
Review CFR criteria, examples, and evidence
Official CFR language
With all of the symptoms listed below, plus mental symptoms and impaired bodily vigor.
Qualification explanation
"All of the symptoms listed below" is genuinely ambiguous -- disclosed as NHD-1, not resolved. RatingScope asks this as its own direct, independent question rather than computing it from the 40/20/10 percent facts, so neither reading is silently assumed.
Examples
Records document stomatitis, diarrhea, and symmetrical dermatitis, plus documented mental symptoms and impaired bodily vigor.
Medical evidence
Nutritional Deficiencies DBQ; Treatment records documenting the full symptom pattern and mental/vigor findings
Functional impact examples
Significant, multi-system nutritional-deficiency symptom burden with impaired mental state and bodily vigor.
Common misconceptions
"All of the symptoms listed below" could plausibly mean only the immediately-lower 40 percent row, or the full combined 40/20/10 percent set -- the 20 percent row's disjunctive "or" phrasing does not cleanly nest under the 40 percent row's conjunctive language. RatingScope discloses both readings and does not pick one (NHD-1).
38 CFR 4.88b; 6313; Current DC 6313 educational pathway.
40%
Next: 60%
Stomatitis, diarrhea, and symmetrical dermatitis, all documented together for Avitaminosis or Pellagra.
What separates the next level: The 20% tier requires only one of stomatitis, achlorhydria, or diarrhea (disjunctive), not all three findings from this tier together.
Review CFR criteria, examples, and evidence
Official CFR language
Stomatitis, diarrhea, and symmetrical dermatitis.
Qualification explanation
Conjunctive ("and") -- all three findings must be documented together to reach this tier. Documenting only one or two of the three does not qualify at this level.
Examples
Records document stomatitis, diarrhea, and symmetrical dermatitis together, with no additional mental symptoms or impaired bodily vigor documented.
Medical evidence
Nutritional Deficiencies DBQ; Treatment records documenting stomatitis, diarrhea, and dermatitis findings
Functional impact examples
A documented, confirmed multi-symptom pattern without the additional 60 percent tier findings.
Common misconceptions
This tier is conjunctive ("and") while the 20 percent tier below is disjunctive ("or") -- documenting only stomatitis and diarrhea, without symmetrical dermatitis, reaches the 20 percent tier, not this one.
Related topics
stomatitis; diarrhea; symmetrical dermatitis
Source context
38 CFR 4.88b; 6313; Current DC 6313 educational pathway.
20%
Next: 40%
Stomatitis, or achlorhydria, or diarrhea -- any one of the three, documented for Avitaminosis or Pellagra.
What separates the next level: The 40% tier requires all three of stomatitis, diarrhea, and symmetrical dermatitis together (conjunctive), a stricter requirement than this tier's single-finding threshold.
Review CFR criteria, examples, and evidence
Official CFR language
Stomatitis, or achlorhydria, or diarrhea.
Qualification explanation
Disjunctive ("or") -- any single one of the three findings independently reaches this tier.
Examples
Records document achlorhydria alone, with no other findings documented.
Medical evidence
Nutritional Deficiencies DBQ; Treatment records documenting stomatitis, achlorhydria, or diarrhea
Functional impact examples
A single confirmed digestive-system finding even at this foundation level.
Common misconceptions
Achlorhydria is only part of this tier's disjunctive list -- it is not one of the 40 percent tier's three conjunctive findings (stomatitis, diarrhea, symmetrical dermatitis).
Related topics
stomatitis; achlorhydria; diarrhea
Source context
38 CFR 4.88b; 6313; Current DC 6313 educational pathway.
10%
Next: 20%
A confirmed diagnosis with nonspecific symptoms: decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability. This is the lowest listed tier -- there is no explicit 0 percent row.
What separates the next level: The 20% tier requires one of stomatitis, achlorhydria, or diarrhea specifically, rather than this tier's more general nonspecific symptom list.
Review CFR criteria, examples, and evidence
Official CFR language
Confirmed diagnosis with nonspecific symptoms such as decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability.
Qualification explanation
A confirmed diagnosis together with the listed nonspecific symptom pattern reaches this tier.
Examples
Records document a confirmed Avitaminosis diagnosis with decreased appetite, weight loss, and weakness, with no stomatitis, achlorhydria, or diarrhea documented.
Medical evidence
Nutritional Deficiencies DBQ; Treatment records documenting the confirmed diagnosis and nonspecific symptoms
Functional impact examples
Mild, documented nutritional-deficiency impairment even at this foundation level.
Common misconceptions
DC 6313/6315 have no listed 0 percent tier; a confirmed diagnosis with no documented symptoms falls outside this table entirely, not to an invented 0 percent row.
Related topics
nonspecific symptoms; confirmed diagnosis
Source context
38 CFR 4.88b; 6313; Current DC 6313 educational pathway and lowest listed schedular percentage.
Percentage Guides
Understanding Your Percentage -- Beriberi (DC 6314)
Select a pathway to see what the published criteria ask about, what records may clarify it, and what should not be assumed.
DC 6314 -- 100%
Highest listed pathway
Congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome, documented for Beriberi.
What separates the next level: The 60% tier requires cardiomegaly, or peripheral neuropathy with footdrop or atrophy, instead -- a separate, self-contained finding.
Review CFR criteria, examples, and evidence
Official CFR language
As active disease: congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome.
Qualification explanation
Any one of the three listed findings independently reaches this tier. This is a self-contained "or" list -- it does not reference the 60 or 30 percent tiers' contents, confirmed genuinely distinct from DC 6313/6315's cumulative shared table (RSCH-063).
Examples
Records document Wernicke-Korsakoff syndrome alone, with no cardiac findings documented.
Medical evidence
Nutritional Deficiencies DBQ; Cardiac and neurologic treatment records
Functional impact examples
Severe cardiac decompensation or profound neurocognitive impairment from thiamine deficiency.
Common misconceptions
Unlike DC 6313/6315's table, DC 6314's tiers do not build on one another -- each of the 100/60/30 percent rows is its own self-contained list.
38 CFR 4.88b; 6314; Current DC 6314 educational pathway and highest listed schedular percentage.
DC 6314 -- 60%
Next: 100%
Cardiomegaly, or peripheral neuropathy with footdrop or atrophy of thigh or calf muscles, documented for Beriberi.
What separates the next level: The 100% tier requires congestive heart failure, anasarca, or Wernicke-Korsakoff syndrome instead -- more severe cardiac or neurologic findings.
Review CFR criteria, examples, and evidence
Official CFR language
As active disease: cardiomegaly, or peripheral neuropathy with footdrop or atrophy of thigh or calf muscles.
Qualification explanation
Either finding independently reaches this tier.
Examples
Records document cardiomegaly on imaging, with no footdrop or muscle atrophy documented.
Medical evidence
Nutritional Deficiencies DBQ; Cardiac imaging and neurologic examination records
Functional impact examples
Documented cardiac enlargement or a specific peripheral-neuropathy motor finding.
Common misconceptions
Cardiomegaly alone, without any neurologic finding, is independently sufficient for this tier -- the two findings are alternatives, not requirements to combine.
Related topics
cardiomegaly; footdrop; muscle atrophy
Source context
38 CFR 4.88b; 6314; Current DC 6314 educational pathway.
DC 6314 -- 30%
Next: 60%
Peripheral neuropathy with absent knee or ankle jerks and loss of sensation, or nonspecific symptoms (weakness, fatigue, anorexia, dizziness, heaviness and stiffness of legs, headache, or sleep disturbance), documented for Beriberi. This is the lowest listed DC 6314 tier.
What separates the next level: The 60% tier requires cardiomegaly or a more specific motor neuropathy finding (footdrop or muscle atrophy) instead.
Review CFR criteria, examples, and evidence
Official CFR language
As active disease: peripheral neuropathy with absent knee or ankle jerks and loss of sensation, or symptoms such as weakness, fatigue, anorexia, dizziness, heaviness and stiffness of legs, headache, or sleep disturbance.
Qualification explanation
Either the specific neurologic finding or the broader nonspecific symptom list independently reaches this tier. DC 6314 has no listed 0 percent tier -- below-threshold findings fall outside this table entirely.
Examples
Records document absent ankle jerks and sensory loss on examination, with no cardiac findings documented.
Medical evidence
Nutritional Deficiencies DBQ; Neurologic examination records documenting reflexes and sensation
Functional impact examples
A documented, confirmed peripheral-neuropathy or nonspecific symptom pattern even at this foundation level.
Common misconceptions
"Thereafter rate residuals under the appropriate body system" names no destination diagnostic code -- RatingScope discloses this open-ended dispatch but does not guess a destination code for it.
38 CFR 4.88b; 6314; Current DC 6314 educational pathway and lowest listed schedular percentage.
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Understand the details behind the criteria
Use these short guides to connect published terms with the records and observations that may clarify them.
"Nutritional Deficiencies" is a clinical grouping, not an official eCFR category
RatingScope groups DC 6313 (Avitaminosis), DC 6314 (Beriberi), and DC 6315 (Pellagra) into one hub because the VA Nutritional Deficiencies DBQ groups them the same way -- but section 4.88b itself has no formal "Nutritional Deficiencies" subheading.
These three diagnostic codes are three consecutive line items inside a single large, undivided table in section 4.88b, alongside unrelated infectious-disease codes (confirmed by RSCH-063's direct XML-tag-level inspection).
The DBQ's own choice to present Pellagra and Avitaminosis under one shared findings section, while giving Beriberi its own separate section, mirrors real regulatory structure (the shared vs. distinct tables) rather than an arbitrary form-design choice.
This grouping does not imply any combined-rating rule across the three codes -- each diagnosis is rated independently under its own table.
Records to review: Nutritional Deficiencies DBQ.
Why Avitaminosis and Pellagra share one table
DC 6313 (Avitaminosis) and DC 6315 (Pellagra) are two separate diagnostic codes that use textually identical rating criteria -- confirmed character-for-character across four independent sources (RSCH-062).
The full 100/60/40/20/10 percent tier language for both codes is word-for-word identical.
This does not mean the two diagnoses are medically interchangeable -- it means VA rates their severity the same way once a diagnosis is confirmed.
Beriberi (DC 6314) is genuinely different: RSCH-063 confirmed its own 3-tier table is structurally distinct, with no tier referencing another tier's contents, unlike DC 6313/6315's 60 percent tier.
Because the two diagnoses' symptom tables are identical, a veteran documented with both Avitaminosis and Pellagra from the same underlying findings cannot be compensated twice for those same findings under both diagnostic codes -- 38 CFR 4.14's rule against pyramiding applies. RatingScope discloses this real risk for co-diagnosed veterans; it does not make the case-specific determination of which findings, if any, are genuinely separable (NHD-3).
Records to review: Nutritional Deficiencies DBQ.
The 60 percent tier's unresolved symptom-scope ambiguity (NHD-1, not resolved)
DC 6313/6315's 60 percent tier requires "all of the symptoms listed below, plus mental symptoms and impaired bodily vigor." Which symptoms "listed below" actually means is genuinely unclear from the regulation's own text.
One reading: "below" means only the immediately-lower 40 percent row (stomatitis, diarrhea, and symmetrical dermatitis).
Another reading: "below" means the full combined set spanning the 40, 20, and 10 percent rows -- but the 20 percent row's disjunctive "or" phrasing does not cleanly nest under the 40 percent row's conjunctive "and" language, making a combined reading awkward to apply literally.
RatingScope does not pick either reading. The 60 percent tier is asked as its own direct, independent question capturing the raw clinical picture, rather than computed from the 40/20/10 percent facts -- so no interpretation is silently assumed.
Records to review: Nutritional Deficiencies DBQ; treatment records documenting the full symptom pattern.
The 100 percent tier's unresolved cumulative-vs-standalone ambiguity (NHD-2, not resolved)
Unlike the 60 percent tier, DC 6313/6315's 100 percent tier carries no "plus the symptoms below" language -- leaving unclear whether it is implicitly cumulative with the lower tiers, or a fully standalone criterion.
This is an internal inconsistency in the regulation's own drafting: the 60 percent tier explicitly references lower-tier symptoms, but the 100 percent tier's text does not do the same.
RatingScope models the 100 percent tier as its own independent, self-contained bundled finding (marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia) -- it is never derived from the 60/40/20/10 percent facts, so the ambiguity is preserved rather than resolved in either direction.
Records to review: Nutritional Deficiencies DBQ; treatment records documenting mental, dermatologic, nutritional, and constitutional findings.
DC 6314's table ends with "Thereafter rate residuals under the appropriate body system" -- but names no specific destination diagnostic code.
This mirrors the same open-ended dispatch pattern already flagged for other conditions in this repository -- a real, disclosed gap rather than a guessed destination.
RatingScope does not attempt to identify which body-system code(s) Beriberi's residuals would fall under; that determination depends on the specific residual findings documented in an individual case.
Records to review: treatment records documenting the specific residual finding and affected body system.
A three-way editorial-history asymmetry across the three codes (informational only)
RSCH-062/RSCH-063 confirmed a genuine asymmetry in Appendix A (the eCFR's amendment-history index) across the three codes in this hub, unrelated to their rating criteria.
DC 6313 (Avitaminosis) is genuinely absent from Appendix A entirely -- confirmed independently across multiple sources, with no explanation found in the regulation's own text.
DC 6314 (Beriberi) has a normal Appendix A entry with two dated events (evaluation changes effective March 1, 1989, and August 30, 1996).
DC 6315 (Pellagra) has only a single 1996-era entry, with no 1989 entry.
This asymmetry is purely editorial-history context -- it does not affect any of the three codes' current rating criteria, and RatingScope does not assume it is symmetric across the three codes.
Records to review: eCFR Appendix A amendment history.
POW presumptive service connection for Avitaminosis, Beriberi, and Pellagra (informational only, not rating logic)
38 CFR 3.309(c)(2) grants presumptive service connection for Avitaminosis, Beriberi, and Pellagra -- all three of this hub's diagnoses -- to former prisoners of war interned or detained for 30 days or more.
This is a Part 3 service-connection provision, not a Part 4 rating-percentage rule -- it determines whether a condition is presumed connected to service, not how severely it is rated once connected.
RatingScope discloses this pathway as evidentiary context; it is never used as rating logic, gating, or automated computation in this hub.
All three diagnoses this hub covers -- Avitaminosis, Beriberi, and Pellagra -- are named in the regulation's own text, confirmed via two independent sources.
Records to review: service records documenting POW status and internment/detention duration.
Common nutritional-deficiency evidence
Nutritional-deficiency evidence is strongest when different records describe the same confirmed pattern consistently across diagnosis and the applicable diagnosis's specific symptom findings.
Medical records can document diagnosis, dermatologic, gastrointestinal, neurologic, and cardiac findings as applicable to the diagnosed condition.
The Nutritional Deficiencies DBQ organizes findings for all three diagnoses in this hub, with a shared findings section for Avitaminosis/Pellagra and a separate section for Beriberi.
No single record automatically determines a percentage; the confirmed, documented pattern across the applicable diagnosis's specific findings matters.
Records to review: medical records; Nutritional Deficiencies DBQ.
How to read the Nutritional Deficiencies DBQ
The public Nutritional Deficiencies DBQ maps closely to all three diagnoses in this hub, giving Avitaminosis and Pellagra a shared findings section and Beriberi its own separate section.
This structural split (shared vs. separate sections) mirrors the CFR's own structure, confirmed directly against the live regulation rather than assumed from the form alone.
The examiner gathers evidence; the examiner does not issue the final benefits decision.
Records to review: Nutritional Deficiencies DBQ; C&P examination; treatment history.
Evidence
Evidence that may clarify the published criteria
Medical and treatment records
May document diagnosis and the applicable dermatologic, gastrointestinal, neurologic, or cardiac findings for the diagnosed condition.
Diagnosis alone does not establish a percentage without the applicable diagnosis's specific documented findings.
Organizes diagnosis and the applicable symptom findings for Avitaminosis, Beriberi, or Pellagra.
A DBQ organizes evidence but does not issue the final VA decision.
Official VA Forms & DBQs
Downloadable DBQs & Supporting Claim Forms
Take the public DBQ to your private physician or review it prior to your C&P examination.
Terminology
Plain-English terms
Avitaminosis
A condition caused by insufficient vitamin intake or absorption, with symptoms ranging from mild appetite/weight changes to severe mental, dermatologic, and constitutional findings.
DC 6313's table is character-for-character identical to DC 6315 (Pellagra) -- confirmed directly against the live regulation across four independent sources.
A condition caused by insufficient niacin intake or absorption, with symptoms ranging from mild appetite/weight changes to severe mental, dermatologic, and constitutional findings.
DC 6315's table is character-for-character identical to DC 6313 (Avitaminosis). Pellagra is named alongside Avitaminosis and Beriberi in 38 CFR 3.309(c)(2)'s POW presumptive service connection.
A condition caused by insufficient thiamine intake or absorption, primarily affecting the cardiovascular and nervous systems.
Unlike DC 6313/6315's cumulative table, each of DC 6314's tiers is a self-contained list -- confirmed independently distinct in structure (RSCH-063). Ends with an open-ended residual-body-system dispatch naming no destination code.
Even if the schedular rating for Nutritional Deficiencies 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.
VA uses Diagnostic Codes 6313 and 6315, which share a character-for-character identical 5-tier table (100/60/40/20/10 percent) based on specific dermatologic, gastrointestinal, mental, and constitutional findings.
How does VA rate Beriberi?
VA uses Diagnostic Code 6314, a genuinely distinct 3-tier table (100/60/30 percent) based on cardiac and neurologic findings, ending with an open-ended dispatch to rate residuals under the appropriate body system.
Why do Avitaminosis and Pellagra share the same table?
The current regulation's text for DC 6313 and DC 6315 is word-for-word identical, confirmed directly against the live regulation across four independent sources. Because the tables are identical, a veteran documented with both diagnoses from the same findings cannot be compensated twice for those findings under both codes -- 38 CFR 4.14's rule against pyramiding applies, disclosed here rather than resolved case by case.
Is "Nutritional Deficiencies" an official VA category?
No. It is RatingScope's own clinical grouping, matching the VA Nutritional Deficiencies DBQ's own grouping choice. Section 4.88b has no formal "Nutritional Deficiencies" subheading -- these three codes are line items in a larger undivided table.
What does the 60 percent tier's "symptoms listed below" actually mean?
This is genuinely unclear -- it could mean only the 40 percent row, or the full combined 40/20/10 percent set. RatingScope discloses both readings and asks this as its own independent question rather than computing it from lower-tier facts.
Is the 100 percent tier cumulative with the lower tiers?
Unclear -- unlike the 60 percent tier, the 100 percent tier's text does not say "plus the symptoms below." RatingScope models it as its own independent, standalone finding without resolving this ambiguity.
What happens to Beriberi residuals?
The regulation says to "rate residuals under the appropriate body system" but names no specific destination code. RatingScope discloses this as an open-ended gap rather than guessing a destination.
Do former POWs get special consideration?
38 CFR 3.309(c)(2) grants presumptive service connection for Avitaminosis, Beriberi, and Pellagra -- all three of this hub's diagnoses -- to former POWs interned or detained 30+ days -- a Part 3 service-connection rule, disclosed here as evidentiary context only, not automated as rating logic.
What evidence commonly helps explain nutritional-deficiency condition severity?
A Nutritional Deficiencies DBQ and treatment records documenting the applicable diagnosis's specific findings may help explain the confirmed pattern. No single record automatically determines a percentage.
What happens during a nutritional-deficiency C&P exam?
The examiner may review diagnosis and the applicable dermatologic, gastrointestinal, neurologic, or cardiac findings. The examination gathers information for VA; the examiner does not issue the final benefits decision.
If my schedular rating for Nutritional Deficiencies is below 100%, can I still be compensated at the 100% rate?
Possibly, through TDIU (Total Disability rating based on Individual Unemployability, 38 CFR 4.16) -- a separate pathway to 100 percent compensation based on unemployability, from this and/or other service-connected disabilities combined, independent of whether the schedular rating itself reaches 100 percent. This hub computes only the schedular percentage and does not determine TDIU eligibility.
What separates the 100% rating from adjacent levels?
The 60% tier requires all of the 40 percent tier's symptoms plus mental symptoms and impaired bodily vigor -- a different, and separately ambiguous, bundled finding.
What separates the 60% rating from adjacent levels?
The 40% tier requires only stomatitis, diarrhea, and symmetrical dermatitis together, without the additional mental symptoms and impaired bodily vigor this tier requires.
What separates the 40% rating from adjacent levels?
The 20% tier requires only one of stomatitis, achlorhydria, or diarrhea (disjunctive), not all three findings from this tier together.
What separates the 20% rating from adjacent levels?
The 40% tier requires all three of stomatitis, diarrhea, and symmetrical dermatitis together (conjunctive), a stricter requirement than this tier's single-finding threshold.
What separates the 10% rating from adjacent levels?
The 20% tier requires one of stomatitis, achlorhydria, or diarrhea specifically, rather than this tier's more general nonspecific symptom list.
Nutritional deficiencies and hemic/lymphatic conditions can share overlapping findings (for example, anemia). Nutritional deficiencies are rated under 38 CFR 4.88b; hemic and lymphatic conditions are rated under an entirely separate CFR section, 38 CFR 4.117 (DC 7702-7725).
DC 6313 and DC 6315 share a character-for-character identical symptom table; if a veteran is diagnosed with both from the same documented findings, 38 CFR 4.14 prohibits compensating those same findings twice under both codes.
Use the diagnosis and symptom language already documented in your records. Do not upload records or enter Social Security numbers, claim numbers, full dates of birth, or other sensitive identifiers. RatingScope does not infer missing findings.
Informational guidance only. RatingScope does not predict, decide, or guarantee VA outcomes.
38 CFR 3.309(c)(2) - Presumptions of service connection
Official eCFR source for the POW presumptive service connection covering Avitaminosis and Beriberi -- a Part 3 provision, disclosed as informational context only.
38 CFR 4.16 - Total disability ratings for compensation based on unemployability (TDIU)
Official source for TDIU, a separate pathway to 100 percent compensation based on unemployability, independent of the schedular percentage. This hub does not determine TDIU eligibility.
Conditions commonly connected to Nutritional Deficiencies
This reflects regulatory and clinical relationships already explained elsewhere on this site. It is not a diagnosis, not a prediction that you have or will develop a connected condition, and not personalized medical or legal advice.
Educational relationship
Nutritional Deficiencies Hemic and Lymphatic Systems
Nutritional deficiencies and hemic/lymphatic conditions, such as anemia, are sometimes documented together, each with its own separate rating schedule.