Diabetic Retinopathy

Diagnostic Code 6040Eye

Diabetes complication affecting retinal blood vessels causing vision impairment or blindness. Nonproliferative (background) stage shows microaneurysms, hemorrhages, exudates; proliferative stage has abnormal new vessel growth. Macular edema can occur in either stage. Symptoms include blurred vision, floaters, dark areas, and vision loss. Leading cause of blindness in working-age adults.

VA Rating Criteria (38 CFR)
100%

Blindness or near-blindness (5/200 or worse) in affected eye(s) from diabetic retinopathy

60%

Advanced proliferative diabetic retinopathy with severe vision loss (20/200 or worse but better than 5/200), vitreous hemorrhage, or macular edema causing significant impairment

30%

Severe nonproliferative or early proliferative diabetic retinopathy with moderate vision loss (20/50 to 20/100), or requiring frequent laser treatments

10%

Moderate nonproliferative diabetic retinopathy with minimal visual impairment (20/40 or better)

0%

Mild nonproliferative diabetic retinopathy without visual impairment

Evidence You'll Need

Medical Evidence

Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history

Service Connection

Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)

Personal Statement

Your detailed account of how diabetic retinopathy affects your daily life and when symptoms began

Lay Evidence

Buddy letters from fellow service members or family who can corroborate your symptoms

C&P Exam Tips Preview

During your Compensation & Pension exam for diabetic retinopathy, examiners will assess your symptoms against the rating criteria above.

Be specific: Describe your worst day, not your average day

Document everything: Bring copies of all medical records and evidence

Functional impact: Explain how symptoms affect work, sleep, and daily activities

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