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7118
§ 4.104 Schedule of ratings—cardiovascular system.

Angioedema

Sudden swelling beneath the skin or mucous membranes caused by fluid buildup, often affecting the face, throat, or extremities.

What the rating means

VA rates angioedema — listed in the rating schedule as "angioneurotic edema" under diagnostic code 7118 — based on how often your attacks happen and whether they involve your larynx (throat/airway). Three ratings are possible. A 40% rating applies when you have attacks without laryngeal involvement that last one to seven days or longer and occur more than eight times a year, or attacks with laryngeal involvement of any duration that occur more than twice a year. A 20% rating applies when attacks without laryngeal involvement last one to seven days and occur five to eight times a year, or attacks with laryngeal involvement of any duration occur once or twice a year. A 10% rating applies when attacks without laryngeal involvement last one to seven days and occur two to four times a year. The two key factors that move a rating up or down are frequency — how many attacks you have per year — and whether the larynx is involved.

Evidence that helps

Because frequency and laryngeal involvement drive every rating level, the most useful evidence documents each individual attack in detail. Medical records showing emergency room visits, urgent care notes, or calls to your provider during an attack can establish how many attacks occurred within a year and how long each lasted. Records that note whether your throat or airway was affected — such as hoarseness, difficulty swallowing, or stridor — directly support a finding of laryngeal involvement. A treating physician's letter summarizing the pattern of attacks over time, based on clinic visits or telephone encounters, can help fill gaps between formal appointments. Your own written statements, or statements from people who witnessed attacks, can describe the duration, frequency, and symptoms of each episode, including any breathing difficulty that would point to laryngeal involvement. Statements about how attacks have affected your work attendance or daily activities can also give context to the frequency and severity findings in the medical record.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.