Ongoing liver inflammation or damage that has not progressed to cirrhosis (severe scarring).
The evidence that matters most depends on which rating level applies to you. For the 100% level, records confirming that your treating physician prescribed both parenteral antiviral agents and parenteral immunomodulatory drugs — and documenting when treatment started or stopped — are essential. If those therapies are medically contraindicated, a physician's written statement explaining why supports rating under the cirrhosis code instead.
For the 60% and 40% levels, records showing that your condition is progressive and requires continuous medication are key. Lab results, imaging, and clinical notes that document weight loss and at least two of the qualifying symptoms — daily fatigue, malaise, anorexia, hepatomegaly, pruritus, or arthralgia — directly address those criteria. Notes comparing your body weight over time help distinguish substantial from minor weight loss.
For the 20% level, clinical records or exam findings showing at least one of the five listed symptoms are what matter. For any level, your own statements and those of people who observe you daily can document how symptoms such as fatigue, itching, or loss of appetite affect your work and routine activities. Records confirming the underlying diagnosis through serologic testing or other diagnostic methods also support the overall claim.
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.
