Kidney damage caused by diabetes that may lead to reduced kidney function over time.
Because ratings are based on GFR levels held over time, the most important evidence is a series of GFR measurements taken across at least 3 consecutive months within the past 12 months. VA will accept estimated GFR (eGFR) and creatinine-based GFR approximations when a medical professional calculates them.
For the 100% level, records showing dialysis schedules, transplant eligibility documentation, or lab results with GFR below 15 are key. For lower rating levels, lab reports showing GFR in the specific ranges for each level, sustained over the required period, directly support those ratings.
For a 0% rating, urinalysis results showing recurrent RBC, WBC, or granular casts, imaging or biopsy records showing structural kidney abnormalities, or urine albumin/creatinine ratio results of 30 mg/g or higher — each documented across at least 3 consecutive months — would support that level.
Statements from you or your treating providers describing how kidney disease affects your daily activities and work can add context, but the GFR lab results and related test findings are what the criteria directly require.
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.
