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6351
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

HIV-related illness

Illnesses resulting from infection with the human immunodeficiency virus.

What the rating means

VA rates HIV-related illness under diagnostic code 6351 at five possible levels: 0%, 10%, 30%, 60%, and 100%.

At 0%, you have been diagnosed with HIV but have no symptoms, with or without swollen lymph nodes or a decreased T4 cell count. At 10%, you have developed HIV-related constitutional symptoms, a T4 cell count between 200 and 500, use approved medications, or show evidence of depression or memory loss that limits your ability to work. At 30%, you have recurrent constitutional symptoms, intermittent diarrhea, and use approved medications, or your T4 cell count has fallen below 200. The 30% is also the minimum rating once an AIDS-related opportunistic infection or neoplasm has developed.

At 60%, you have refractory constitutional symptoms, diarrhea, and pathological weight loss. The 60% is also the minimum rating after an AIDS-related opportunistic infection or neoplasm develops. At 100%, you have AIDS with recurrent opportunistic infections or secondary diseases affecting multiple body systems, or HIV-related illness causing debility and progressive weight loss. Separate ratings may be possible for diagnosed psychiatric illness, central nervous system conditions, opportunistic infections, or neoplasms if doing so produces a higher overall rating and symptoms do not overlap.

Evidence that helps

For a 0% rating, records confirming an HIV diagnosis are the key evidence, even if you have no current symptoms. For a 10% rating, medical records documenting constitutional symptoms, lab results showing a T4 cell count between 200 and 500, medication records showing use of approved HIV medications, or mental health records and statements showing depression or memory loss that limits employment would all be relevant.

For a 30% rating, records showing recurrent constitutional symptoms and intermittent diarrhea, lab results showing a T4 cell count below 200, and medication records are helpful. Once an AIDS-defining opportunistic infection has been diagnosed, records confirming that diagnosis establish the 30% minimum.

For a 60% rating, medical records and treating provider notes documenting that constitutional symptoms and diarrhea have not responded to treatment, along with documented pathological weight loss, support this level. For a 100% rating, records confirming recurrent opportunistic infections from the AIDS-defining conditions list, records showing secondary diseases across multiple body systems, or provider notes describing debility and progressive weight loss are the types of evidence that reflect the criteria at this level.

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.