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6313
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Vitamin deficiency (avitaminosis)

General vitamin deficiency due to malnutrition, causing various systemic issues

What the rating means

VA rates avitaminosis, a vitamin deficiency condition, under diagnostic code 6313. Five rating levels are possible based on the number and severity of your symptoms.

A 10% rating applies when you have a confirmed diagnosis with nonspecific symptoms such as decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability. A 20% rating requires stomatitis, achlorhydria, or diarrhea — any one of those. A 40% rating requires all three together: stomatitis, diarrhea, and symmetrical dermatitis. A 60% rating requires all of those symptoms plus mental symptoms and impaired bodily vigor. The highest level, 100%, is assigned when you have marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia.

Each higher rating requires a broader and more severe combination of symptoms than the level below it. The regulation does not rate this condition by dominant or nondominant side.

Evidence that helps

Medical records that document your confirmed diagnosis of a vitamin deficiency are the foundation of any rating. For the 10% level, records showing decreased appetite, weight loss, abdominal discomfort, weakness, difficulty concentrating, or irritability support the criteria. For 20%, clinical notes or lab findings confirming stomatitis, achlorhydria, or diarrhea are relevant.

For the 40% level, exam findings or treatment records documenting all three — stomatitis, diarrhea, and symmetrical dermatitis — at the same time help show that threshold is met. For 60%, records that also reflect mental symptoms and reduced bodily vigor are relevant. For 100%, documentation of marked mental changes, moist dermatitis, inability to hold down adequate nourishment, severe exhaustion, and cachexia — often found in hospitalization or specialist records — directly addresses those criteria.

Your own statements, and statements from people who know you, describing how symptoms such as weakness, digestive problems, or skin conditions affect your daily activities and ability to work can also help show the level of severity you experience.

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.