Diagnostic code
Diagnostic Code 6351: HIV-Related Illness Rating Criteria
- CFR section
- 38 CFR § 4.88b
- Rating range
- 0% to 100%
- Rating levels
- 5
- Body system
- Infectious diseases and immune disorders
The VA rates HIV-Related Illness under diagnostic code 6351 in 38 CFR § 4.88b. The table below is the full set of rating criteria, from the schedule itself, with the evidence factors raters look for at each level.
DC 6351 rating criteria
| Rating | Criteria |
|---|---|
| 0% | Asymptomatic following initial diagnosis of HIV infection with or without lymphadenopathy or decreased T4 cell count What raters look forasymptomatic |
| 10% | With T4 cell count less than 200 or hairy cell leukoplakia or oral candidiasis What raters look forT4 less than 200; opportunistic infections |
| 30% | Recurrent constitutional symptoms, intermittent diarrhea, and on approved medication(s) What raters look forrecurrent symptoms; diarrhea; on medication |
| 60% | Refractory constitutional symptoms, diarrhea, and pathological weight loss, or minimum rating following development of AIDS-related opportunistic infection or neoplasm What raters look forAIDS diagnosis; refractory symptoms; weight loss |
| 100% | AIDS with recurrent opportunistic infections or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss What raters look forrecurrent opportunistic infections; multiple body systems; debility |
Frequently asked questions
What is VA diagnostic code 6351?
Diagnostic code 6351 is the VA rating schedule entry for HIV-Related Illness, found in 38 CFR § 4.88b. The VA assigns this code when it rates the condition and applies the criteria listed on this page.
What ratings are possible under DC 6351?
DC 6351 provides ratings of 0%, 10%, 30%, 60%, 100%. The percentage depends on which criteria your medical evidence documents, not on the diagnosis alone.
What does the highest rating under DC 6351 require?
The 100% rating for HIV-Related Illness requires: AIDS with recurrent opportunistic infections or with secondary diseases afflicting multiple body systems; HIV-related illness with debility and progressive weight loss.