EVERYTHING Hypertension Veteran Guide For High Blood Pressure VA Disability Claims
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- Опубликовано: 8 фев 2025
- Hypertension or high blood pressure VA disability rating.
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- Jay
Thanks Jay, continue to educate us veterans, on this difficult process.
I didn’t know how today was going to turn out and then I saw a CIVDIV drop! Love you guys!!
We love you!
- Clay
You almost never to be in stroke mode. Before they want to acknowledge you have a problem.
went in service with normal blood pressure. Discharged four years later with HBP which was documented on discharge physical. Submitted claim and I was denied for lack of service connection. I appealed for a higher level review and the judge awarded my claim based on my discharge physical documentation. Initially approved for 0%. But had a C&P exam and I exceeded the 10% threshold. I was awarded 10%, including 31 months of back pay.
In the mean time, I'm headed back to my private doctor to get my BP back into better control.
You're going to want to watch this hypertension secondary and increase video: ruclips.net/video/JQmng0DCMdg/видео.htmlsi=IVwbqIW1UrCR8TNz
- Clay
Thank you for explaining this, very helpful. Almost everyone with hypertension that is controlled by medication, also has LVH, which can be claimed secondary.
Pretty much…blows my mind when we see a 0% for hypertension
- Clay
Sorry but what is LVH?
Left ventricular hypertrophy is thickening of the walls of the lower left heart chamber. The lower left heart chamber is called the left ventricle. The left ventricle is the heart's main pumping chamber.
During left ventricular hypertrophy, the thickened heart wall can become stiff. Blood pressure in the heart increases. The changes make it harder for the heart to effectively pump blood. Eventually, the heart may fail to pump with as much force as needed.
@@theusualsuspect6298 I’m still active duty and I got prescribed a medication for hypertension but I was already diagnosed with it In service so when I did my C&P exam they took my BP 3 times.
And 2 out of the 3 BP test met the 10% rating criteria. But I got prescribed the medicine at sick call 2 weeks after my C&P exam.
@@theusualsuspect6298With this being said How to claim it secondary to?
On of the best reviews on this subject I have watched , thanks Bill
I was denied due to my high dose medication keeping it under control!! Had I not taken my meds for a week, I may have gotten a percentage - also may have stroked out.
Were you denied or were you given 0%
- Clay
@@TheCivDiv
Denied. Told I had no claim. Started high BP on active duty at 20yo, been on meds since I was 24yo. Medication works, so no claim!
@@johnbrady1623 Sounds like you need to do a supplemental claim. An initial diagnosis while on active duty should automatically get service connection, even if it is at 0%. If there is a history of a diastolic predominantly over 100 or a systolic predominantly over 160, you should be rated at 10% even if it is currently controlled by medication.
I just went through a successful supplemental claim for hypertension. I submitted 1. my initial diagnosis from when I was in service, 2. a current BP log, and 3. a current diagnosis. I had my BP taken daily at a local hospital and annotated that I was not on medication at the time the BP was taken. If you want to be on the safe side, record the BP twice daily for three days. The way the 38 CFR and DBQ are written, this is the standard for an initial diagnosis.
Some of the comments state that the BP readings should all be the "twice daily for at least 3 days" standard and point to the three readings during the C&P Exam as being a faulty exam, but it isn't. The standard only applies for the initial diagnosis. Because your initial diagnosis may have been in service many years ago and there is no way to repeat it, the VA doesn't really seem to hold it to that standard. On the DBQ that the provider fills out during the C&P Exam, there is a space for three readings that are specified as being taken on the date of the exam. On the day of my exam, two of those three readings had diastolic above 100.
I can't find anything in the 38CFR or the M21-1 that requires you to be taking your medication for the BP readings. There are a couple cases I reviewed that could be used to argue on your behalf if you didn't take your meds while recording the BP log or during your C&P exam. You know yourself and how your body reacts if you miss a dose, so proceed with caution if you go that route.
This isn’t correct. When you take medication it actually tells them that you have a problem because otherwise you wouldn’t need medication.
@@RessurrectionGravesthat’s what I thought too, until I received the denial letter. I hope things work better for you.
Great video Dave!
Outstanding info. I was debating how to submit.
My hypertension was diagnosed in the marine corps. I put in a claim for it after I went to a normal primary care apt. And they told me I needed to go to the ER before I saw my doctor because they said I was at high risk of having a heart attack or a stroke. I'm only 30 and my BP was at 195 over 140. And my bottom number is never lower than 120
Awesome Video thanks 👍
at this point, I'm not even trying to get this, because the VA has been misreporting my BP for a while, I was told on many occasions that it was ok "I'm going to wait and take it again" 3pluse times when getting a checkup and when I was having a pain freakout they told me at the dentist "we can't record your BP it's too high!" at that point I told them I'm tired of being lied about or to.
Yeah VA Healthcare is pretty good (I’m my opinion) but there are certainly flaws. 1 of those is getting your PCP (or referred) to give a proper diagnosis. Hypertension makes that more difficult because it requires multiple readings over periods of time.
- Clay
@@TheCivDiv thanks for shedding light ..... i think they are having problems with numbers and "messaging" them. like so many fools with bad numbers "if we don't make a record of then they are not there " "like magic"
It took me four tries n hlr within 2yr span to get a 10% rating. Based on the majority of comments on this issue, trying for an increase after 10% isn't worth all the headaches you already have. But stay in the fight for your other claims!
Everytime the VA does my BP, the first reading is always around 155/110 .. then they do readings with my arm over my head, which lowers it and then they record that number. it usually drops to about 140/100.. I'm sure they shouldn't be doing that
@billsmith6702 They do the same to me, but I'm on 3 different meds for BP too, so it seems to me, it should be an automatic (especially when I had BP over /100 while on active duty more than 3 different times and that was more than 23 yrs ago.
@usmcbigb368 it doesn't make sense. I'm going to request that they use the first reading from now on, I think would be more accurate.. I mean, who the hell walks around with their arms over their head ?!
@@Toad92873 I think the issue is, they're treating your health, not your claim. If you go for an exam, they should check it three times throughout the exam and never ask you to do anything to lower it.
Don't be afraid to tell them no when they are doing something janky; if you know how blood pressure should be taken, and they do something outside that standard, do not stand for it.
-Jay
@@Toad92873They should be measuring with arm at/near level of the heart. Over the head?! 😳
Great information. Thank you
I has my BP taken over the course of an hour....before my appointment and then they kept coming back to take it every 10 minutes, until it was low enough to let me go.
They know with those readings you need to take more meds and in the process of having a heart ache or stroke
thank you 🙏🙏🙏🙏
Hello. I have Sys ranges (135-150) & Dia Ranges (95-125)
3 readings 110-120 (Dia)
1 Reading 120+ (Dia)
All recorded over a week & 5 mins apart. What percentage could I qualify for?
10% and take your meds
- Clay
Has anyone asked their Congressman/woman about looking into this ridiculous VA chart ? If you have seen a competent doctor they are not going to just let you walk around with a ticking time bomb without at least prescribing medication to lower your BP. I don't know how they came up with such excessive standards. They should at least be close to the AHA standards.
The hypertension rating schedule is the #1 rating that really bothers me. High blood pressure leads to tons of serious issues and the most common ratings are 0 and 10%
- Clay
Thank you, my brother!
You are very welcome
This video has been extremely helpful. Especially about claiming it as secondary! I’m assuming I should at least get 10%
I can count my bp secondary to my migraines! I’ve had migraines forever and in service. Hypertension has been there and I had to track my bp three times a day. I have to be on bp meds no matter what. I had to get it under control before pregnancy and they changed the meds the end of the pregnancy and I ended up having an emergency c section since it got bad. Afterwards my bp has remained high especially bottoms number. The Va had me on a migraine med that my civilian doc said was contributing to my high bp. I have to be on two bp meds; one to manage my bp and to manage my migraines.
Originally my high bp claim by itself was denied but noted as a disability by the examiner. Going through my civilian med records I saw notes from the doc about the sumatriptan the VA was giving me was contributing to my high bp. My neurologist that I was referred to who was alarmed with my bp made changes to my migraine meds and has me on a regime plus tests to complete by the end of this month! I will shoot for secondary!
Hypertension is an anchor claim that many don’t understand. Solid rating for many reasons, ti include DIC.
- Clay
Does elevated blood pressure count as a diagnosis the army gave me medicine for it and sent me on the way
Without looking at the evidence myself, the need for medication even IF your records don’t show a formal diagnosis (ICD/SCT), is solid. Still need the Big 3.
- Clay
Wish you couldn't assist me with my claim
Great video thanks you
When I retired 20 years ago I was awarded 0% for Hypertension. I was diagnosed with Hypertension while still active duty and even had to get a waiver to continue on flying status while taking meds. Was at 40% total those 20 years. Now I have filed under PACT Act for diabetes and cancer. Guam, Agent Orange. The cancer was awarded 100% but only temporary. Wondering if I should refile to see about getting the Hypertension to 10%?
Is the pact act hypertension presumptive for Vietnam vets only or for Southwest Asia, all of us in Iraq, Afghanistan?
Agent Orange exposure mainly in Vietnam. Not SWA.
- Clay
In 2022 I was dealing with BP high as 258/149 , I finally went in to ER on Halloween 2022. I was going through a lot and went to a lot of Dr cardiologist appointments,taking nuclear imaging test , EKG, and blood test after a year and half my BP has lowered to 170’s top and bottom number 80’s. But don’t understand why I had 0 % hypertension. Guessing my c and p examination person took my reading but it was under 90 back in March 24’. But I take 8 medications ,,,,, gonna go see a VSO at end of Oct 24’. What can I do to upgrade the % and have a lot of other issues going on as well.
I'm not going to apply for HBP compensation. I was put on medication when my BP reached 160/110. However, due to weight loss and the meds I take for AFIB, my daily BP is usually 100/60, which is normal. I don't even take BP meds anymore, as my beta blockers do the job. I would have applied for secondary to PTSD. I'm not PACT Act.
Why does the VA define hypertension as a diastolic of 90 but you only get a rating if the diastolic is 100 or greater? I've been watching your videos and haven't found this answer. Thank you
I have searched for this answer as well, but honestly, there isn't a specific reason as far as I can find.
The civilian nurses who take the bp measurements only RECORD, 1 reading in my experience in my medical records. Who the hell has ever had 3 documented 3 recorded BP readings at the same appointment? MAYBE, once or twice a MD has double checked the nurse or CNA's BP measurement after the fact, but they have only recorded 1 BP measurement in all my logs after a visit? Am i wrong? How the hell were we supposed to know the CFR 30 years ago before the internet VA? (Not bitching at you CivDiv, thanks for educating us brother).
I had a stress test done while in that clearly shows my systolic well over 200 and the VA still gave me a 0% at discharge. Been on medium dose of meds since before getting out. Currently have a supplemental claim in and exam scheduled in the next couple of weeks. I was also diagnosed with sleep apnea in-service. Not sure if filing supplemental was correct or not. Does the VA factor in taking hypertension meds into your BP readings? I know for the stress test they ask you not to take it a day or 2 before.
Supplemental to disagree with the rating given? I’m assuming this is within 1 year…Sleep Apnea diagnosed while in service is a pretty easy claim.
- Clay
I just got 100% p&t and hypertension was rated at 10%. Being that, that number can go up or down, if it does go down, is that something I can be tested for again even though I am rated p&t?
You’re good don’t sweat it.
- Clay
I always have a backup plan to protect myself from it. Just never know how they’re playing.
So already service connected and the other day I didn’t take my bp meds and I was at 190/101 what would that get me?
First, take your medication. Hypertension is nothing to mess with and I’m sure you know better than I do.
Second, I’m going to assume you’re rated at 0% and if that’s the case, I would suggest an increase.
- Clay
@@TheCivDiv i usually do take them, so I would just provide the after summary notes from the visit as proof that my bp was so elevated. Thanks for the response!
I got a 0% rating. Service connected from PACT Act. But I'm on two types of medication to keep my BP under control. I wonder if I should list both prescriptions as my medical evidence and file for an increase. Ten percent is not a lot but it could push my over to the next level.
For the moment I have a couple of other issues that I'm working on. I'm also close enough to 100% that I now only need one item to be approved. I'll just keep submitting until I cross that threshold to 100 then request P&T. Whatever is likely to come through sooner at this point for me.
Question. Been on bp meds for years. I dont think it ever consistently met the 160/100 threshold bcuz i wasnt stupid enuf not to get on my meds and end up having a heart attack. My question is: if i cant show that my bp was ever that high and now im medicated, does that earn me a denial as an initial claim?
i've been borderline my whole adult life, started to top 250\200 wound up admitted, got it controlled with meds, found out i have 3 clots in my brain, had multiple strokes.. how would that go?
I have a question for clarity on my part. Is hypertension presumptive only for the Agent Orange part or is it also stated and documented in the PACT Act for Gulf War vets too? If is also for the 2022 PACT Act for Gulf War Vets where can I find that proof?
Gulf War veterans do not have access to hypertension presumptive
- Clay
My service connections have gotten worse as I've aged, and it is depressing. Do I need to go to mental health for them to diagnose me or just put in a secondary claim? Thanks.
I would need a LOT more information from you before giving you any solid recommendation. Feel free to send me an email at thecivdiv@gmail.com
- Clay
@@TheCivDiv I emailed you a few days ago.
@@candygirl657 I just answered up to Nov 4th today.
- Clay
@@TheCivDiv Thanks.
Good info, good video. But there's no way I can go back and provide a log of blood pressures taking across three different days though I did claim hypertension on exit physical when I did my claim. Like everyone else, if I don't take the meds, etc. Stupid law.
I feel ya…side note, the readings will need to be current.
- Clay
If I start taking my bp each day, how many times should I take it each day and how many minutes apart. What if any activity between readings. Any advise
1st step would be to talk to your primary and take guidance from them when it comes to taking your blood pressure. Self-reporting is 1 thing, medical evidence is a whole other ball game.
- Clay
Sooo, hypothetically speaking, if i had documented 235/120, heart attack/stents, and the meds now knock it down to 160/95, that means what?
Can Hypertention be secondary to Tinnitus?
It could. Personally I’d like to see evidence indicating the secondary connection prior to submitting that claim. If tinnitus is causing hypertension I’d also recommend looking into anxiety stemming from tinnitus.
- Clay
@@TheCivDiv YES, I have both!
@pabloenriqme touechavesmonsalve4786
@@pabloenriquechavesmonsalve4786 me to
I am on Blood pressure meds and my blood pressure is 150 now.
Hospital
- Clay
I got Deadlybp was in the VA Hospital with hypertension emergency with a 200/100bp.on 3 bp meds from the va...but I've been out the military for 23 years now n didn't have hypertension when I was in..can I still cliam n get disability?
Eh, it’s not impossible but my first question is what evidence indicates service-connection? For instance, we’re you having panic attacks while active and are currently rated for anxiety? If so, hypertension secondary could be likely.
- Clay
Hey clay, I just put in for a secondary claim it was closed the next day with a decision letter mailed. It’s not on the website yet. Any concerns
Do you have more than one claim open?
-Jay
@@TheCivDiv I had for but recently closed with development letter mailed, nothing on va. gov showing pdf letter thanks
@@LouAmatithey probably combined it with another one of your open claims.
@@TheCivDiv I had a similar situation I did my initial claim 180 days from my discharge date I’m still active duty.
But I recently got diagnosed with sleep apnea so I went on the website and filed for sleep apnea, uploaded the diagnosis, DBQ filled out from the doctor, and a personal statement and it closed within 3 days why would that be?
I’m active duty and they figure out my High blood pressure and I’m taking medicine. Now is controlled with the medication. Will they rating myself before the medication or after taking the medication?
Exactly my current situation. Following.
My BP has been high for the last 15 years been taking medicine for a long time.
My bp is high when ever im at the va hospital then they give you medication without a diagnosis 🙃
Sad truth. VA Healthcare is extremely quick to medicate…over medicate in most instances.
- Clay
If the va has me on bp meds, bringing my bp to normal levels is that zero %, or do they account for the requisite luminous requirement?
Veterans focusing on getting higher hypertension rating should really have no other choices. It's a long drawn out road and will likely remain at that 0% SC. There are alot of easier and better ways for getting that increase to 100%
While I agree, I have a family history of stroke (and death caused by stroke) so I want to make sure I got that rating even if 0% because my wife will be taken care of that way
Big B has a great point. it's the thing that might kill you that is the most important thing to get a rating for, not for you but for your family. 10% is a rating that most of us with high blood pressure can get, but the others, as you stated should be a last resort and while you are in genuine crisis!
-Jay
I'm with big B. Most men die due to ❤ issues (stroke, heart attack, ect), strategic rating. There is a court case where vet did not have service treatment record showing the 3 BP readings but had meds. .. got his 10%. Finding the case and reviewing the details may help. Sorry I don't have the docket # handy. I'll try to find it and post here.
What’s the best way to connect it to or secondary to?
Where in the m21 is this info
I was rated 0% many years ago but they used the lowest reading. My BP is much higher now, would it be possible to increase it?
Yes, gather your evidence, and you can do an increase claim.
The VA is not going to help you! Been there, done that! I got a 10 percent rating for hbp but no compensation for it. VA calculator is not Fair, only 4% by their figures. This has to be changed! I take 3 different meds to control my bp. Readings that they have are artificial and should be considered in the decision.
VA Math is a different beast and hypertension ratings absolutely blow my mind.
- Clay
I am rated 10% for hypertionsion my lawyer filed for back pay got turned down now the va is sending me for another c&p exam for reduction
Just make sure they are taking your BP correctly, don't let them elevate your arm any more than in line with your heart. If they start talking about putting your arm above your head or anything like that, advise them that taking blood pressure is the wrong procedure, as stated by the AHA. The thing about high blood pressure is that it doesn't get better pass a certain point, so if you got 10% once, I am surprised they are sending you for re-evaluation. Good luck, and let us know how it goes!
-Jay
@@TheCivDiv thank you sir
My lawyer should not have filed for back pay I have always heard dont poke the bear the va looks for a reason to hurt veterans I know the va is loosing workers in high numbers that dont have experience this hurts veterans
Im more confused after watching this video. 🤦🏿♂️
😂 hypertension = if you’re on medication it should be higher than 0% in about 99% of Veterans with hypertension service-connected
- Clay
@TheCivDiv hi, that does help to clarify. I've been on medication for years which controls my BP, but I thought that equaled to a 0% hypertension rating which I've had for over ten years.
You can provide them all the info and you still get a 0 rating.
Low value claim
While it is low value, the secondaries to hypertension outweigh it. Sometimes the low hanging fruit yields a larger crop.
Many secondaries, and if you die from something related to it, your survivors get benefits.
As said by others in this thread
- Clay
@@TheCivDiv This is more important then some seem to believe.. i've had a heart attack at age 58, died for 3 minutes and was enjoying the scenery Whammm back to reality..anyways my last C&P examiner asked me "why didn't You file for hypertension" I don't see any super high reading in my STR's but I am rated for GAD & MDD chronic pain issues at 90% now..I am thinking secondary to anxiety would be possible and probably the reason I had an HA. Job stress with my GAD, Pain etc is brutal
That’s scary. I hope you are doing better now