Beriberi (DC 6314)

Body system: Infectious Diseases, Immune Disorders, and Nutritional DeficienciesRegulation: 38 CFR § 4.88b

Beriberi is a disease caused by severe vitamin B1 (thiamine) deficiency that can damage the heart, peripheral nerves, and brain. The VA rates this condition during active disease at three tiers: 100% with congestive heart failure, anasarca (severe generalized swelling), or Wernicke-Korsakoff syndrome (a thiamine-deficiency brain disorder causing confusion, memory loss, and gait/eye-movement abnormalities); 60% with cardiomegaly (enlarged heart) or peripheral neuropathy with footdrop or thigh/calf muscle atrophy; 30% with peripheral neuropathy showing absent knee or ankle reflexes and sensory loss, or with constitutional symptoms (weakness, fatigue, anorexia, dizziness, heavy/stiff legs, headache, sleep disturbance). Once the active disease has resolved, DC 6314 stops; any lasting damage is rated SEPARATELY under the matching body-system code (cardiovascular, peripheral nerves, mental disorders, etc.) and combined under § 4.25.

Rating levels

  • 100% — The VA gives this rating when you have active beriberi disease that has caused serious complications affecting your heart or brain. You must have congestive heart failure (when your heart can't pump blood effectively), anasarca (severe swelling throughout your entire body), or Wernicke-Korsakoff syndrome (a brain disorder that causes confusion, memory problems, and difficulty with coordination and eye movements).
  • 60% — You qualify for this rating if you have active beriberi disease along with an enlarged heart (cardiomegaly), or if you have nerve damage in your arms or legs (peripheral neuropathy) that causes your foot to drop when you try to lift it (footdrop) or causes the muscles in your thigh or calf to waste away (atrophy). The disease must be currently active and causing these serious complications to your heart or nervous system.
  • 30% — To qualify for this rating level, you must have active beriberi disease along with nerve damage in your arms or legs that causes missing reflexes at your knee or ankle and numbness, OR you must have symptoms like weakness, fatigue, loss of appetite, dizziness, heavy or stiff feeling in your legs, headaches, or trouble sleeping. The peripheral neuropathy mentioned refers to damage to the nerves outside your brain and spinal cord, which affects feeling and reflexes in your limbs.
  • -1% — Once the active beriberi disease has resolved, DC 6314 itself no longer provides a rating. Instead, the VA rates any lasting damage (residuals) SEPARATELY under whichever body-system code best captures the deficit: residual heart damage under DC 7000 (rheumatic heart disease) or other cardiovascular codes, residual peripheral neuropathy under 38 CFR § 4.124a (peripheral nerves), residual Wernicke-Korsakoff or other neurological damage under § 4.124a or § 4.130 (mental disorders), and any other lasting deficit under the matching body-system code. Multiple residual ratings are combined under § 4.25.

Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.