Body system: Infectious Diseases, Immune Disorders, and Nutritional DeficienciesRegulation: 38 CFR § 4.88b
Hemorrhagic fevers (dengue, yellow fever, Lassa, Ebola, hantavirus, Crimean-Congo, etc.) are viral infections featuring fever plus bleeding tendencies and multi-system involvement. The VA rates this condition under the General Rating Formula for Infectious Diseases (38 CFR § 4.88b): 100% during the active phase of disease (acute infection requiring treatment), then 0% under this DC once the active disease has resolved. Any lasting damage from the infection (residuals) is rated SEPARATELY under whichever body-system code best matches the deficit (hepatic damage under the digestive codes, hematologic abnormalities (thrombocytopenia, anemia, coagulation disorders) under the hemic and lymphatic codes, renal involvement under the genitourinary codes, and pulmonary or cardiac sequelae), then combined under § 4.25.
Rating levels
- 100% — You qualify for 100% during active hemorrhagic fever (dengue, yellow fever, or other). The 100% rating recognizes that an active systemic infection of this severity is incapacitating, regardless of which specific organ systems are affected at the time. Once the active phase resolves, the DC itself drops to 0% and any lasting damage is rated under the appropriate body-system codes.
- 0% — After the active phase of hemorrhagic fever (dengue, yellow fever, or other) has resolved, DC itself rates at 0%. Any lasting damage (residuals) is NOT rated under this DC, instead it is rated under whichever body-system code best captures the damage, including hepatic damage under the digestive codes, hematologic abnormalities (thrombocytopenia, anemia, coagulation disorders) under the hemic and lymphatic codes, renal involvement under the genitourinary codes, and pulmonary or cardiac sequelae. Per 38 CFR § 4.88b General Rating Formula for Infectious Diseases.
- -1% — Once the active phase of hemorrhagic fever (dengue, yellow fever, or other) has resolved, DC itself rates at 0% and any lasting damage is rated under whichever body-system code best captures the deficit (hepatic damage under the digestive codes, hematologic abnormalities (thrombocytopenia, anemia, coagulation disorders) under the hemic and lymphatic codes, renal involvement under the genitourinary codes, and pulmonary or cardiac sequelae). Multiple residual ratings are combined under 38 CFR § 4.25.