Disseminated intravascular coagulation with renal cortical necrosis (DC 7540)

Body system: Genitourinary SystemRegulation: 38 CFR § 4.115b

DC 7540 covers disseminated intravascular coagulation (DIC) with renal cortical necrosis — a catastrophic systemic illness in which uncontrolled coagulation cascade activation produces microvascular thrombi throughout the body, including infarction of the renal cortex (the outer filtering layer of the kidney). Causes include severe sepsis, obstetric emergencies, major trauma, and certain malignancies. Renal cortical necrosis is often irreversible and progresses rapidly to end-stage renal disease. The VA rates this condition under the renal dysfunction ladder (38 CFR § 4.115a) from 0% to 100% based on GFR sustained over 3 consecutive months in the past 12 months.

Rating levels

  • 100% — You qualify for 100% if the condition has progressed to end-stage renal disease — GFR under 15 mL/min/1.73 m² sustained for 3+ consecutive months, OR routine dialysis dependence, OR transplant eligibility.
  • 80% — You qualify for 80% at Stage 4 CKD — GFR 15-29 mL/min/1.73 m² sustained for 3+ consecutive months.
  • 60% — You qualify for 60% at Stage 3b CKD — GFR 30-44 mL/min/1.73 m² sustained for 3+ consecutive months.
  • 30% — You qualify for 30% at Stage 3a CKD — GFR 45-59 mL/min/1.73 m² sustained for 3+ consecutive months.
  • 0% — You qualify for 0% at Stage 2 CKD (GFR 60-89) with one of three additional markers sustained for 3+ consecutive months: recurrent urinary casts, structural kidney abnormalities, or proteinuria with ACR ≥ 30 mg/g.

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.