If you’ve filed a VA disability claim for Gastroesophageal Reflux Disease (GERD), the next step is almost always a Compensation & Pension (C&P) exam. This exam plays a decisive role in whether your claim is approved, denied, or assigned a lower-than-expected rating.
GERD is one of the most common digestive conditions among U.S. veterans, often linked to service-related stress, irregular meals, heavy physical demands, and environmental exposures. When severe, GERD can affect sleep, work performance, diet, mental health, and social life.
A former VA examiner explains it clearly: “The C&P exam is the VA’s primary evidence tool. If symptoms aren’t documented there, they often don’t count.”
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Understanding what to expect and how to prepare can significantly improve your outcome.
Overview: GERD C&P Exam at a Glance
| Exam Area | What the VA Evaluates |
|---|---|
| Diagnosis | Medical confirmation of GERD |
| Symptom History | Onset, frequency, severity, duration |
| Functional Impact | Effects on work, sleep, daily life |
| Complications | Esophageal stricture, anemia, inflammation |
| Treatment | Medications, response, side effects |
| Documentation | Completion of GERD DBQ for VA rater |
Important GERD Rating Update Veterans Must Know
Under Diagnostic Code (DC) 7206, GERD is now rated at 0%, 10%, 30%, 50%, or 80%. The new criteria emphasize esophageal stricture (difficulty swallowing) more than traditional GERD symptoms like heartburn or regurgitation.
Many advocates warn that this change may result in lower ratings if veterans don’t clearly describe swallowing problems and functional limitations.
As one veterans’ law attorney stated, “Veterans must now explain how GERD affects swallowing, nutrition, and daily functioning not just acid reflux.”
Purpose of the GERD C&P Exam
The GERD C&P exam helps the Department of Veterans Affairs answer two questions:
- Does the veteran currently have GERD?
- How severe is the condition and how does it impair daily life and work?
The examiner records findings in a VA Disability Benefits Questionnaire (DBQ), which heavily influences the final rating decision.
What to Expect During a GERD C&P Exam?
1. Review of Medical History
The examiner reviews:
- GERD diagnoses
- Endoscopy or imaging reports
- Medication history (PPIs, H2 blockers, antacids)
- Prior VA submissions
You don’t need to bring records, but many veterans find it helpful.
2. History and Onset of GERD
You’ll be asked when symptoms began and whether they started during service. Military-related contributors may include:
- Chronic stress and anxiety
- Irregular meals or long fasting
- Heavy lifting or body armor pressure
- Exposure to smoke, dust, or burn pits
A VA clinician notes, “Service-related lifestyle factors are highly relevant when establishing onset.”
3. Discussion of Symptoms
Expect detailed questions about:
- Heartburn and regurgitation
- Chest or throat pain
- Difficulty swallowing
- Nighttime reflux
Your rating depends on frequency, severity, and duration, not diagnosis alone.
4. Impact on Work and Daily Life
This section is critical. Be specific about:
- Sleep disruption
- Missed workdays
- Reduced productivity
- Diet restrictions
One VA rater emphasized, “Functional loss matters more than the label of the condition.”
5. Physical Exam and Possible Blood Tests
The examiner may:
- Examine your abdomen
- Assess swallowing difficulty
- Order blood tests to rule out anemia
ACE (records-only) or telehealth exams may not include a physical exam.
6. Completion of the GERD DBQ
All findings are documented and sent to the VA rater, who will approve, deny, or defer the claim.
Common Questions Asked at a GERD C&P Exam
Diagnosis
- When were you diagnosed with GERD?
- What tests confirmed it?
Symptoms
- How often do symptoms occur?
- Do you have difficulty swallowing?
- Do symptoms wake you at night?
Complications
- Esophageal stricture?
- Barrett’s esophagus?
- Chronic cough or hoarseness?
Treatment
- Medications taken
- Effectiveness and side effects
Functional Impact
- Effects on sleep and work
- Dietary changes required
How to Prepare for Your GERD C&P Exam?
1. Gather Medical Evidence
Bring diagnosis reports, endoscopy results, and medication history.
2. Keep a Symptom Diary
Track:
- Daily reflux episodes
- Swallowing difficulty
- Sleep disturbances
- Trigger foods
This helps you answer accurately under pressure.
3. Write Down Functional Impacts
Examples include:
- Sleeping upright
- Missing work due to pain
- Avoiding meals or social events
Specific examples strengthen your case.
4. Review the GERD DBQ
Understanding what examiners must document helps ensure nothing important is missed.
Examples of GERD Impacts the VA Considers
Work Impacts
- Reduced concentration
- Increased sick leave
- Difficulty with physical tasks
Life Impacts
- Poor sleep quality
- Social withdrawal
- Anxiety around eating
Functional Impacts
- Strict diet limitations
- Daily medication dependence
- Risk of long-term complications
A VA gastroenterologist explains, “Untreated GERD isn’t just discomfort it can cause permanent damage.”
Final Thought
The GERD C&P exam is not the time to minimize symptoms. The VA rates based on documented impairment, not endurance or resilience. Focus on your worst days, be honest, and explain how GERD affects your ability to function.
As one veteran advocate reminds claimants, “If it’s not written in the exam, the VA assumes it doesn’t exist.”
Preparation gives you the best chance to receive the rating you deserve.
FAQs
What is the purpose of a GERD C&P exam?
To confirm diagnosis and measure how GERD affects daily life and work.
Do I need to bring medical records to the exam?
No, but bringing copies can help ensure accuracy.
Can GERD be denied even with a diagnosis?
Yes, if functional impact and severity are not clearly documented.
Does difficulty swallowing matter under the new rules?
Yes, esophageal stricture is now a key rating factor.
How long after the exam will I get a decision?
Most decisions arrive within 30–90 days.
