VA Disability Rating for Avitaminosis (DC 6313)
Diagnostic Code 6313 · 38 CFR §4.88b
What Is It?
Avitaminosis refers to diseases caused by chronic vitamin deficiencies. In veterans, these may develop from prolonged nutritional deprivation during service, malabsorption from service-connected GI conditions, or metabolic changes related to other disabilities. The VA rates avitaminosis on a scale from 10 to 100 percent based on symptom severity.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Marked mental changes, moist dermatitis, inability to retain adequate nourishment, exhaustion, and cachexia. |
| 60% | All symptoms listed for the 40 percent level plus mental symptoms and impaired bodily vigor. |
| 40% | Stomatitis with diarrhea and symmetrical dermatitis all present together. |
| 20% | Stomatitis (mouth inflammation), or achlorhydria (absent stomach acid), or diarrhea. |
| 10% | Confirmed diagnosis with nonspecific symptoms such as decreased appetite, weight loss, abdominal discomfort, weakness, inability to concentrate, and irritability. |
Evidence Needed
Lab results confirming vitamin deficiencies. Medical records showing duration and severity. Documentation of cause. Treatment records. Records of complications or organ damage.
C&P Exam Tips
Bring lab results showing vitamin levels over time. Document the cause and service connection. Describe symptoms. List supplements and medications. If secondary to a GI condition, have those records.
How to File
File under DC 6313 with lab results and evidence connecting the deficiency to service. Claim organ damage from the deficiency as separate conditions.
Common Mistakes
Common mistakes include not documenting the service connection, failing to claim organ damage separately, not considering secondary connection to GI conditions, and overlooking neurological damage from B-vitamin deficiencies.
Frequently Asked Questions
How does military service cause vitamin deficiencies?
Poor nutrition during deployments, limited food variety, and GI conditions from contaminated food or water can all lead to vitamin deficiencies.
Can I claim avitaminosis secondary to another condition?
Yes. If a service-connected GI condition prevents proper vitamin absorption, the resulting deficiency can be claimed as secondary.