VA Disability Rating for Hemorrhagic Fevers — Dengue, Yellow Fever, and Others (DC 6329)

Diagnostic Code 6329 · 38 CFR §4.88b

What Is It?

DC 6329 covers hemorrhagic fevers including dengue fever, yellow fever, and other viral hemorrhagic illnesses. These are vector-borne viral infections that can cause high fever, severe bleeding, organ damage, and shock. The VA uses the General Rating Formula: active disease at 100 percent, and residuals affecting the central nervous system, liver, or kidneys are rated under appropriate body system codes.

Rating Criteria

Evidence Needed

Serological or PCR testing confirming the specific virus. Deployment records to endemic regions. Medical records from the acute illness. Lab work showing organ function during and after illness. Post-recovery organ evaluations.

C&P Exam Tips

Identify the specific virus if known. Describe severity and complications. Bring lab results from the acute phase. Report lasting symptoms. Have current organ function tests.

How to File

File under DC 6329 with viral testing and deployment records. File separate claims for residual CNS, liver, or kidney damage.

Common Mistakes

Common mistakes include not getting tested during acute illness, failing to document deployment location, not evaluating for residual liver or kidney damage, and not recognizing that repeated dengue infections increase severe disease risk.

Frequently Asked Questions

What is the difference between dengue and severe dengue?

Standard dengue is miserable but self-limiting. Severe dengue involves plasma leakage, bleeding, and organ damage. Prior infection increases risk of the severe form upon reinfection.

Can dengue cause long-term problems?

Severe dengue can cause lasting liver, kidney, and neurological damage. Each residual condition should be claimed separately.

Is yellow fever still a risk?

It remains endemic in parts of Africa and South America. While military personnel typically receive the vaccine, breakthrough infections can occur.