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Keith Ransom
Keith Ransom

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VA Disability Claims: The Diagnostic Code Problem That's Costing Veterans Thousands

Most VA disability claims are denied or underrated not because the condition isn't real — but because the diagnostic code mapping is wrong.

The VA rates disabilities using a rigid code table (38 CFR Part 4). Your private doctor writes notes in clinical language. The VA examiner translates those notes into a diagnostic code. If that translation is wrong, your rating is wrong. You get 10% instead of 50%. You get 0% instead of 30%.

The diagnostic codes that get denied most often

DC 6847 (Sleep Apnea, Obstructive) — 50% rating requires CPAP prescription documentation. Many claims submit the sleep study but not the CPAP prescription. Denied or rated at 0%.

DC 9411 (PTSD) — requires a specific stressor statement linking diagnosed PTSD to a qualifying in-service event. Generic "combat stress" references get kicked back or rated low.

DC 8045 (TBI Residuals) — the rating formula changed in 2008. Many veterans are still rated under the old formula.

DC 5237 (Lumbosacral Strain) — range of motion measurements matter. Claims without ROM testing are almost always underrated.

The PACT Act translation problem

The PACT Act expanded presumptive conditions for toxic exposure veterans. But many claims are still written in old non-presumptive language. If your sleep apnea claim doesn't mention burn pit exposure and you served in a qualifying post-9/11 theater, you may be leaving a 50% rating on the table.

The $19 approach

We built a tool that maps your conditions to correct VA diagnostic codes, generates exact DBQ language your doctor needs to sign, and flags PACT Act presumptive matches — all on your device. Zero PHI uploaded anywhere.

The alternative is an accredited claims agent charging $4,000–$6,000 for the same output.

$19 → outset-solutions.com/va-claims


Outset Solutions LLC is a verified Service-Disabled Veteran-Owned Small Business (SDVOSB). The owner holds a VA service-connected disability rating.

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