60%
Official criteria
Diastolic pressure predominantly 130 or morePlain-language summary
Predominant diastolic pressure is at least 130.
VA evaluates hypertension and isolated systolic hypertension using predominant blood-pressure readings and a medication/history path.
Plain-language summaries explain the text; they do not decide whether any level applies.
Diastolic pressure predominantly 130 or morePlain-language summary
Predominant diastolic pressure is at least 130.
Diastolic pressure predominantly 120 or morePlain-language summary
Predominant diastolic pressure is at least 120.
Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or morePlain-language summary
Either the predominant diastolic or systolic threshold is met.
Diastolic pressure predominantly 100 or more, or; systolic pressure predominantly 160 or more, or; minimum evaluation for an individual with a history of diastolic pressure predominantly 100 or more who requires continuous medication for controlPlain-language summary
This level uses one of the listed predominant-pressure or medication/history paths.
38 CFR § 4.104, DC 7101 · Effective Jan 12, 1998 · Reviewed Jul 24, 2026