{"page":"https://casescribe.ai/explorer/secondary/to/hypertension","generated_at":"2026-10-03T18:34:06.554Z","data_as_of":{"decisions":944125,"first_year":2017,"last_year":2026,"latest_decision":"2026-04-30","cfr":"2026-10-01","m21":"2026-09-29"},"about":{"publisher":"CaseScribe AI (VA Law Explorer)","source":"Public Board of Veterans' Appeals decisions (appeals of VA decisions, not VA's first decisions), M21-1 Adjudication Procedures Manual, 38 CFR Parts 3 and 4.","method":"Outcomes are issue-level: each condition the Board decided in a decision counts once. Decision data is extracted by AI and can contain errors. Rates describe past appeals and do not predict any claim.","disclaimer":"For research only. CaseScribe AI is not a law firm and this is not legal advice. Verify figures against the source decisions and regulations.","attribution":"Cite as: VA Law Explorer, CaseScribe AI, with the page URL."},"data":{"disability":"hypertension","conditions_claimed_secondary_to_it":[{"claim":"Kidney disease secondary to hypertension","decisions":528,"granted_pct":37.1,"page":"https://casescribe.ai/explorer/secondary/kidney-disease-secondary-to-hypertension","json":"https://casescribe.ai/explorer/data/secondary/kidney-disease-secondary-to-hypertension.json"},{"claim":"Erectile dysfunction secondary to hypertension","decisions":648,"granted_pct":36.7,"page":"https://casescribe.ai/explorer/secondary/erectile-dysfunction-secondary-to-hypertension","json":"https://casescribe.ai/explorer/data/secondary/erectile-dysfunction-secondary-to-hypertension.json"},{"claim":"Migraine secondary to hypertension","decisions":346,"granted_pct":23.7,"page":"https://casescribe.ai/explorer/secondary/migraine-secondary-to-hypertension","json":"https://casescribe.ai/explorer/data/secondary/migraine-secondary-to-hypertension.json"},{"claim":"Sleep apnea secondary to hypertension","decisions":692,"granted_pct":14.6,"page":"https://casescribe.ai/explorer/secondary/sleep-apnea-secondary-to-hypertension","json":"https://casescribe.ai/explorer/data/secondary/sleep-apnea-secondary-to-hypertension.json"},{"claim":"Diabetes mellitus secondary to hypertension","decisions":467,"granted_pct":14.6,"page":"https://casescribe.ai/explorer/secondary/diabetes-mellitus-secondary-to-hypertension","json":"https://casescribe.ai/explorer/data/secondary/diabetes-mellitus-secondary-to-hypertension.json"}],"it_claimed_secondary_to_other_conditions":[{"claim":"Hypertension secondary to sleep apnea","decisions":511,"granted_pct":25.4,"page":"https://casescribe.ai/explorer/secondary/hypertension-secondary-to-sleep-apnea","json":"https://casescribe.ai/explorer/data/secondary/hypertension-secondary-to-sleep-apnea.json"},{"claim":"Hypertension secondary to a psychiatric disorder","decisions":1487,"granted_pct":20.1,"page":"https://casescribe.ai/explorer/secondary/hypertension-secondary-to-psychiatric-disorder","json":"https://casescribe.ai/explorer/data/secondary/hypertension-secondary-to-psychiatric-disorder.json"},{"claim":"Hypertension secondary to a back condition","decisions":330,"granted_pct":20,"page":"https://casescribe.ai/explorer/secondary/hypertension-secondary-to-back","json":"https://casescribe.ai/explorer/data/secondary/hypertension-secondary-to-back.json"},{"claim":"Hypertension secondary to PTSD","decisions":3194,"granted_pct":16.5,"page":"https://casescribe.ai/explorer/secondary/hypertension-secondary-to-ptsd","json":"https://casescribe.ai/explorer/data/secondary/hypertension-secondary-to-ptsd.json"},{"claim":"Hypertension secondary to diabetes","decisions":2809,"granted_pct":15.2,"page":"https://casescribe.ai/explorer/secondary/hypertension-secondary-to-diabetes","json":"https://casescribe.ai/explorer/data/secondary/hypertension-secondary-to-diabetes.json"}],"how_va_rates":{"citation":"38 CFR 4.104","diagnostic_code":"7101","name":"Hypertensive vascular disease (hypertension and isolated systolic hypertension)","url":"https://www.ecfr.gov/current/title-38/section-4.104","levels":[{"criteria":"Diastolic pressure predominantly 130 or more","rating":60},{"criteria":"Diastolic pressure predominantly 120 or more","rating":40},{"criteria":"Diastolic pressure predominantly 110 or more, or; systolic pressure predominantly 200 or more","rating":20},{"criteria":"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 control","rating":10}],"notes":["Note (1): Hypertension or isolated systolic hypertension must be confirmed by readings taken two or more times on at least three different days. For purposes of this section, the term hypertension means that the diastolic blood pressure is predominantly 90mm. or greater, and isolated systolic hypertension means that the systolic blood pressure is predominantly 160mm. or greater with a diastolic blood pressure of less than 90mm.","Note (2): Evaluate hypertension due to aortic insufficiency or hyperthyroidism, which is usually the isolated systolic type, as part of the condition causing it rather than by a separate evaluation.","Note (3): Evaluate hypertension separately from hypertensive heart disease and other types of heart disease."]}}}