The VA recognizes a set of presumptive diseases for which veterans can automatically qualify for disability benefits, provided they meet specific service-related criteria.
These diseases are considered presumptive because the VA assumes that certain conditions were caused by a veteran’s service without requiring direct proof of causation. This article will cover the presumptive diseases recognized by the VA, including those linked to Agent Orange exposure, burn pits, and other hazardous materials.
What Are Presumptive Diseases?
Presumptive diseases are conditions that the VA automatically links to certain service-related exposures, such as Agent Orange, burn pits, and Gulf War environmental hazards. Veterans diagnosed with these conditions do not need to prove that their illness was directly caused by their military service. Instead, if a veteran meets the service criteria and has been diagnosed with a presumptive disease, the VA will consider the illness service-connected.
For a complete list of presumptive conditions and eligibility details, you can visit the VA’s official site: VA Presumptive Diseases.
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Agent Orange Presumptive List
Veterans who served in Vietnam or were otherwise exposed to Agent Orange are eligible for compensation for a number of diseases. The Agent Orange presumptive list includes various cancers, respiratory illnesses, and neurological disorders. Some of the key conditions include:
- Type 2 diabetes
- Hodgkin’s disease
- Non-Hodgkin’s lymphoma
- Prostate cancer
- Chronic B-cell leukemias
- Respiratory cancers (lung, bronchus, larynx, and trachea)
- Ischemic heart disease
For a full breakdown of diseases linked to Agent Orange exposure, you can visit Butler County’s Agent Orange Presumptive List.
Can the VA Deny a Presumptive Disability?
While presumptive diseases are automatically connected to service for eligible veterans, the VA can deny a claim if they believe the medical documentation is insufficient or if the veteran does not meet the required service criteria. In such cases, the VA may request additional evidence, such as medical records or service documents, to further evaluate the claim.
However, once a disease is recognized as presumptive, the VA generally grants service connection, provided the veteran’s records show they served in an area or time period associated with that condition. Veterans whose claims are denied can still appeal the decision through the regular VA appeals process.
For more information about appeals and the review process, visit VA Disability Compensation Information.
VA Burn Pit Disability Percentage
Veterans exposed to burn pits during their service in Iraq, Afghanistan, or other areas may be eligible for VA compensation. While burn pit exposure is a newer presumptive condition, the VA has started recognizing certain illnesses linked to exposure, such as chronic respiratory conditions and certain types of cancer.
The VA will assess the severity of the illness and assign a disability percentage based on the impact of the condition on the veteran’s life. Veterans who believe they were exposed to burn pits should file a claim as soon as symptoms develop.
Gulf War Presumptives and Other Fact Sheets
The Gulf War and related operations exposed veterans to various environmental hazards. Veterans who served in the Gulf War are eligible for compensation for several presumptive conditions, including:
- Chronic fatigue syndrome
- Fibromyalgia
- Functional gastrointestinal disorders (such as irritable bowel syndrome)
- Undiagnosed illnesses related to service in the Gulf War.
The PACT Act addresses and updates presumptive conditions. Review the Pact Act assumptions which is broad based covering disease causes from the Vietnam War to today.
How the VA Determines Presumptive Service Connection
The VA uses presumptive service connection when determining whether a veteran’s illness or condition is linked to their service. To qualify, veterans must meet specific criteria, such as:
- Service in a designated area: For example, service in Vietnam, the Korean DMZ, or other recognized locations where exposure to hazardous materials occurred.
- Time frame: Some conditions must appear within a certain number of years after leaving military service, such as certain cancers or respiratory diseases.
- Diagnosis: The condition must be on the VA’s list of recognized presumptive diseases.
The VA makes it easier for veterans to receive benefits by not requiring direct evidence of exposure or proof that the disease was caused by military service.

List of Presumptive Conditions for Agent Orange
Agent Orange, a herbicide used during the Vietnam War, has been linked to several serious diseases. Veterans exposed to Agent Orange and diagnosed with certain conditions may qualify for automatic VA compensation. The presumptive diseases related to Agent Orange include various cancers, respiratory illnesses, and neurological conditions, as previously mentioned.
For a comprehensive Agent Orange disease list, you can visit the VA’s public health page: VA Agent Orange Conditions.
VA Hypertension Presumptive
Recent updates have proposed adding hypertension to the list of Agent Orange presumptive conditions. Veterans exposed to Agent Orange who later develop hypertension may be eligible for VA disability compensation based on the severity of their condition. Veterans should stay informed about ongoing changes to the VA presumptive conditions list and file a claim if they believe their hypertension is service-connected.