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    Cancer / PACT Act

    Pancreatic Cancer VA Rating

    PACT Act presumptive (38 CFR § 3.320); rated under 38 CFR § 4.114

    Last updated: April 2026
    General education only. This page summarizes how VA generally rates this condition under 38 CFR Part 4. It is not legal advice or medical advice and is not a recommendation about any individual claim. Every veteran's facts and evidence are different — for guidance on a specific situation, speak with a VA-accredited representative or your treating clinician.

    Overview

    Pancreatic adenocarcinoma is highly aggressive. Service connection under PACT Act is presumptive for qualifying veterans.

    Survivors face significant residuals: diabetes (post-Whipple), malabsorption, and chronic pain.

    How to Establish Service Connection

    • Presumptive (PACT Act).
    • Direct service connection where in-service exposure is documented.

    Rating Criteria

    Paraphrased from PACT Act presumptive (38 CFR § 3.320); rated under 38 CFR § 4.114

    RatingCriteria
    100%Active malignancy and for 6 months after completion of treatment.
    VariableAfter 6 months: residuals — diabetes, malabsorption, surgical scars, weight loss.

    See what each percentage pays in 2026 and how it combines with your current rating →

    Evidence Checklist

    • Pathology and imaging.
    • Treatment records.
    • Burn pit registry / exposure proof.

    Common Secondary Conditions

    Conditions frequently service-connected as secondary to Pancreatic Cancer:

    Type II diabetes (post-pancreatectomy)View →
    Malabsorption
    Chronic abdominal pain

    Frequently Asked Questions

    Have a Pancreatic Cancer claim or denial?

    Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. Contingent fees apply only to awarded past-due benefits on appeals — never on initial claims.

    Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.

    Educational content only — not legal advice and not medical advice. Rating criteria on this page are summarized in plain English from 38 CFR Part 4; consult VA.gov or the current Code of Federal Regulations for official criteria. This page provides general education about how the VA rates this condition; it is not individualized advice, does not establish a representation relationship, and should not be used to self-diagnose, self-treat, or decide a course of action without speaking to a qualified clinician and a VA-accredited representative. Outcomes depend on each veteran's individual facts, evidence, and the adjudicator's judgment; no specific rating, effective date, or other result is guaranteed. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the US Department of Veterans Affairs.

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