| Description | Percentage |
|---|---|
|
Symptoms of pain, vomiting, material weight loss and hematemesis or melena with moderate anemia; or other symptom combinations productive of severe impairment of health |
60 |
| Description | Percentage |
|---|---|
|
Persistently recurrent epigastric distress with dysphagia, pyrosis, and regurgitation, accompanied by substernal or arm or shoulder pain, productive of considerable impairment of health |
30 |
| Description | Percentage |
|---|---|
|
With two or more of the symptoms for the 30 percent evaluation of less severity |
10 |
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