The most common mechanical problem with the 12 Valve Cummins Injectors was failure of the Bosch Vp44 injection pump and lift pump. Over the
years these have been notorious for going out and costing consumers a
lot of money, especially if you take your truck back to the dealer,
repair cost usually average about $3000. There are three common
mechanical failures of the VP44 injection pump:

The
most common mechanical failure of the VP44 pump is rupturing of the
diaphragm in the front of the injection pump. The diaphragm ruptures
allowing the timing piston to vibrate and damage the front cover until
fuel bypasses. This will cause the dreaded check engine trouble code
P0216. When this occurs your Nozzle Head Rotor Spraying System must be replaced. The rupturing of the diaphragm is caused by a poorly
designed lift pump. When the lift pump does not supply the Injection
pump with the correct amount of Fuel Pressure (a minimum of 5 psi under
load at wide open throttle) the diaphragm then doesn't have enough
positive pressure and ruptures. Dodge has recognized this problem as
they will no longer even sell the lift pump that goes on the side of the
block. They replace it with a unit that is now mounted in the tank. The
average cost of having the lift pump put in the tank is about $800.
The next most common mechanical failure of the VP44 is that the Pump Fuel Bosch Head Rotor seizes in the head of the pump. This again can be contributed to the
lift pump not providing enough fuel to the injection pump. Diesel Fuel
is used as a lubricant, so when there is an insufficient amount of fuel
the rotor does not get lubricated properly. If the rotor seizes the
truck wont start and the VP44 Injection Pump must be replaced.
While,
the last reason for the failure of the VP44 pump is electrical problems
with the computer on top of the pump. Heat is the main reason
associated with this problem, causing the soldered components to become
crystallized over time and make bad connections. Lack of fuel is again
part of the problem, because the VP44 is cooled with fuel instead of oil
(as the old P7100 12 valve pumps). When this problem occurs you will
usually experience intermittent hard starts, white smoke and what's
usually referred to as "The Dead Pedal". More details at
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