Ano, fistula in, including anorectal fistula and anorectal abscess
Ano, fistula in, including anorectal fistula and anorectal abscess is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7335, from 10% to 60% based on the frequency and functional severity of symptoms. The maximum 60% rating requires: More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment. Most claims establish the 10% or 20% rating before reaching the top tier.
Rating schedule — DC 7335 at a glance
- Minimum rating
- 10%
- Maximum rating
- 60%
- Rating tiers
- 4
- CFR section
- 38 CFR § 4.114
- Body system
- Digestive System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
10%, 20%, 40%, 60%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Ano, fistula in, including anorectal fistula and anorectal abscess?
One fistula with drainage and pain, but without abscess
Two or more simultaneous fistulas with drainage and pain, but without abscesses
One or two simultaneous fistulas, with abscess, drainage, and pain
More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment
“One or two simultaneous fistulas, with abscess, drainage, and pain”
Common Questions About Ano, fistula in, including anorectal fistula and anorectal abscess VA Ratings
What is the VA rating range for Ano, fistula in, including anorectal fistula and anorectal abscess?
The VA rates Ano, fistula in, including anorectal fistula and anorectal abscess under Diagnostic Code 7335 at 10%, 20%, 40%, 60%. The minimum 10% rating requires: One fistula with drainage and pain, but without abscess. The maximum 60% rating requires: More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment.
Which 38 CFR diagnostic code does the VA use for Ano, fistula in, including anorectal fistula and anorectal abscess?
The VA rates Ano, fistula in, including anorectal fistula and anorectal abscess under Diagnostic Code (DC) 7335, governed by 38 CFR 38 CFR § 4.114. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 10% and a 60% rating for Ano, fistula in, including anorectal fistula and anorectal abscess?
A 10% rating requires: One fistula with drainage and pain, but without abscess. A 60% rating requires: More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Ano, fistula in, including anorectal fistula and anorectal abscess qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Ano, fistula in, including anorectal fistula and anorectal abscess may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Ano, fistula in, including anorectal fistula and anorectal abscess?
Service connection for Ano, fistula in, including anorectal fistula and anorectal abscess requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Ano, fistula in, including anorectal fistula and anorectal abscess?
A Compensation & Pension (C&P) exam for Ano, fistula in, including anorectal fistula and anorectal abscess uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
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