Diverticulitis and diverticulosis

The VA rates Diverticulitis and diverticulosis under Diagnostic Code 7327 at 0%, 20%, 30%. The minimum 0% rating requires: Asymptomatic; or a symptomatic diverticulitis or diverticulosis that is managed by diet and medication. The maximum 30% rating requires: Diverticular disease requiring hospitalization for abdominal distress, fever, and leukocytosis (elevated white blood cells) one or more times in the past 12 months; and with at least one of the following complications: (1) hemorrhage, (2) obstruction, (3) abscess, (4) peritonitis, or (5) perforation.

The VA rates Diverticulitis and diverticulosis under Diagnostic Code (DC) 7327, governed by 38 CFR 38 CFR § 4.114. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

A 0% rating requires: Asymptomatic; or a symptomatic diverticulitis or diverticulosis that is managed by diet and medication. A 30% rating requires: Diverticular disease requiring hospitalization for abdominal distress, fever, and leukocytosis (elevated white blood cells) one or more times in the past 12 months; and with at least one of the following complications: (1) hemorrhage, (2) obstruction, (3) abscess, (4) peritonitis, or (5) perforation. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.

Diverticulitis and diverticulosis maxes at 30%, well below the single-disability TDIU threshold. However, combined with other service-connected disabilities, TDIU may be achievable under 38 CFR § 4.16. Focus on establishing secondary conditions to increase the combined rating.

The key evidence for Diverticulitis and diverticulosis is documentation of how the condition affects daily functioning. Treatment records showing worsening symptoms, functional limitations documented by your provider, and buddy statements describing observable impact on daily life all strengthen the claim. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.

The C&P examiner uses a Digestive System DBQ and evaluates your condition against the DC 7327 rating criteria. The examiner documents symptom frequency, severity, and functional impact. Bring all treatment records and describe your worst days, not your best — the VA rates on the full clinical picture across time, not a snapshot of one good day.