Endometriosis
Endometriosis is rated under 38 CFR 38 CFR § 4.116, DC 7629, Diagnostic Code 7629, from 0% to 50% based on the frequency and functional severity of symptoms. The maximum 50% rating requires: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms. Most claims establish the 0% or 10% rating before reaching the top tier.
Rating schedule — DC 7629 at a glance
- Minimum rating
- 0%
- Maximum rating
- 50%
- Rating tiers
- 4
- CFR section
- 38 CFR § 4.116, DC 7629
- Body system
- Genitourinary System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
0%, 10%, 30%, 50%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Endometriosis?
Endometriosis with lesions documented by laparoscopy, but asymptomatic.
Note: Endometriosis has its own specific rating criteria separate from the General Rating Formula for Female Reproductive Organs.
Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control
Pelvic pain or heavy or irregular bleeding not controlled by treatment
Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms
Note: 50% is the maximum rating for endometriosis under DC 7629.
“Pelvic pain or heavy or irregular bleeding not controlled by treatment”
Common Questions About Endometriosis VA Ratings
What is the VA rating range for Endometriosis?
The VA rates Endometriosis under Diagnostic Code 7629 at 0%, 10%, 30%, 50%. The minimum 0% rating requires: Endometriosis with lesions documented by laparoscopy, but asymptomatic.. The maximum 50% rating requires: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms.
Which 38 CFR diagnostic code does the VA use for Endometriosis?
The VA rates Endometriosis under Diagnostic Code (DC) 7629, governed by 38 CFR 38 CFR § 4.116, DC 7629. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 0% and a 50% rating for Endometriosis?
A 0% rating requires: Endometriosis with lesions documented by laparoscopy, but asymptomatic.. A 50% rating requires: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Endometriosis qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Endometriosis 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 Endometriosis?
Service connection for Endometriosis 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 Endometriosis?
A Compensation & Pension (C&P) exam for Endometriosis 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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