Gastrointestinal dysmotility syndrome
The VA rates Gastrointestinal dysmotility syndrome under Diagnostic Code 7356 across 4 severity levels, from 10% to 80%. The applicable level depends on the full criteria and the evidence for the condition. These percentages are alternatives, not amounts to add together.
Rating schedule — DC 7356 at a glance
- Minimum rating
- 10%
- Maximum rating
- 80%
- Rating tiers
- 4
- CFR section
- § 4.114
- Body system
- Digestive System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
10%, 30%, 50%, 80%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Gastrointestinal dysmotility syndrome?
| Rating | Criteria |
|---|---|
| 10% | Intermittent abdominal pain with epigastric fullness associated with bloating; and without evidence of a structural gastrointestinal disease |
| 30% | With symptoms of chronic intestinal pseudo-obstruction (CIPO) or symptoms of intestinal motility disorder, including but not limited to, abdominal pain, bloating, feeling of epigastric fullness, dyspepsia, nausea and vomiting, regurgitation, constipation, and diarrhea, managed by ambulatory care; and requiring prescribed dietary management or manipulation |
| 50% | Requiring intermittent tube feeding for nutritional support; with recurrent emergency treatment for episodes of intestinal obstruction or regurgitation due to poor gastric emptying, abdominal pain, recurrent nausea, or recurrent vomiting |
| 80% | Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support |
“Requiring intermittent tube feeding for nutritional support; with recurrent emergency treatment for episodes of intestinal obstruction or regurgitation due to poor gastric emptying, abdominal pain, recurrent nausea, or recurrent vomiting”
What other digestive conditions does the VA rate?
These diagnostic codes sit next to Gastrointestinal dysmotility syndrome in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.
- 7344Benign neoplasms, exclusive of skin growthsRated up to 0%
- 7345Chronic liver disease without cirrhosisRated up to 100%
- 7346Hiatal hernia and paraesophageal herniaRated up to 80%
- 7347Pancreatitis, chronicRated up to 100%
- 7348Vagotomy with pyloroplasty or gastroenterostomyRated up to 40%
- 7351Liver transplantRated up to 100%
- 7352Pancreas transplantRated up to 100%
- 7354Hepatitis C (Chronic)Rated up to 100%
- 7355Celiac diseaseRated up to 80%
- 7357Post pancreatectomy syndromeRated up to 30%
Common Questions About Gastrointestinal dysmotility syndrome VA Ratings
What is the VA rating range for Gastrointestinal dysmotility syndrome?
The VA rates Gastrointestinal dysmotility syndrome under Diagnostic Code 7356 at 10%, 30%, 50%, 80%. The minimum 10% rating requires: Intermittent abdominal pain with epigastric fullness associated with bloating; and without evidence of a structural gastrointestinal disease. The maximum 80% rating requires: Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support.
Which 38 CFR diagnostic code does the VA use for Gastrointestinal dysmotility syndrome?
The VA rates Gastrointestinal dysmotility syndrome under Diagnostic Code (DC) 7356, 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 80% rating for Gastrointestinal dysmotility syndrome?
A 10% rating requires: Intermittent abdominal pain with epigastric fullness associated with bloating; and without evidence of a structural gastrointestinal disease. A 80% rating requires: Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Gastrointestinal dysmotility syndrome qualify for TDIU?
Yes — a 80% rating for Gastrointestinal dysmotility syndrome alone meets the single-disability threshold for TDIU (38 CFR § 4.16). If the condition prevents substantially gainful employment, the veteran is compensated at the 100% rate without a schedular 100% rating.
What evidence supports a higher rating for Gastrointestinal dysmotility syndrome?
The key evidence for Gastrointestinal dysmotility syndrome 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.
What happens at the C&P exam for Gastrointestinal dysmotility syndrome?
The C&P examiner uses a Digestive System DBQ and evaluates your condition against the DC 7356 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.
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