Pruritus ani (anal itching)
The VA rates Pruritus ani (anal itching) under Diagnostic Code 7337 across 2 severity levels, from 0% to 10%. 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 7337 at a glance
- Minimum rating
- 0%
- Maximum rating
- 10%
- Rating tiers
- 2
- CFR section
- § 4.114
- Body system
- Digestive System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
0%, 10%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Pruritus ani (anal itching)?
| Rating | Criteria |
|---|---|
| 0% | Without bleeding or excoriation |
| 10% | With bleeding or excoriation |
“With bleeding or excoriation”
What other digestive conditions does the VA rate?
These diagnostic codes sit next to Pruritus ani (anal itching) 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.
- 7332Rectum and anus, impairment of sphincter controlRated up to 100%
- 7333Rectum and anus, stricture ofRated up to 100%
- 7334Rectum, prolapse ofRated up to 100%
- 7335Ano, fistula in, including anorectal fistula and anorectal abscessRated up to 60%
- 7336Hemorrhoids, external or internalRated up to 20%
- 7338Hernia, including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal).Rated up to 100%
- 7342Visceroptosis, symptomatic, markedRated up to 10%
- 7343Malignant neoplasms of the digestive system, exclusive of skin growthsRated up to 100%
- 7344Benign neoplasms, exclusive of skin growthsRated up to 0%
- 7345Chronic liver disease without cirrhosisRated up to 100%
Common Questions About Pruritus ani (anal itching) VA Ratings
What is the VA rating range for Pruritus ani (anal itching)?
The VA rates Pruritus ani (anal itching) under Diagnostic Code 7337 at 0%, 10%. The minimum 0% rating requires: Without bleeding or excoriation. The maximum 10% rating requires: With bleeding or excoriation.
Which 38 CFR diagnostic code does the VA use for Pruritus ani (anal itching)?
The VA rates Pruritus ani (anal itching) under Diagnostic Code (DC) 7337, 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 0% and a 10% rating for Pruritus ani (anal itching)?
A 0% rating requires: Without bleeding or excoriation. A 10% rating requires: With bleeding or excoriation. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Pruritus ani (anal itching) qualify for TDIU?
Pruritus ani (anal itching) maxes at 10%, 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.
What evidence supports a higher rating for Pruritus ani (anal itching)?
The key evidence for Pruritus ani (anal itching) 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 Pruritus ani (anal itching)?
The C&P examiner uses a Digestive System DBQ and evaluates your condition against the DC 7337 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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