Vagotomy with pyloroplasty or gastroenterostomy
Vagotomy with pyloroplasty or gastroenterostomy is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7348, from 20% to 40% based on the frequency and functional severity of symptoms. The maximum 40% rating requires: Following confirmation of postoperative complications of stricture or continuing gastric retention. Most claims establish the 20% or 30% rating before reaching the top tier.
Rating schedule — DC 7348 at a glance
- Minimum rating
- 20%
- Maximum rating
- 40%
- Rating tiers
- 3
- CFR section
- 38 CFR § 4.114
- Body system
- Digestive System
- Secondary conditions
- 0
Lowest schedular rating available
TDIU may raise effective compensation to 100%
20%, 30%, 40%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Vagotomy with pyloroplasty or gastroenterostomy?
With incomplete vagotomy
With symptoms and confirmed diagnosis of alkaline gastritis, or with confirmed persisting diarrhea
Following confirmation of postoperative complications of stricture or continuing gastric retention
“With symptoms and confirmed diagnosis of alkaline gastritis, or with confirmed persisting diarrhea”
Common Questions About Vagotomy with pyloroplasty or gastroenterostomy VA Ratings
What is the VA rating range for Vagotomy with pyloroplasty or gastroenterostomy?
The VA rates Vagotomy with pyloroplasty or gastroenterostomy under Diagnostic Code 7348 at 20%, 30%, 40%. The minimum 20% rating requires: With incomplete vagotomy. The maximum 40% rating requires: Following confirmation of postoperative complications of stricture or continuing gastric retention.
Which 38 CFR diagnostic code does the VA use for Vagotomy with pyloroplasty or gastroenterostomy?
The VA rates Vagotomy with pyloroplasty or gastroenterostomy under Diagnostic Code (DC) 7348, 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 20% and a 40% rating for Vagotomy with pyloroplasty or gastroenterostomy?
A 20% rating requires: With incomplete vagotomy. A 40% rating requires: Following confirmation of postoperative complications of stricture or continuing gastric retention. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Vagotomy with pyloroplasty or gastroenterostomy qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Vagotomy with pyloroplasty or gastroenterostomy 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 Vagotomy with pyloroplasty or gastroenterostomy?
Service connection for Vagotomy with pyloroplasty or gastroenterostomy 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 Vagotomy with pyloroplasty or gastroenterostomy?
A Compensation & Pension (C&P) exam for Vagotomy with pyloroplasty or gastroenterostomy 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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