Vagotomy with pyloroplasty or gastroenterostomy

The VA rates Vagotomy with pyloroplasty or gastroenterostomy under Diagnostic Code 7348 across 3 severity levels, from 20% to 40%. 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 7348 at a glance

Minimum rating
20%

Lowest schedular rating available

Maximum rating
40%

TDIU may raise effective compensation to 100%

Rating tiers
3

20%, 30%, 40%

CFR section
§ 4.114

Where this code is published

Body system
Digestive System
Secondary conditions
0

None mapped

What are the VA rating criteria for Vagotomy with pyloroplasty or gastroenterostomy?

RatingCriteria
20%

With incomplete vagotomy

30%

With symptoms and confirmed diagnosis of alkaline gastritis, or with confirmed persisting diarrhea

40%

Following confirmation of postoperative complications of stricture or continuing gastric retention

“With symptoms and confirmed diagnosis of alkaline gastritis, or with confirmed persisting diarrhea”

These diagnostic codes sit next to Vagotomy with pyloroplasty or gastroenterostomy 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.

  1. 7343Malignant neoplasms of the digestive system, exclusive of skin growthsRated up to 100%
  2. 7344Benign neoplasms, exclusive of skin growthsRated up to 0%
  3. 7345Chronic liver disease without cirrhosisRated up to 100%
  4. 7346Hiatal hernia and paraesophageal herniaRated up to 80%
  5. 7347Pancreatitis, chronicRated up to 100%
  6. 7351Liver transplantRated up to 100%
  7. 7352Pancreas transplantRated up to 100%
  8. 7354Hepatitis C (Chronic)Rated up to 100%
  9. 7355Celiac diseaseRated up to 80%
  10. 7356Gastrointestinal dysmotility syndromeRated up to 80%
All 50 digestive conditions

The tools, regulations and guides that pick up where the criteria above leave off.

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, published in 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?

Possibly. Vagotomy with pyloroplasty or gastroenterostomy maxes at 40%, which doesn't meet the single-disability TDIU threshold of 60% alone. However, if combined with other service-connected disabilities totaling 70%+ (with one at 40%+), TDIU under 38 CFR § 4.16(a) may apply. Extraschedular TDIU under § 4.16(b) is also available if the condition alone prevents work regardless of rating.

What evidence supports a higher rating for Vagotomy with pyloroplasty or gastroenterostomy?

The key evidence for Vagotomy with pyloroplasty or gastroenterostomy 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 Vagotomy with pyloroplasty or gastroenterostomy?

The C&P examiner uses a Digestive System DBQ and evaluates your condition against the DC 7348 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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