Chronic biliary tract disease — VA Rating Criteria (38 CFR DC 7314)

The VA rates Chronic biliary tract disease under Diagnostic Code 7314 at the following tiers: 0%, 10%, 30%. The minimum 0% rating requires: Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.. The maximum 30% rating requires: With three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months..

Diagnostic Code 7314 is the VA rating identifier for Chronic biliary tract disease within 38 CFR 38 CFR § 4.114. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The highest schedular rating for Chronic biliary tract disease under DC 7314 is 30%. This tier requires: With three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months.. Veterans who cannot secure substantially gainful employment due to Chronic biliary tract disease alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Chronic biliary tract disease is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7314. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Chronic biliary tract disease may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Chronic biliary tract disease requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.