Endometriosis — VA Rating Criteria (38 CFR DC 7629)
The VA rates Endometriosis under 38 CFR 38 CFR § 4.116, DC 7629, Diagnostic Code 7629, from 0% to 50% based on the frequency and functional severity of symptoms. The maximum 50% rating requires Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms. Related conditions in the Genitourinary body system share this rating framework.
What are the VA rating criteria for Endometriosis?
Endometriosis with lesions documented by laparoscopy, but asymptomatic.
Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control
Pelvic pain or heavy or irregular bleeding not controlled by treatment
Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms
“Pelvic pain or heavy or irregular bleeding not controlled by treatment”
How does the VA rate Genitourinary conditions?
Common Questions About Endometriosis VA Ratings
What is the VA disability rating for Endometriosis?
The VA rates Endometriosis under Diagnostic Code 7629 at the following tiers: 0%, 10%, 30%, 50%. The minimum 0% rating requires: Endometriosis with lesions documented by laparoscopy, but asymptomatic.. The maximum 50% rating requires: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms.
What is Diagnostic Code 7629?
Diagnostic Code 7629 is the VA rating identifier for Endometriosis within 38 CFR 38 CFR § 4.116, DC 7629. 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.
What is the highest rating for Endometriosis?
The highest schedular rating for Endometriosis under DC 7629 is 50%. This tier requires: Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms. Veterans who cannot secure substantially gainful employment due to Endometriosis alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.
What 38 CFR section governs Endometriosis ratings?
Endometriosis is rated under 38 CFR 38 CFR § 4.116, DC 7629, Diagnostic Code 7629. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.
Which conditions are commonly secondary to Endometriosis?
Secondary conditions caused or aggravated by Endometriosis may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.
What evidence do I need to establish service connection for Endometriosis?
Service connection for Endometriosis 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.
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