Gastrointestinal dysmotility syndrome — VA Rating Criteria (38 CFR DC 7356)
The VA rates Gastrointestinal dysmotility syndrome under 38 CFR 38 CFR § 4.114, Diagnostic Code 7356, from 10% to 80% based on the frequency and functional severity of symptoms. The maximum 80% rating requires Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support. Related conditions in the Digestive body system share this rating framework.
What are the VA rating criteria for Gastrointestinal dysmotility syndrome?
Intermittent abdominal pain with epigastric fullness associated with bloating; and without evidence of a structural gastrointestinal disease
With symptoms of chronic intestinal pseudo-obstruction (CIPO) or symptoms of intestinal motility disorder, including but not limited to, abdominal pain, bloating, feeling of epigastric fullness, dyspepsia, nausea and vomiting, regurgitation, constipation, and diarrhea, managed by ambulatory care; and requiring prescribed dietary management or manipulation
Requiring intermittent tube feeding for nutritional support; with recurrent emergency treatment for episodes of intestinal obstruction or regurgitation due to poor gastric emptying, abdominal pain, recurrent nausea, or recurrent vomiting
Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support
“Requiring intermittent tube feeding for nutritional support; with recurrent emergency treatment for episodes of intestinal obstruction or regurgitation due to poor gastric emptying, abdominal pain, recurrent nausea, or recurrent vomiting”
How does the VA rate Digestive conditions?
Common Questions About Gastrointestinal dysmotility syndrome VA Ratings
What is the VA disability rating for Gastrointestinal dysmotility syndrome?
The VA rates Gastrointestinal dysmotility syndrome under Diagnostic Code 7356 at the following tiers: 10%, 30%, 50%, 80%. The minimum 10% rating requires: Intermittent abdominal pain with epigastric fullness associated with bloating; and without evidence of a structural gastrointestinal disease. The maximum 80% rating requires: Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support.
What is Diagnostic Code 7356?
Diagnostic Code 7356 is the VA rating identifier for Gastrointestinal dysmotility syndrome 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.
What is the highest rating for Gastrointestinal dysmotility syndrome?
The highest schedular rating for Gastrointestinal dysmotility syndrome under DC 7356 is 80%. This tier requires: Requiring complete dependence on total parenteral nutrition (TPN) or continuous tube feeding for nutritional support. Veterans who cannot secure substantially gainful employment due to Gastrointestinal dysmotility syndrome 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 Gastrointestinal dysmotility syndrome ratings?
Gastrointestinal dysmotility syndrome is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7356. 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 Gastrointestinal dysmotility syndrome?
Secondary conditions caused or aggravated by Gastrointestinal dysmotility syndrome 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 Gastrointestinal dysmotility syndrome?
Service connection for Gastrointestinal dysmotility syndrome 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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