Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis — VA Rating Criteria (38 CFR DC 7508)

The VA rates Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis under Diagnostic Code 7508 at the following tiers: 30%. The minimum 30% rating requires: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year. The maximum 30% rating requires: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year.

Diagnostic Code 7508 is the VA rating identifier for Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis within 38 CFR 38 CFR § 4.115b. 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 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis under DC 7508 is 30%. This tier requires: Rate as hydronephrosis, except for recurrent stone formation requiring invasive or non-invasive procedures more than two times/year. Veterans who cannot secure substantially gainful employment due to Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis is rated under 38 CFR 38 CFR § 4.115b, Diagnostic Code 7508. 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 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis 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 Nephrolithiasis/Ureterolithiasis/Nephrocalcinosis 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.