Peritoneum, adhesions of, due to surgery, trauma, disease, or infection — VA Rating Criteria (38 CFR DC 7301)
The VA rates Peritoneum, adhesions of, due to surgery, trauma, disease, or infection under 38 CFR 38 CFR § 4.114, Diagnostic Code 7301, from 0% to 80% based on the frequency and functional severity of symptoms. The maximum 80% rating requires Persistent partial bowel obstruction that is either inoperable and refractory to treatment, or requires total parenteral nutrition (TPN) for obstructive symptoms. Related conditions in the Digestive body system share this rating framework.
What are the VA rating criteria for Peritoneum, adhesions of, due to surgery, trauma, disease, or infection?
History of peritoneal adhesions, currently asymptomatic
Symptomatic peritoneal adhesions, persisting or recurring after surgery, trauma, inflammatory disease process such as chronic cholecystitis or Crohn's disease, or infection, as determined by a healthcare provider, and at least one of the following: (1) abdominal pain, (2) nausea, (3) vomiting, (4) colic, (5) constipation, or (6) diarrhea
Symptomatic peritoneal adhesions, persisting or recurring after surgery, trauma, inflammatory disease process such as chronic cholecystitis or Crohn's disease, or infection, as determined by a healthcare provider; and medically-directed dietary modification other than total parenteral nutrition (TPN); and at least one of the following: (1) abdominal pain, (2) nausea, (3) vomiting, (4) colic, (5) constipation, or (6) diarrhea
Symptomatic peritoneal adhesions, persisting or recurring after surgery, trauma, inflammatory disease process such as chronic cholecystitis or Crohn's disease, or infection, as determined by a healthcare provider; and clinical evidence of recurrent obstruction requiring hospitalization at least once a year; and medically-directed dietary modification other than total parenteral nutrition (TPN); and at least one of the following: (1) abdominal pain, (2) nausea, (3) vomiting, (4) colic, (5) constipation, or (6) diarrhea
Persistent partial bowel obstruction that is either inoperable and refractory to treatment, or requires total parenteral nutrition (TPN) for obstructive symptoms
“Symptomatic peritoneal adhesions, persisting or recurring after surgery, trauma, inflammatory disease process such as chronic cholecystitis or Crohn's disease, or infection, as determined by a healthcare provider; and medically-directed dietary modification other than total parenteral nutrition (TPN); and at least one of the following: (1) abdominal pain, (2) nausea, (3) vomiting, (4) colic, (5) constipation, or (6) diarrhea”
How does the VA rate Digestive conditions?
Common Questions About Peritoneum, adhesions of, due to surgery, trauma, disease, or infection VA Ratings
What is the VA disability rating for Peritoneum, adhesions of, due to surgery, trauma, disease, or infection?
The VA rates Peritoneum, adhesions of, due to surgery, trauma, disease, or infection under Diagnostic Code 7301 at the following tiers: 0%, 10%, 30%, 50%, 80%. The minimum 0% rating requires: History of peritoneal adhesions, currently asymptomatic. The maximum 80% rating requires: Persistent partial bowel obstruction that is either inoperable and refractory to treatment, or requires total parenteral nutrition (TPN) for obstructive symptoms.
What is Diagnostic Code 7301?
Diagnostic Code 7301 is the VA rating identifier for Peritoneum, adhesions of, due to surgery, trauma, disease, or infection 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 Peritoneum, adhesions of, due to surgery, trauma, disease, or infection?
The highest schedular rating for Peritoneum, adhesions of, due to surgery, trauma, disease, or infection under DC 7301 is 80%. This tier requires: Persistent partial bowel obstruction that is either inoperable and refractory to treatment, or requires total parenteral nutrition (TPN) for obstructive symptoms. Veterans who cannot secure substantially gainful employment due to Peritoneum, adhesions of, due to surgery, trauma, disease, or infection 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 Peritoneum, adhesions of, due to surgery, trauma, disease, or infection ratings?
Peritoneum, adhesions of, due to surgery, trauma, disease, or infection is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7301. 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 Peritoneum, adhesions of, due to surgery, trauma, disease, or infection?
Secondary conditions caused or aggravated by Peritoneum, adhesions of, due to surgery, trauma, disease, or infection 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 Peritoneum, adhesions of, due to surgery, trauma, disease, or infection?
Service connection for Peritoneum, adhesions of, due to surgery, trauma, disease, or infection 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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