Pruritus ani (anal itching) — VA Rating Criteria (38 CFR DC 7337)

The VA rates Pruritus ani (anal itching) under Diagnostic Code 7337 at the following tiers: 0%, 10%. The minimum 0% rating requires: Without bleeding or excoriation. The maximum 10% rating requires: With bleeding or excoriation.

Diagnostic Code 7337 is the VA rating identifier for Pruritus ani (anal itching) 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 Pruritus ani (anal itching) under DC 7337 is 10%. This tier requires: With bleeding or excoriation. Veterans who cannot secure substantially gainful employment due to Pruritus ani (anal itching) alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Pruritus ani (anal itching) is rated under 38 CFR 38 CFR § 4.114, Diagnostic Code 7337. 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 Pruritus ani (anal itching) 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 Pruritus ani (anal itching) 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.