Urethra, fistula of — VA Rating Criteria (38 CFR DC 7519)

The VA rates Urethra, fistula of under Diagnostic Code 7519 at the following tiers: 100%. The minimum 100% rating requires: Multiple urethroperineal fistulae. The maximum 100% rating requires: Multiple urethroperineal fistulae.

Diagnostic Code 7519 is the VA rating identifier for Urethra, fistula of 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 Urethra, fistula of under DC 7519 is 100%. This tier requires: Multiple urethroperineal fistulae. Veterans who cannot secure substantially gainful employment due to Urethra, fistula of alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Urethra, fistula of is rated under 38 CFR 38 CFR § 4.115b, Diagnostic Code 7519. 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 Urethra, fistula of 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 Urethra, fistula of 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.