Code of Federal Regulations (alpha)

CFR /  Title 38  /  Part 4  /  Sec. 4.116 Schedule of ratings--gynecological conditions and disorders ------------------------------------------------------------------------

Rating------------------------------------------------------------------------

Note 1: Natural menopause, primary amenorrhea, and

pregnancy and childbirth are not disabilities for rating

purposes. Chronic residuals of medical or surgical

complications of pregnancy may be disabilities for rating

purposes.

Note 2: When evaluating any claim involving loss or loss of

use of one or more creative organs or anatomical loss of

one or both breasts, refer to Sec. 3.350 of this chapter

to determine whether the veteran may be entitled to

special monthly compensation. Footnotes in the schedule

indicate conditions which potentially establish

entitlement to special monthly compensation; however,

almost any condition in this section might, under certain

circumstances, establish entitlement to special monthly

compensation.7610 Vulva, disease or injury of (including vulvovaginitis).7611 Vagina, disease or injury of.7612 Cervix, disease or injury of.7613 Uterus, disease, injury, or adhesions of.7614 Fallopian tube, disease, injury, or adhesions of

(including pelvic inflammatory disease (PID)).7615 Ovary, disease, injury, or adhesions of.General Rating Formula for Disease, Injury, or Adhesions of

Female Reproductive Organs (diagnostic codes 7610 through

7615):

Symptoms not controlled by continuous treatment............ 30

Symptoms that require continuous treatment................. 10

Symptoms that do not require continuous treatment.......... 07617 Uterus and both ovaries, removal of, complete:

For three months after removal............................. \1\ 100

Thereafter................................................. \1\ 507618 Uterus, removal of, including corpus:

For three months after removal............................. \1\ 100

Thereafter................................................. \1\ 307619 Ovary, removal of:

For three months after removal............................. \1\ 100

Thereafter:

Complete removal of both ovaries....................... \1\ 30

Removal of one with or without partial removal of the \1\ 0

other.................................................7620 Ovaries, atrophy of both, complete........................ \1\ 207621 Uterus, prolapse:

Complete, through vagina and introitus..................... 50

Incomplete................................................. 307622 Uterus, displacement of:

With marked displacement and frequent or continuous 30

menstrual disturbances....................................

With adhesions and irregular menstruation.................. 107623 Pregnancy, surgical complications of:

With rectocele or cystocele................................ 50

With relaxation of perineum................................ 107624 Fistula, rectovaginal:

Vaginal fecal leakage at least once a day requiring wearing 100

of pad....................................................

Vaginal fecal leakage four or more times per week, but less 60

than daily, requiring wearing of pad......................

Vaginal fecal leakage one to three times per week requiring 30

wearing of pad............................................

Vaginal fecal leakage less than once a week................ 10

Without leakage............................................ 07625 Fistula, urethrovaginal:

Multiple urethrovaginal fistulae........................... 100

Requiring the use of an appliance or the wearing of 60

absorbent materials which must be changed more than four

times per day.............................................

Requiring the wearing of absorbent materials which must be 40

changed two to four times per day.........................

Requiring the wearing of absorbent materials which must be 20

changed less than two times per day.......................7626 Breast, surgery of:

Following radical mastectomy:

Both................................................... \1\80

One.................................................... \1\50

Following modified radical mastectomy:

Both................................................... \1\60

One.................................................... \1\40

Following simple mastectomy or wide local excision with

significant alteration of size or form:

Both................................................... \1\50

One.................................................... \1\30

Following wide local excision without significant

alteration of size or form:

Both or one............................................ 0

Note: For VA purposes:

(1) Radical mastectomy means removal of the entire

breast, underlying pectoral muscles, and regional

lymph nodes up to the coracoclavicular ligament.......

(2) Modified radical mastectomy means removal of the

entire breast and axillary lymph nodes (in continuity

with the breast). Pectoral muscles are left intact....

(3) Simple (or total) mastectomy means removal of all

of the breast tissue, nipple, and a small portion of

the overlying skin, but lymph nodes and muscles are

left intact...........................................

(4) Wide local excision (including partial mastectomy,

lumpectomy, tylectomy, segmentectomy, and

quadrantectomy) means removal of a portion of the

breast tissue.........................................7627 Malignant neoplasms of gynecological system or breast..... 100

Note: A rating of 100 percent shall continue beyond the

cessation of any surgical, X-ray, antineoplastic

chemotherapy or other therapeutic procedure. Six months

after discontinuance of such treatment, the appropriate

disability rating shall be determined by mandatory VA

examination. Any change in evaluation based upon that or

any subsequent examination shall be subject to the

provisions of Sec. 3.105(e) of this chapter. If there

has been no local recurrence or metastasis, rate on

residuals.7628 Benign neoplasms of the gynecological system or breast.

Rate according to impairment in function of the urinary or

gynecological systems, or skin.7629 Endometriosis:

Lesions involving bowel or bladder confirmed by 50

laparoscopy, pelvic pain or heavy or irregular bleeding

not controlled by treatment, and bowel or bladder symptoms

Pelvic pain or heavy or irregular bleeding not controlled 30

by treatment..............................................

Pelvic pain or heavy or irregular bleeding requiring 10

continuous treatment for control..........................

Note: Diagnosis of endometriosis must be substantiated by

laparoscopy.------------------------------------------------------------------------\1\ Review for entitlement to special monthly compensation under Sec.

3.350 of this chapter. [60 FR 19855, Apr. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002]

The Hemic and Lymphatic Systems