38 C.F.R. § 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.
Title 38 - Pensions, Bonuses, and Veterans' Relief
[60 FR 19855, Apr. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002]
Title 38: Pensions, Bonuses, and Veterans' Relief
PART 4—SCHEDULE FOR RATING DISABILITIES
Subpart B—Disability Ratings
Gynecological Conditions and Disorders of the Breast
§ 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.
------------------------------------------------------------------------ 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 § 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 § 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 § 3.350 of this chapter.
