- Diagnostic Code
- 7333
- CFR Section
- §4.114 — Digestive
Rating Tiers
100%
Inability to open the anus with inability to expel solid feces
60%
Reduction of the lumen 50% or more, with pain and straining during defecation
30%
Reduction of the lumen by less than 50%, with straining during defecation
10%
Luminal narrowing with or without straining, managed by dietary intervention
What Raters Look For
Based on M21-1 adjudication criteria for Digestive conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.D- •Weight loss — documented weight changes in treatment records
- •Frequency and severity of symptoms: pain, nausea, vomiting, diarrhea
- •Dietary restrictions required due to the condition
- •Need for surgical intervention, feeding tubes, or colostomy
- •Imaging and endoscopy findings (scope reports, biopsy results)
- •Hepatic function if liver disease is involved: bilirubin, albumin, INR, Child-Pugh score