- Diagnostic Code
- 7335
- CFR Section
- §4.114 — Digestive
Rating Tiers
60%
More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment
40%
One or two simultaneous fistulas, with abscess, drainage, and pain
20%
Two or more simultaneous fistulas with drainage and pain, but without abscesses
10%
One fistula with drainage and pain, but without abscess
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