- Diagnostic Code
- 7621
- CFR Section
- §4.116 — Gynecological & Breast Conditions
Rating Tiers
10%
Note: Pelvic organ prolapse occurs when a pelvic organ such as bladder, urethra, uterus, vagina, small bowel, or rectum drops (prolapse) from its normal place in the abdomen. Conditions associated with pelvic organ prolapse include: uterine or vaginal vault prolapse, cystocele, urethrocele, rectocele, enterocele, or any combination thereof. Evaluate pelvic organ prolapse under DC 7621. Evaluate separately any genitourinary, digestive, or skin symptoms under the appropriate diagnostic code(s) and combine all evaluations with the 10 percent evaluation under DC 7621
What Raters Look For
Based on M21-1 adjudication criteria for Gynecological & Breast Conditions conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.L- •Surgical history and post-surgical residuals (hysterectomy, mastectomy, oophorectomy)
- •Frequency and severity of symptoms (pain, bleeding, discharge)
- •Treatment requirements and response to treatment
- •Breast conditions: extent of tissue involvement, surgical residuals, lymphedema
- •Functional impact on daily activities