Educational use only. Not legal or medical advice. Read 38 CFR §4.116 on eCFR
Diagnostic Code
7629
CFR Section
§4.116 — Gynecological & Breast Conditions

Rating Tiers

50%

Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms

30%

Pelvic pain or heavy or irregular bleeding not controlled by treatment

10%

Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control

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