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7317
§ 4.114 Schedule of ratings—digestive system.

Amebiasis (parasitic infection)

Parasitic infection (Entamoeba histolytica) causing dysentery and liver abscesses

What the rating means

Amebiasis affecting the gallbladder is rated under diagnostic code 7317. VA does not assign a separate formula for this condition. Instead, it rates your predominant disability under one of three other diagnostic codes: peritoneal adhesions (DC 7301), chronic biliary tract disease (DC 7314), or complications of gallbladder removal such as strictures and biliary leaks (DC 7318). VA looks at which set of symptoms best describes your overall disability picture and applies that code. Importantly, when rating a gallbladder injury as peritoneal adhesions under DC 7301, a finding of actual adhesions is not required.

Under DC 7301, ratings range from 0% for a history of adhesions with no current symptoms, to 10%, 30%, 50%, and 80%, depending on the severity of obstruction, whether hospitalization has been required, and whether total parenteral nutrition is needed. Under DC 7314, ratings are 0%, 10%, or 30% based on how many documented attacks of right upper quadrant pain with nausea and vomiting occurred in the past 12 months. Under DC 7318, ratings are 0%, 10%, or 30% based on abdominal pain and the frequency of watery bowel movements.

VA will not combine ratings across diagnostic codes 7301 through 7329 and certain related codes. If more than one code would apply, VA assigns a single rating under the code that reflects the predominant disability, and may elevate it one level if the overall severity warrants it.

Evidence that helps

Because your rating depends on which disability picture predominates, the evidence you gather should reflect whichever formula applies to your situation.

If your predominant disability involves adhesion-like symptoms under DC 7301, useful evidence includes a healthcare provider's determination that symptomatic peritoneal adhesions are present, records documenting abdominal pain, nausea, vomiting, colic, constipation, or diarrhea, hospitalization records showing at least one admission for obstruction in the past year, dietary restriction orders from a provider, and, at the most severe level, records showing inoperable obstruction or a prescription for total parenteral nutrition.

If your predominant disability involves biliary tract symptoms under DC 7314, useful evidence includes clinical documentation of each attack of right upper quadrant pain with nausea and vomiting, along with dates, so VA can count episodes within the past 12 months. Records of any biliary tract dilation procedures with dates are also relevant.

If your predominant disability involves post-cholecystectomy complications under DC 7318, useful evidence includes provider notes documenting recurrent or intermittent abdominal pain and records showing the frequency and character of diarrhea. Your own statements describing how symptoms affect your daily eating, sleep, and activities can help show severity across all three formulas.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.