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7207
§ 4.114 Schedule of ratings—digestive system.

Barrett's esophagus

A condition where the lining of the esophagus changes due to chronic acid exposure, increasing cancer risk.

What the rating means

Barrett's esophagus (DC 7207) can be rated in several ways depending on your specific situation. If you also have an esophageal stricture, VA rates the condition as stricture of the esophagus under DC 7203 instead. Without a stricture, the rating depends on what a pathologic diagnosis shows: high-grade dysplasia is rated at 30%, and low-grade dysplasia is rated at 10%. If no dysplasia is documented by pathologic diagnosis, neither of those percentages applies.

Two important notes in the regulation affect how the rating may change over time. If a malignancy develops from Barrett's esophagus, VA will rate the condition as a malignant neoplasm of the digestive system under DC 7343. If the condition is resolved through surgery, radiofrequency ablation, or another treatment, VA rates any remaining residuals as stricture of the esophagus under DC 7203.

Evidence that helps

Because the rating levels depend on pathologic diagnosis, the most critical evidence is a pathology report—such as results from an esophageal biopsy—that documents whether high-grade or low-grade dysplasia is present. Endoscopy reports are also relevant because they describe the extent of the Barrett's changes seen during the procedure and typically prompt the biopsies that lead to a pathologic diagnosis.

If you have an esophageal stricture alongside your Barrett's esophagus, records showing swallowing difficulty, imaging, or esophageal dilation procedures would be relevant to rating under DC 7203. If you have undergone surgery, radiofrequency ablation, or other treatment, operative reports and post-treatment records documenting any remaining symptoms or complications would help establish residuals. Statements from you or others describing how symptoms affect eating, daily activities, or work can support the overall picture shown in the medical records.

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.