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7529
§ 4.115b Ratings of the genitourinary system—diagnoses.

Benign genitourinary tumors

Noncancerous growths in the kidneys, bladder, or other parts of the genitourinary system.

What the rating means

Benign neoplasms of the genitourinary system are rated under diagnostic code 7529. VA does not assign a separate rating scale to this condition. Instead, VA rates it based on whichever dysfunction is predominant — either voiding dysfunction or renal dysfunction — using the shared formulas in § 4.115a.

Voiding dysfunction is rated based on the specific type of problem you have: urine leakage or incontinence, urinary frequency, or obstructed voiding. For urine leakage, ratings of 20%, 40%, or 60% depend on how often absorbent materials must be changed. For urinary frequency, ratings of 10%, 20%, or 40% depend on how often you void during the day or night. For obstructed voiding, ratings of 0%, 10%, or 30% depend on the severity of obstruction and whether catheterization is required.

Renal dysfunction is rated based on your glomerular filtration rate, or GFR, measured over at least three consecutive months. Ratings range from 0% to 100% depending on how low your GFR falls or whether you require dialysis or a kidney transplant.

VA rates only the predominant dysfunction, though separate and distinct symptoms that do not overlap may be evaluated separately.

Evidence that helps

Because this condition is rated as either voiding or renal dysfunction, the evidence that matters most depends on which dysfunction is predominant for you.

For renal dysfunction, lab reports showing GFR, estimated GFR, or creatinine-based GFR measurements taken by a medical professional are central. VA will look for results covering at least three consecutive months within the past twelve months. Records showing dialysis treatment, kidney transplant eligibility, urinalysis results with RBC, WBC, or granular casts, structural kidney abnormalities on imaging, or albumin-to-creatinine ratio results can also support a rating.

For voiding dysfunction, medical records documenting urine leakage, incontinence, urinary frequency, or obstructed voiding are key. Useful findings include uroflowmetry results, post-void residual measurements, records of catheter use, urinary tract infection histories, and notes about stent or nephrostomy drainage. Records of how often you change absorbent materials, or how many times you void per hour during the day or night, directly correspond to specific rating levels.

Statements from you or people who know you describing how these symptoms affect your daily activities and work can help document the frequency and severity of your condition.

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.