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7318
§ 4.114 Schedule of ratings—digestive system.

Bile duct cancer

Malignant tumor of the bile ducts (cholangiocarcinoma)

What the rating means

VA rates complications of cholecystectomy — such as strictures and biliary leaks — under diagnostic code 7318. Three rating levels are possible: 30%, 10%, and 0%. The 30% rating requires both recurrent abdominal pain (occurring after meals or at night) and chronic diarrhea with three or more watery bowel movements per day. The 10% rating requires both intermittent abdominal pain and diarrhea with one to two watery bowel movements per day. If you have no symptoms, the rating is 0%.

Note that VA will not combine a rating under this code with ratings for most other digestive conditions listed in the schedule (diagnostic codes 7301–7329, 7331, 7342, 7345–7350, 7352, and 7355–7357). If more than one of those conditions each warrants a rating, VA assigns a single rating under whichever code best reflects the overall disability, and may raise it one level if the combined severity justifies doing so.

Evidence that helps

To support a 30% rating, your records should show both recurrent abdominal pain tied to meals or nighttime and a pattern of three or more watery bowel movements per day. Gastroenterology or primary care notes documenting the frequency, timing, and character of pain and diarrhea are helpful, as are imaging or procedure reports confirming a stricture or biliary leak following gallbladder removal. A physician's statement connecting those findings to the post-surgical complication strengthens the record.

For a 10% rating, records should show intermittent abdominal pain alongside one to two watery bowel movements per day. Clinic notes, treatment records, and logs of symptoms over time can capture this pattern. At either level, your own written statement — or statements from people who live with you — describing how pain and diarrhea affect your daily activities, sleep, and work can help show the frequency and severity that the rating criteria require.

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.