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7515
§ 4.115b Ratings of the genitourinary system—diagnoses.

Bladder stones

Hard mineral deposits in the bladder that may cause pain, bleeding, or difficulty urinating.

What the rating means

Bladder stones (calculus in the bladder) with symptoms interfering with function are rated under diagnostic code 7515. The regulation directs VA to rate this condition as voiding dysfunction, meaning the rating you receive depends on which type of voiding problem is most prominent: urine leakage, urinary frequency, or obstructed voiding. Only the predominant area of dysfunction is considered for rating purposes, though distinct disabilities may be evaluated separately if the symptoms do not overlap.

For urine leakage or incontinence, ratings of 60%, 40%, or 20% apply depending on how often absorbent materials must be changed. For urinary frequency, ratings of 40%, 20%, or 10% apply based on how often you void during the day or how many times you wake at night. For obstructed voiding, ratings of 30%, 10%, or 0% apply depending on whether catheterization is needed, how severe the obstruction is, and related findings. VA also notes that certain genitourinary conditions may qualify a Veteran for special monthly compensation under 38 CFR § 3.350.

Evidence that helps

Because bladder stones are rated as voiding dysfunction, medical evidence should reflect whichever type of voiding problem affects you most severely. For urine leakage or incontinence, records showing how frequently absorbent materials must be changed each day are directly relevant. For urinary frequency, documented daytime voiding intervals or records of how many times you wake at night to void help establish the correct level.

For obstructed voiding, useful evidence includes records of catheterization, post-void residual measurements above 150 cc, uroflowmetry results showing a peak flow rate below 10 cc per second, documentation of recurrent urinary tract infections caused by obstruction, or records of stricture dilations and how often they are needed. Your own statements and those of people who know you describing how voiding symptoms affect your daily activities and work can also support the picture shown in your medical records. If symptoms fall into more than one voiding category, records that clearly distinguish each symptom may matter for whether they are evaluated separately.

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.