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7540
§ 4.115b Ratings of the genitourinary system—diagnoses.

Blood clotting disorder with kidney damage

A blood clotting disorder that causes tissue death in the outer layer of the kidneys.

What the rating means

Disseminated intravascular coagulation with renal cortical necrosis (diagnostic code 7540) is rated as renal dysfunction under § 4.115a. VA measures kidney function using the glomerular filtration rate, or GFR, sustained for at least 3 consecutive months during the past 12 months.

A 100% rating applies when your GFR is below 15 mL/min/1.73 m², when you require regular routine dialysis, or when you are an eligible kidney transplant recipient. An 80% rating applies when your GFR is 15 to 29. A 60% rating applies when your GFR is 30 to 44. A 30% rating applies when your GFR is 45 to 59. A 0% rating applies when your GFR is 60 to 89 and you also have recurrent red blood cell, white blood cell, or granular casts; structural kidney abnormalities; or an albumin/creatinine ratio of 30 mg/g or higher.

VA will accept estimated GFR or creatinine-based approximations when calculated by a medical professional. Only the predominant area of dysfunction is rated unless distinct disabilities with non-overlapping symptoms exist.

Evidence that helps

Because this condition is rated on GFR levels, lab records are central. You will want records showing GFR, estimated GFR, or a creatinine-based approximation of GFR measured on at least three occasions spanning three consecutive months within the past year. A medical professional must have calculated or interpreted those values.

For higher rating levels, records showing that you require regular dialysis or that you have been identified as an eligible kidney transplant recipient are directly relevant. For the 0% level, lab reports documenting recurrent red blood cell, white blood cell, or granular casts; imaging or biopsy findings of structural kidney abnormalities such as cystic, obstructive, or glomerular disease; or urine albumin/creatinine ratio results of 30 mg/g or higher — each sustained over the required three-month period — support that tier.

Treating physician notes, nephrology consultation reports, hospital records, and dialysis logs all help document the severity and duration of kidney impairment. Statements from you or others describing how your kidney condition affects your daily life may also be part of your file.

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.