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7303
§ 4.114 Schedule of ratings—digestive system.

Chronic complications of upper GI surgery

Ongoing problems that persist after surgery on the stomach, esophagus, or upper small intestine.

What the rating means

VA rates chronic complications of upper gastrointestinal surgery under diagnostic code 7303. This code covers surgery performed on the esophagus, stomach, pancreas, and small intestine, including bariatric surgery. If the surgery involved resection of the small intestine, a different code applies. The possible ratings are 0%, 10%, 30%, 50%, and 80%.

A 0% rating applies when you have had the surgery but have no symptoms. A 10% rating applies when nausea or vomiting is present but managed by ongoing medical treatment. A 30% rating requires two or more of these: vomiting at least twice a week or vomiting despite medical treatment; discomfort or pain within an hour of eating that requires ongoing changes to your diet; or three to five watery bowel movements every day. A 50% rating requires any one of these: daily vomiting despite dietary changes or medication; six or more watery or unpredictable explosive bowel movements every day; or post-meal lightheadedness with sweating that requires medication specifically to treat complications such as dumping syndrome or delayed gastric emptying. An 80% rating requires continuous total parenteral nutrition or tube feeding for more than 30 consecutive days within the last six months.

VA will not combine this rating with most other digestive system ratings. Instead, it assigns a single rating under the code that best reflects your overall condition.

Evidence that helps

Medical records that document your surgical history — including what operation was performed and when — form the foundation of your claim. For any rating above 0%, records showing ongoing symptoms are key. For a 10% rating, treatment notes reflecting a prescription or ongoing medical management of nausea or vomiting are helpful.

For a 30% rating, records should show the frequency of vomiting, physician notes or dietary logs reflecting required changes to your diet due to pain or discomfort after eating, or records confirming daily watery bowel movements in the three-to-five range. For a 50% rating, evidence should show daily vomiting despite dietary changes or medication, or documentation of six or more daily watery or unpredictable bowel movements, or clinical notes confirming post-meal lightheadedness with sweating and a prescription for medications targeting dumping syndrome or delayed gastric emptying. For an 80% rating, records from a treating provider confirming continuous TPN or tube feeding for more than 30 consecutive days within the past six months are needed.

Your own written statements, and statements from people who observe your daily life, can support the record by describing how symptoms affect eating, daily activities, and work.

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.