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7512
§ 4.115b Ratings of the genitourinary system—diagnoses.

Chronic cystitis

Long-term inflammation of the bladder that may cause pain, frequent urination, and discomfort.

What the rating means

Chronic cystitis — including interstitial cystitis and all other infectious and non-infectious forms — is rated under diagnostic code 7512. VA does not rate this condition directly. Instead, VA rates it as voiding dysfunction under § 4.115a. That means the rating is based on whichever type of voiding problem is most prominent for you: urine leakage, urinary frequency, or obstructed voiding.

Only the predominant area of dysfunction is rated. If you have distinct symptoms that do not overlap, those may be evaluated separately. For urine leakage or incontinence, ratings of 60%, 40%, or 20% depend on how often absorbent materials must be changed. For urinary frequency, ratings of 40%, 20%, or 10% depend on how often you void during the day or how many times you wake at night to void. For obstructed voiding, ratings of 30%, 10%, or 0% depend on whether catheterization is needed, the severity of obstructive symptoms, and related findings.

Evidence that helps

Because the rating turns on your specific voiding symptoms, medical records and exam findings that document those symptoms are central. For urine leakage or incontinence, records showing that you use an appliance or absorbent materials, and how many times per day those materials must be changed, directly map to the 60%, 40%, and 20% levels. For urinary frequency, records documenting your daytime voiding interval or the number of nighttime voidings support the 40%, 20%, and 10% levels. For obstructed voiding, findings such as post-void residual measurements, uroflowmetry results showing peak flow rate, records of catheterization, documentation of recurrent urinary tract infections caused by obstruction, or records of stricture dilations support the 30% and 10% levels.

Statements from you or people who live with you describing how often symptoms occur, how they affect sleep, work, and daily activities, and what supplies or procedures you rely on can also help document the frequency and severity that correspond to each rating level.

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.