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7315
§ 4.114 Schedule of ratings—digestive system.

Chronic gallstones

Persistent presence of hardened deposits (stones) in the gallbladder that may cause pain and inflammation.

What the rating means

Chronic gallstones (cholelithiasis, chronic) is rated under the formula for chronic biliary tract disease, diagnostic code 7314. VA looks at how many documented attacks of right upper quadrant pain with nausea and vomiting you had in the past 12 months, or whether your biliary tract strictures required dilation in that same period.

A 30% rating applies if you had three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months, or if you needed dilation of biliary tract strictures at least once in the past 12 months. A 10% rating applies if you had one or two such clinically documented attacks in the past 12 months. A 0% rating applies if you had no clinically documented attacks in the past 12 months.

If you have more than one ratable digestive condition, VA will not combine them. Instead, VA assigns a single rating under whichever code best reflects your overall disability, and may raise it one level if the combined picture warrants it.

Evidence that helps

Because the rating turns on the number of documented attacks in the past 12 months, medical records that record each episode are central. Emergency room notes, urgent care visits, or clinic records that capture the date, your reported symptoms of right upper quadrant pain, and accompanying nausea and vomiting each count as clinical documentation of an attack. Imaging reports, laboratory results, and surgical or procedure notes showing that biliary tract strictures required dilation during the past 12 months would support a 30% rating.

Your treating physician's records that consistently note your symptom history over time can help establish the pattern and frequency of attacks. A statement from you describing when attacks occurred, how severe they were, and how they affected your work or daily activities can provide context, but the rating itself rests on clinically documented attacks rather than self-report alone. Records showing you were asymptomatic or had no documented attacks would place the rating at 0%.

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.