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7502
§ 4.115b Ratings of the genitourinary system—diagnoses.

Chronic nephritis

Long-term inflammation of the kidneys that gradually impairs their ability to filter waste from the blood.

What the rating means

Chronic nephritis is rated under diagnostic code 7502. VA rates it as renal dysfunction under the formula found in § 4.115a. The rating is based on how well your kidneys are filtering your blood, measured by glomerular filtration rate (GFR) over time.

A 100% rating applies when your GFR has been below 15 mL/min/1.73 m² for at least 3 consecutive months in the past year, or you require regular routine dialysis, or you are an eligible kidney transplant recipient. An 80% rating applies when GFR is 15 to 29 mL/min/1.73 m² for that same period. A 60% rating applies when GFR is 30 to 44, and a 30% rating when GFR is 45 to 59, both measured over the same timeframe.

A 0% rating applies when GFR is 60 to 89 mL/min/1.73 m² and you also have either recurrent RBC, WBC, or granular casts; or structural kidney abnormalities; or an albumin/creatinine ratio of 30 mg/g or higher — each present for at least 3 consecutive months in the past year. Only the predominant area of dysfunction is rated unless distinct disabilities with non-overlapping symptoms exist.

Evidence that helps

Because chronic nephritis is rated as renal dysfunction, your medical records should document GFR measurements taken over time. VA accepts GFR, estimated GFR (eGFR), and creatinine-based approximations of GFR when calculated by a medical professional. Lab results showing GFR readings across at least 3 consecutive months within the past 12 months are central to establishing the correct rating level.

For the 0% level, records should show GFR in the 60 to 89 range alongside urinalysis results documenting recurrent RBC, WBC, or granular casts, imaging or biopsy findings showing structural kidney abnormalities, or lab results showing an albumin/creatinine ratio of 30 mg/g or higher — again across at least 3 consecutive months.

If your condition also involves dialysis or a kidney transplant, documentation from your treatment team confirming those facts supports the 100% level. Nephrology records, hospital treatment notes, and dialysis logs all help show the duration and severity the rating formula requires.

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.