A condition in which tissue similar to the uterine lining grows outside the uterus, causing pain.
Because laparoscopy is required to confirm the diagnosis, a surgical or operative report documenting laparoscopic findings is essential at every rating level. Without it, VA cannot assign a rating under this code.
For the 10% level, medical records showing a treatment plan — such as hormone therapy, pain medication, or other ongoing care — and notes documenting that symptoms are being managed but require that continuous treatment would support this level. For the 30% level, records showing that pelvic pain or heavy or irregular bleeding continues despite treatment are relevant. This could include provider notes describing persistent symptoms, changes in medication, or failed treatment attempts. Your own statements describing how uncontrolled pain or bleeding affects your daily activities and work can help show the severity.
For the 50% level, in addition to the above, you would need laparoscopic findings specifically documenting lesions on the bowel or bladder, along with medical records or provider notes describing bowel or bladder symptoms such as painful urination, rectal pain, or gastrointestinal disruption tied to the endometriosis.
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.
