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7343
§ 4.114 Schedule of ratings—digestive system.

Esophageal cancer

Malignant tumor of the esophagus (food pipe)

What the rating means

Esophageal cancer is rated under diagnostic code 7343 as a malignant neoplasm of the digestive system. VA assigns a 100 percent rating for active malignancy. That 100 percent rating continues beyond the end of any surgical treatment, radiation, antineoplastic chemotherapy, or other therapy. Six months after treatment ends, VA requires a mandatory examination to determine the appropriate rating going forward. If there has been no local recurrence or spread of the cancer, VA then rates the condition based on whatever residual disabilities remain. Any rating change that follows that examination is subject to the due-process protections in 38 CFR 3.105(e), which govern reductions in ratings.

Rating levels

  • 100% — Malignant neoplasms of the digestive system, exclusive of skin growths

VA doesn't add ratings together. It combines them using the table in 38 CFR § 4.25, so two ratings usually total less than their sum.

Evidence that helps

While the cancer is active, medical records confirming the diagnosis and documentation of ongoing or recently completed treatment — surgery, radiation, chemotherapy, or other therapy — are central to supporting a 100 percent rating. Records showing the date treatment ended are important because they mark the start of the six-month period before the mandatory VA examination. At that examination, VA will look for evidence of local recurrence or metastasis; imaging reports, pathology results, and oncology notes that address those questions directly are relevant. If the cancer is in remission and VA rates on residuals, records documenting the nature and severity of lingering symptoms — such as difficulty swallowing, weight loss, pain, or digestive dysfunction — become the focus. Statements from you or people who know you that describe how those residual symptoms affect your ability to work and carry out daily activities can help show the full extent of the disability at that stage.

VA exam form (DBQ) for this condition:

Presumptive conditions

If your service meets the rules below, VA presumes this condition is connected to it.

  • Radiation — 38 CFR § 3.309(d)
  • Chronic disease — 38 CFR § 3.309(a)
  • PACT Act — 38 U.S.C. § 1120

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.