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7205
§ 4.114 Schedule of ratings—digestive system.

Esophageal diverticulum

An abnormal pouch or sac that develops in the wall of the esophagus, acquired after birth.

What the rating means

An acquired esophageal diverticulum (DC 7205) is rated exactly the same way as esophageal stricture under DC 7203. This includes Zenker's (pharyngo-esophageal), mid-esophageal, and epiphrenic diverticula. All findings must be documented by barium swallow, computerized tomography, or esophagogastroduodenoscopy.

The five possible ratings are 80%, 50%, 30%, 10%, and 0%. A 0% rating applies when you have a documented history but no daily symptoms and no need for daily medications. A 10% rating applies when daily medications are needed to control dysphagia but you are otherwise without symptoms. A 30% rating applies when recurrent stricture causes dysphagia requiring dilatation no more than twice a year. A 50% rating applies when the condition is recurrent or refractory and requires dilatation three or more times per year, dilatation using steroids at least once per year, or esophageal stent placement. An 80% rating applies when the condition is recurrent or refractory, causes dysphagia with aspiration, undernutrition, or substantial weight loss as defined by § 4.112(a), and has been treated with surgical correction or a PEG tube.

Evidence that helps

Because this condition is rated under the esophageal stricture criteria, your records need to show both the existence of a diverticulum and the severity of its effects. Imaging or procedural records are required: a barium swallow study, CT scan, or esophagogastroduodenoscopy (EGD) that documents the diverticulum and any associated stricture.

For the 10% level, records showing a prescription for daily medications to manage dysphagia, along with notes confirming the diagnosis, would be relevant. For the 30% level, procedure logs or gastroenterology notes showing dilatation performed no more than twice in a year support that tier. For the 50% level, records showing three or more dilatations per year, steroid-assisted dilatation, or stent placement are key. For the 80% level, records documenting aspiration events, nutritional assessments showing undernutrition, weight measurements showing substantial weight loss under § 4.112(a), and operative or procedural notes confirming surgical correction or PEG tube placement would be most relevant. Statements from you or those who know you describing how swallowing difficulties affect eating, work, and daily activities can help show the practical impact of your symptoms.

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.