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7318
§ 4.114 Schedule of ratings—digestive system.

Gallbladder cancer

Malignant tumor of the gallbladder

What the rating means

Gallbladder cancer is rated under diagnostic code 7318, which covers complications of cholecystectomy — the surgical removal of the gallbladder. This means your rating is based on the symptoms you experience after gallbladder removal, not on the cancer diagnosis itself. Three rating levels are possible: 30%, 10%, and 0%.

A 30% rating applies when you have recurrent abdominal pain — either after meals or at night — along with chronic diarrhea of three or more watery bowel movements per day. A 10% rating applies when you have intermittent abdominal pain along with diarrhea of one to two watery bowel movements per day. A 0% rating applies when you are asymptomatic.

One important rule applies across the digestive system rating codes: VA will not combine a rating under this code with ratings under most other digestive system diagnostic codes. If more than one of those codes would apply, VA assigns a single rating under the code that best reflects your overall disability, and may raise it one level if the combined severity warrants it.

Evidence that helps

To support a 30% rating, your records would need to show recurrent abdominal pain that occurs after meals or at night, combined with chronic diarrhea documented at three or more watery bowel movements per day. Gastroenterology or primary care notes that record the frequency, timing, and character of your bowel movements are especially useful, as are treatment records showing ongoing management of these symptoms.

For a 10% rating, records showing intermittent abdominal pain alongside diarrhea of one to two watery bowel movements per day would be relevant. Clinic notes, imaging, or procedure reports that document biliary complications such as strictures or leaks can help establish the connection between your surgery and your current symptoms.

Your own statements, and statements from people who live with you, describing how often you experience pain and how diarrhea affects your daily routine and ability to work can also help show the frequency and severity that separate one rating level from another.

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.