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7343
§ 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 7343, which covers malignant neoplasms of the digestive system, exclusive of skin growths. VA assigns a 100 percent rating while the cancer is active and during any treatment, including surgery, X-ray therapy, antineoplastic chemotherapy, or other therapeutic procedures.

The 100 percent rating does not stop the moment treatment ends. It continues beyond the end of treatment. Six months after treatment is discontinued, VA requires a mandatory examination to decide the appropriate rating going forward. At that point, if there has been no local recurrence or spread of the cancer, VA rates the condition based on whatever residual disabilities remain. Any change to your evaluation after that examination is subject to the procedural protections in 38 CFR § 3.105(e).

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

During active disease and treatment, medical records confirming the diagnosis and documenting ongoing or recently completed treatment — such as operative reports, oncology notes, chemotherapy records, or radiation therapy records — are the foundation of a 100 percent rating under this code.

After treatment ends, the six-month mandatory VA examination is a key point in the record. At that exam, findings showing no local recurrence and no metastasis shift the rating to a residuals basis. Records that document what residual disabilities remain at that stage — such as imaging results, pathology reports, gastroenterology or oncology follow-up notes, and any findings about digestive function or other lasting effects — directly support the residuals rating.

Statements from you or people who know you, describing how remaining symptoms affect your ability to work, eat, or carry out daily activities, can help show the severity of any residuals. These statements are most useful when they are tied to specific, ongoing symptoms that correspond to findings in your medical records.

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.