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7356
§ 4.114 Schedule of ratings—digestive system.

Gastrointestinal dysmotility syndrome

A disorder affecting the coordinated muscle contractions that move food through the digestive tract.

What the rating means

VA rates gastrointestinal dysmotility syndrome under Diagnostic Code 7356. Four rating levels are possible: 80%, 50%, 30%, and 10%. The 80% rating applies when you depend completely on total parenteral nutrition (TPN) or continuous tube feeding to get enough nutrition. The 50% rating applies when you need intermittent tube feeding for nutrition and also have recurrent emergency treatment for intestinal obstruction or regurgitation from poor gastric emptying, abdominal pain, recurrent nausea, or recurrent vomiting. The 30% rating applies when you have ongoing symptoms such as abdominal pain, bloating, epigastric fullness, dyspepsia, nausea, vomiting, regurgitation, constipation, or diarrhea, managed through ambulatory care and requiring prescribed dietary changes. The 10% rating applies when you have intermittent abdominal pain and epigastric fullness with bloating, and there is no evidence of a structural gastrointestinal disease. VA will not combine this rating with ratings under certain other digestive diagnostic codes; instead, it assigns a single rating under the code that best reflects your overall disability picture.

Evidence that helps

For the 80% level, medical records showing a prescription and ongoing use of TPN or continuous tube feeding, along with provider notes confirming complete nutritional dependence, would reflect those criteria. For the 50% level, records of intermittent tube feeding orders plus emergency department or urgent care visits for intestinal obstruction, regurgitation from poor gastric emptying, abdominal pain, nausea, or vomiting would be relevant. For the 30% level, clinic notes documenting chronic symptoms such as bloating, dyspepsia, constipation, or diarrhea managed in an outpatient setting, together with prescribed dietary plans or restrictions, support that rating. For the 10% level, records showing intermittent abdominal pain and epigastric fullness with bloating, combined with imaging or other test results ruling out a structural gastrointestinal disease, correspond to that criteria. At any level, your own written statements describing how symptoms affect your daily activities, work, and eating habits can help show the frequency and severity of your condition.

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.