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7536
§ 4.115b Ratings of the genitourinary system—diagnoses.

Glomerulonephritis

Inflammation of the kidney's filtering units that may impair the kidneys' ability to remove waste.

What the rating means

Glomerulonephritis is rated as renal dysfunction under diagnostic code 7536. VA measures how well your kidneys are filtering by using your glomerular filtration rate, or GFR, and looks at whether that level held for at least 3 consecutive months during the past 12 months.

A 100% rating applies when your GFR is below 15 mL/min/1.73 m², when you require regular routine dialysis, or when you are an eligible kidney transplant recipient. An 80% rating applies when your GFR is from 15 to 29. A 60% rating applies when your GFR is from 30 to 44. A 30% rating applies when your GFR is from 45 to 59.

A 0% rating applies when your GFR is from 60 to 89 and you also have, for at least 3 consecutive months, either recurrent red blood cell casts, white blood cell casts, or granular casts; or structural kidney abnormalities; or an albumin/creatinine ratio of 30 mg/g or higher. VA accepts estimated GFR and creatinine-based approximations when calculated by a medical professional.

Evidence that helps

Because the rating turns on your GFR and how long it has stayed at a given level, laboratory records are the foundation of your evidence. You need GFR or estimated GFR results, or creatinine-based approximations, calculated by a medical professional, showing readings across at least 3 consecutive months within the past 12 months. If your GFR is in the 60 to 89 range, records showing urinalysis results with RBC, WBC, or granular casts, imaging or biopsy findings showing structural kidney abnormalities, or urine albumin/creatinine ratio results of 30 mg/g or higher for the same period would support a 0% rating.

For higher rating levels, dialysis records or documentation of transplant eligibility would support a 100% rating. Treatment notes, nephrology visit records, and hospital records help establish how long reduced kidney function has been present. Statements from you or people who know you describing how your symptoms affect work and daily life can round out the picture, especially when your records show borderline values or gaps between lab draws.

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.