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7537
§ 4.115b Ratings of the genitourinary system—diagnoses.

Interstitial nephritis or gouty nephropathy

Inflammation of kidney tissue that may be caused by gout or disorders affecting calcium balance.

What the rating means

Interstitial nephritis, including gouty nephropathy and disorders of calcium metabolism, is rated under diagnostic code 7537. VA rates this condition as renal dysfunction, using the renal dysfunction formula from § 4.115a.

The ratings are based on your glomerular filtration rate, or GFR, measured over time. A 100% rating applies if your GFR is below 15 mL/min/1.73 m² for at least 3 consecutive months in the past year, or if you require regular routine dialysis, or if you are an eligible kidney transplant recipient. An 80% rating applies if your GFR is from 15 to 29 mL/min/1.73 m² for at least 3 consecutive months. A 60% rating applies for a GFR from 30 to 44, and a 30% rating for a GFR from 45 to 59, each sustained for at least 3 consecutive months in the past year. A 0% rating applies if your GFR is from 60 to 89 and you also have recurrent urinary casts, structural kidney abnormalities, or an albumin/creatinine ratio of 30 mg/g or higher, each lasting at least 3 consecutive months.

Evidence that helps

Because ratings are built around GFR measurements, lab records are the most direct evidence. VA accepts GFR, estimated GFR (eGFR), and creatinine-based GFR approximations when a medical professional calculates them. Records showing GFR readings taken at least 3 months apart — and spanning the past 12 months — help establish whether your kidney function meets a sustained threshold.

For the 0% level, urinalysis results showing recurrent red blood cell casts, white blood cell casts, or granular casts are relevant, as are imaging or pathology reports documenting structural kidney abnormalities. Lab reports showing an albumin/creatinine ratio of 30 mg/g or above, sustained for at least 3 consecutive months, also support that level.

If you are on dialysis, records documenting the dialysis schedule and frequency support the 100% level. If you have received or are awaiting a kidney transplant, documentation of your transplant eligibility or procedure supports that level as well. Statements from treating physicians explaining how your kidney function has changed over time can help connect the lab values to the rating criteria.

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.