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7501
§ 4.115b Ratings of the genitourinary system—diagnoses.

Kidney abscess

A pus-filled pocket of infection within the kidney tissue.

What the rating means

Kidney abscess (diagnostic code 7501) is rated exactly as a urinary tract infection under the VA rating schedule. VA looks first at whether you have poor renal function; if you do, the condition is rated instead as renal dysfunction, using glomerular filtration rate measurements. If poor renal function is not present, VA considers how often infections occur and how much treatment they require.

A 30% rating applies when you have recurrent symptomatic infections that require drainage by stent or nephrostomy tube, more than two hospitalizations per year, or continuous intensive management. A 10% rating applies when recurrent symptomatic infections require one to two hospitalizations per year or suppressive drug therapy lasting six months or longer. A 0% rating applies when recurrent symptomatic infections do not require hospitalization but do require suppressive drug therapy for less than six months. Where only one area of dysfunction is present, only that predominant area is rated; distinct disabilities with non-overlapping symptoms may be rated separately.

Evidence that helps

Because kidney abscess is rated as a urinary tract infection, the records that matter most are those showing how often infections recur and how intensively they must be treated. Hospital admission records documenting the number and length of inpatient stays each year directly support the 10% and 30% levels. Operative or procedure notes showing placement of a stent or nephrostomy tube for drainage, or records confirming continuous intensive management, support the 30% level. Prescription records or clinical notes showing suppressive antibiotic therapy and its duration support the 10% or 0% levels.

If your provider has documented reduced kidney function, lab results showing glomerular filtration rate measurements taken over at least three consecutive months become critical, because poor renal function shifts the rating to the renal dysfunction criteria. Statements from you or treating providers describing how frequent infections affect your daily activities or ability to work can help VA understand the full picture of your condition. Imaging or pathology records confirming the abscess and any structural changes to the kidney may also be relevant to your overall evaluation.

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.