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7343
§ 4.114 Schedule of ratings—digestive system.

Liver cancer (primary)

Malignant tumor of the liver (primary liver carcinoma; excluding cirrhosis/hepatitis B cases)

What the rating means

Liver cancer (primary) is rated under diagnostic code 7343 as a malignant neoplasm of the digestive system, exclusive of skin growths. VA assigns a 100 percent rating for this condition while it is active. That 100 percent rating continues beyond the end of any surgical treatment, radiation, antineoplastic chemotherapy, or other therapeutic procedure. Six months after treatment ends, VA requires a mandatory examination to determine 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). VA also does not combine this rating with ratings for most other digestive system conditions; instead, one diagnostic code reflecting the predominant disability is used, and it may be elevated one level if the overall severity warrants it.

Evidence that helps

During active treatment, medical records confirming the diagnosis and documenting ongoing surgical, radiation, or chemotherapy treatment are the core evidence supporting the 100 percent rating. Oncology notes, pathology reports, imaging studies, and treatment summaries all reflect the active disease picture. After treatment ends, the mandatory VA examination six months later becomes the key record. At that exam, findings showing whether the cancer has recurred or metastasized will determine the next rating. If no recurrence or metastasis is found, evidence of residual disabilities matters most — this could include lab results, imaging, physician notes describing lasting organ damage or functional loss, and your own statements describing how symptoms affect your daily activities and ability to work. Statements from people who observe your condition day to day can also help show the severity of any remaining effects.

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.