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7327
§ 4.114 Schedule of ratings—digestive system.

Onchocerciasis (river blindness)

Filarial infection (Onchocerca volvulus) causing river blindness

What the rating means

Onchocerciasis is rated under diagnostic code 7327, which is the rating formula for diverticulitis and diverticulosis in VA's digestive system schedule. Two ratings above 0% are possible: 30% and 20%.

The difference between 30% and 20% comes down to complications. Both levels require that the diverticular disease caused at least one hospitalization in the past 12 months for the combination of abdominal distress, fever, and elevated white blood cells. The 30% rating also requires at least one serious complication during that period — hemorrhage, obstruction, abscess, peritonitis, or perforation. The 20% rating applies when hospitalizations occurred but none of those complications were present.

A 0% rating covers two situations: no symptoms at all, or symptoms that are controlled by diet and medication without hospitalization. VA will not combine this rating with ratings under other digestive-system diagnostic codes; instead, VA assigns a single rating under the code that best reflects the overall disability picture.

Evidence that helps

To support a rating above 0%, your records need to show hospitalizations within the past 12 months that document abdominal distress, fever, and elevated white blood cells together. Admission and discharge records, emergency department notes, and inpatient treatment summaries are the most direct evidence of those hospitalizations.

For the 30% level, records should also document at least one of the following during those hospital stays: hemorrhage, obstruction, abscess, peritonitis, or perforation. Imaging reports, operative notes, pathology results, or physician notes that name any of those complications can help establish that criterion.

For a 0% rating, records showing that your condition is either asymptomatic or managed through diet changes and medication — without any hospitalizations — would reflect that level. Statements from you or people who know you describing how symptoms affect daily activities and work may help show whether the condition goes beyond what diet and medication can control.

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.