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7304
§ 4.114 Schedule of ratings—digestive system.

Peptic ulcer disease

Open sores that develop in the lining of the stomach or upper small intestine, often causing pain and bleeding.

What the rating means

VA rates peptic ulcer disease under diagnostic code 7304. The possible ratings are 0%, 20%, 40%, 60%, and 100%. A 100% rating applies for three months after surgery for perforation or hemorrhage. After those three months, VA must conduct a mandatory medical examination and rate you on whatever residual disability remains. A 60% rating applies when you have continuous abdominal pain with intermittent vomiting, recurrent vomiting of blood, or tarry stools, along with signs of anemia that required hospitalization at least once in the past 12 months. A 40% rating applies when episodes of abdominal pain, nausea, or vomiting each last at least three consecutive days, occur four or more times in the past 12 months, and are managed with daily prescribed medication. A 20% rating applies under the same episode criteria but when episodes occur three times or fewer in the past 12 months. A 0% rating applies when peptic ulcer disease is documented by endoscopy or diagnostic imaging but does not meet a higher level. VA does not combine this rating with most other digestive condition ratings; if more than one applies, VA assigns a single rating under the code that best reflects your overall disability.

Evidence that helps

For the 100% post-operative rating, records showing surgery for perforation or hemorrhage and the date of that surgery are central. For the 60% rating, medical records documenting continuous abdominal pain, episodes of vomiting blood or tarry stools, and laboratory or clinical findings of anemia are important, as are hospital admission records from the past 12 months. For the 40% or 20% ratings, records that show the frequency and duration of your episodes matter most. Treatment records or pharmacy records confirming daily prescribed medication, and clinical notes or a provider's statement that episodes lasted at least three consecutive days, directly address those criteria. A personal statement or a statement from someone who lives with you describing how often episodes occur, how long they last, and how they affect your work and daily activities can help establish frequency and severity. For any rating above 0%, endoscopy reports or diagnostic imaging studies are needed to establish the underlying diagnosis. Those same records also support the 0% rating when symptoms do not yet meet a higher threshold.

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.