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7539
§ 4.115b Ratings of the genitourinary system—diagnoses.

Renal amyloid disease

Buildup of abnormal protein deposits in the kidneys that may impair kidney function.

What the rating means

Renal amyloid disease is rated as renal dysfunction under diagnostic code 7539. VA measures kidney function primarily through the glomerular filtration rate, or GFR, sustained over at least 3 consecutive months during the past 12 months.

A 100% rating applies when your GFR is below 15 mL/min/1.73 m², when you require regular routine dialysis, or when you are an eligible kidney transplant recipient. An 80% rating applies when your GFR is between 15 and 29. A 60% rating applies when your GFR is between 30 and 44. A 30% rating applies when your GFR is between 45 and 59.

A 0% rating applies when your GFR is between 60 and 89, combined with at least one of the following also present for 3 or more consecutive months: recurrent red blood cell, white blood cell, or granular casts; structural kidney abnormalities such as cystic, obstructive, or glomerular changes; or an albumin-to-creatinine ratio of 30 mg/g or higher. Only the predominant area of dysfunction is rated unless distinct disabilities with non-overlapping symptoms are present.

Evidence that helps

Because ratings turn on GFR levels held for at least 3 consecutive months in the past 12 months, the most important records are lab results showing GFR, estimated GFR, or creatinine-based GFR approximations calculated by a medical professional. Multiple readings spread across a 3-month or longer period carry more weight than a single measurement.

For the 0% level, records showing urinalysis results with cast findings, imaging or biopsy reports documenting structural kidney abnormalities, or repeated urine albumin-to-creatinine ratio tests at or above 30 mg/g are relevant. Dialysis records or a letter from your transplant team confirming eligibility support the 100% level.

If you also experience voiding problems or urinary tract infections as separate, non-overlapping symptoms from your renal dysfunction, records documenting those symptoms—such as frequency logs, catheterization records, or hospitalization records for infections—may support a separate evaluation. A Veteran's own statement describing how kidney symptoms affect daily activities and work can help show the ongoing, consistent nature of the condition.

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.