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6326
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Schistosomiasis

A parasitic infection transmitted through contaminated water, affecting the intestines, liver, or urinary system.

What the rating means

Schistosomiasis is rated under diagnostic code 6326. VA assigns a 0% rating when the condition is in an acute phase or is a chronic infection with no symptoms. That single rating level covers all stages of the disease itself. However, the rating schedule directs VA to separately rate any lasting disability that the infection has caused to other parts of your body — such as the liver, intestinal system, female genital tract, genitourinary tract, or central nervous system — under the appropriate body system for each of those conditions. In plain terms, the schistosomiasis infection itself is rated at 0%, but if it has damaged an organ or system, that damage is rated on its own, using the rules that apply to that organ or system.

Evidence that helps

Because the infection itself is rated at 0%, the evidence that matters most is documentation of residual conditions it has caused. Medical records showing damage to the liver — such as fibrosis, portal hypertension, or abnormal liver function tests — would support a rating under the liver criteria. Records of intestinal complications, such as chronic diarrhea or bleeding, would support a rating under the intestinal system. For genitourinary or female genital tract involvement, imaging, biopsy results, and urology or gynecology notes are relevant. If there is central nervous system involvement, neurology evaluations and imaging matter. Statements from you or people who know you that describe how any of these residual conditions affect your work and daily activities can also help document the severity of each separate condition being rated.

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.