Malignant tumor of the small intestine
Medical records documenting that the resection took place form the foundation of any claim under this code. For a 20% rating, records showing the frequency of diarrhea episodes — such as gastroenterology notes or a symptom diary reviewed by a clinician — are relevant.
For a 40% rating, you would also need evidence of undernutrition and anemia. Lab results showing low albumin, prealbumin, or other nutritional markers, along with a complete blood count showing anemia, directly support those criteria. Prescription records confirming oral dietary supplementation and continuous medication tie the treatment to the rating level.
For 60%, records must additionally show that intermittent total parenteral nutrition has been prescribed and used. For 80%, documentation must show that total parenteral nutrition is required on an ongoing basis. Physician or dietitian notes explaining why TPN is necessary, infusion pharmacy records, and treatment plans all help establish this. Statements from you or those who care for you describing how symptoms affect eating, daily activities, and the ability to work can help show the overall severity of the condition.
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.