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7343
§ 4.114 Schedule of ratings—digestive system.

Small intestine cancer

Malignant tumor of the small intestine

What the rating means

Small intestine cancer is rated under diagnostic code 7343 as a malignant neoplasm of the digestive system, exclusive of skin growths. VA assigns a 100 percent rating for this condition while it is active. That 100 percent rating continues beyond the end of any surgical treatment, radiation, antineoplastic chemotherapy, or other therapeutic procedure. Six months after treatment ends, VA requires a mandatory examination to determine the appropriate rating going forward. If there has been no local recurrence or spread of the cancer at that point, VA rates the condition based on whatever residual disabilities remain. Any reduction from 100 percent following that examination is subject to the protections in 38 CFR 3.105(e).

Rating levels

  • 100% — Malignant neoplasms of the digestive system, exclusive of skin growths

VA doesn't add ratings together. It combines them using the table in 38 CFR § 4.25, so two ratings usually total less than their sum.

Evidence that helps

During active treatment, medical records confirming the diagnosis and showing that surgical, radiation, chemotherapy, or other therapy is ongoing or has recently ended are the core evidence. These records establish that the 100 percent rating applies and that it should continue through the post-treatment period. For the mandatory VA examination six months after treatment ends, records showing whether the cancer has recurred or spread are critical. Imaging reports, pathology findings, oncology notes, and lab results can document the presence or absence of recurrence or metastasis. If the cancer has not recurred, the rating shifts to residuals, so evidence of any lasting effects, such as digestive dysfunction, weight loss, pain, or other documented symptoms, becomes important. Statements from you or those who know you describing how residual symptoms affect your ability to work and carry out daily activities can help show the severity of those remaining disabilities.

VA exam form (DBQ) for this condition:

Presumptive conditions

If your service meets the rules below, VA presumes this condition is connected to it.

  • Radiation — 38 CFR § 3.309(d)
  • Chronic disease — 38 CFR § 3.309(a)
  • PACT Act — 38 U.S.C. § 1120

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.