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7343
§ 4.114 Schedule of ratings—digestive system.

Stomach cancer

Malignant tumor of the stomach (gastric carcinoma)

What the rating means

Stomach cancer is rated under diagnostic code 7343 as a malignant neoplasm of the digestive system. VA assigns a 100 percent rating while the cancer is active and during any treatment, including surgery, radiation (X-ray), antineoplastic chemotherapy, or other therapeutic procedures.

The 100 percent rating does not stop the moment treatment ends. It continues beyond the end of treatment. Six months after treatment ends, VA requires a mandatory examination to decide the appropriate rating going forward. If the cancer has not come back locally and has not spread (no recurrence or metastasis), VA will rate you based on whatever residual disabilities remain from the cancer or its treatment. Any change to your rating after 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 disease and treatment, evidence that confirms the diagnosis and documents ongoing treatment supports the 100 percent rating. This includes pathology reports, biopsy results, imaging studies, operative reports, chemotherapy or radiation records, and treating physician notes that show the cancer is present or that a therapeutic course is underway or recently ended.

After treatment ends, the six-month mandatory VA examination becomes the key evidence event. At that exam, findings about whether the cancer has recurred or metastasized are central. If no recurrence or metastasis is found, records documenting residual disabilities — such as digestive dysfunction, weight loss, pain, or other lasting effects — become important. Notes from gastroenterologists, oncologists, or primary care providers describing your current functional status are relevant. Statements from you or people who know you, describing how remaining symptoms affect eating, daily activities, and work, can help show the severity of those residuals.

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.