4.115b—Ratings of the genitourinary system—diagnoses.

	Rating
Note: When evaluating any claim involving loss or loss of use of one or more creative organs, refer to § 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation.
7500Kidney, removal of one:
Minimum evaluation	30
Or rate as renal dysfunction if there is nephritis, infection, or pathology of the other.
7501Kidney, abscess of:
Rate as urinary tract infection
7502Nephritis, chronic:
Rate as renal dysfunction.
7504Pyelonephritis, chronic:
Rate as renal dysfunction or urinary tract infection, whichever is predominant.
7505Kidney, tuberculosis of:
Rate in accordance with §§ 4.88b or 4.89 , whichever is appropriate.
7507Nephrosclerosis, arteriolar:
Rate according to predominant symptoms as renal dysfunction, hypertension or heart disease. If rated under the cardiovascular schedule, however, the percentage rating which would otherwise be assigned will be elevated to the next higher evaluation.
7508Nephrolithiasis:
Rate as hydronephrosis, except for recurrent stone formation requiring one or more of the following:
1. diet therapy
2. drug therapy
3. invasive or non-invasive procedures more than two times/year	30
7509Hydronephrosis:
Severe; Rate as renal dysfunction.
Frequent attacks of colic with infection (pyonephrosis), kidney function impaired	30
Frequent attacks of colic, requiring catheter drainage	20
Only an occasional attack of colic, not infected and not requiring catheter drainage	10
7510Ureterolithiasis:
Rate as hydronephrosis, except for recurrent stone formation requiring one or more of the following:
1. diet therapy
2. drug therapy
3. invasive or non-invasive procedures more than two times/year	30
7511Ureter, stricture of:
Rate as hydronephrosis, except for recurrent stone formation requiring one or more of the following:
1. diet therapy
2. drug therapy
3. invasive or non-invasive procedures more than two times/year	30
7512Cystitis, chronic, includes interstitial and all etiologies, infectious and non-infectious:
Rate as voiding dysfunction.
7515Bladder, calculus in, with symptoms interfering with function:
Rate as voiding dysfunction
7516Bladder, fistula of:
Rate as voiding dysfunction or urinary tract infection, whichever is predominant.
Postoperative, suprapubic cystotomy	100
7517Bladder, injury of:
Rate as voiding dysfunction.
7518Urethra, stricture of:
Rate as voiding dysfunction.
7519Urethra, fistual of:
Rate as voiding dysfunction.
Multiple urethroperineal fistulae	100
7520Penis, removal of half or more	30
Or rate as voiding dysfunction.
7521Penis removal of glans	20
Or rate as voiding dysfunction.
7522Penis, deformity, with loss of erectile power—20 1
7523Testis, atrophy complete:
Both—20 1
One—0 1
7524Testis, removal:
Both—30 1
Code of Federal Regulations 439
One—0 1
Note: In cases of the removal of one testis as the result of a service-incurred injury or disease, other than an undescended or congenitally undeveloped testis, with the absence or nonfunctioning of the other testis unrelated to service, an evaluation of 30 percent will be assigned for the service-connected testicular loss. Testis, underscended, or congenitally undeveloped is not a ratable disability.
7525Epididymo-orchitis, chronic only:
Rate as urinary tract infection.
For tubercular infections: Rate in accordance with §§ 4.88b or 4.89 , whichever is appropriate.
7527Prostate gland injuries, infections, hypertrophy, postoperative residuals:
Rate as voiding dysfunction or urinary tract infection, whichever is predominant.
7528Malignant neoplasms of the genitourinary system	100
Note—Following the cessation of surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure, the rating of 100 percent shall continue with a mandatory VA examination at the expiration of six months. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no local reoccurrence or metastasis, rate on residuals as voiding dysfunction or renal dysfunction, whichever is predominant.
7529Benign neoplasms of the genitourinary system:
Rate as voiding dysfunction or renal dysfunction, whichever is predominant.
7530Chronic renal disease requiring regular dialysis:
Rate as renal dysfunction.
7531Kidney transplant:
Following transplant surgery	100
Thereafter: Rate on residuals as renal dysfunction, minimum rating	30
Note—The 100 percent evaluation shall be assigned as of the date of hospital admission for transplant surgery and shall continue with a mandatory VA examination one year following hospital discharge. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter.
7532Renal tubular disorders (such as renal glycosurias, aminoacidurias, renal tubular acidosis, Fanconi's syndrome, Bartter's syndrome, related disorders of Henle's loop and proximal or distal nephron function, etc.):
Minimum rating for symptomatic condition	20
Or rate as renal dysfunction.
7533Cystic diseases of the kidneys (polycystic disease, uremic medullary cystic disease, Medullary sponge kidney, and similar conditions):
Rate as renal dysfunction.
7534Atherosclerotic renal disease (renal artery stenosis or atheroembolic renal disease):
Rate as renal dysfunction.
7535Toxic nephropathy (antibotics, radiocontrast agents, nonsteroidal anti-inflammatory agents, heavy metals, and similar agents):
Rate as renal dysfunction.
7536Glomerulonephritis:
Rate as renal dysfunction.
7537Interstitial nephritis:
Rate as renal dysfunction.
7538Papillary necrosis:
Rate as renal dysfunction.
7539Renal amyloid disease:
Rate as renal dysfunction.
7540Disseminated intravascular coagulation with renal cortical necrosis:
Rate as renal dysfunction.
7541Renal involvement in diabetes mellitus, sickle cell anemia, systemic lupus erythematosus, vasculitis, or other systemic disease processes.
Rate as renal dysfunction.
7542Neurogenic bladder:
Rate as voiding dysfunction.
1 Review for entitlement to special monthly compensation under § 3.350 of this chapter.

Code of Federal Regulations

[59 FR 2527, Jan. 18, 1994; 59 FR 14567, Mar. 29, 1994, as amended at 59 FR 46339, Sept. 8, 1994]

CFR

4.115b—Ratings of the genitourinary system—diagnoses.

Code of Federal Regulations