4.116—Schedule of ratings—gynecological conditions and disorders of the breast.

	Rating
Note 1: Natural menopause, primary amenorrhea, and pregnancy and childbirth are not disabilities for rating purposes. Chronic residuals of medical or surgical complications of pregnancy may be disabilities for rating purposes.
Note 2: When evaluating any claim involving loss or loss of use of one or more creative organs or anatomical loss of one or both breasts, 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, almost any condition in this section might, under certain circumstances, establish entitlement to special monthly compensation.
7610Vulva, disease or injury of (including vulvovaginitis).
7611Vagina, disease or injury of.
7612Cervix, disease or injury of.
7613Uterus, disease, injury, or adhesions of.
7614Fallopian tube, disease, injury, or adhesions of (including pelvic inflammatory disease (PID)).
7615Ovary, disease, injury, or adhesions of.
General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615):
Symptoms not controlled by continuous treatment	30
Symptoms that require continuous treatment	10
Symptoms that do not require continuous treatment	0
7617Uterus and both ovaries, removal of, complete:
For three months after removal	1 100
Thereafter	1 50
7618Uterus, removal of, including corpus:
For three months after removal	1 100
Thereafter	1 30
7619Ovary, removal of:
For three months after removal	1 100
Thereafter:
Complete removal of both ovaries	1 30
Removal of one with or without partial removal of the other	1 0
7620Ovaries, atrophy of both, complete	1 20
7621Uterus, prolapse:
Complete, through vagina and introitus	50
Incomplete	30
7622Uterus, displacement of:
With marked displacement and frequent or continuous menstrual disturbances	30
With adhesions and irregular menstruation	10
7623Pregnancy, surgical complications of:
With rectocele or cystocele	50
With relaxation of perineum	10
7624Fistula, rectovaginal:
Vaginal fecal leakage at least once a day requiring wearing of pad	100
Vaginal fecal leakage four or more times per week, but less than daily, requiring wearing of pad	60
Vaginal fecal leakage one to three times per week requiring wearing of pad	30
Vaginal fecal leakage less than once a week	10
Without leakage	0
7625Fistula, urethrovaginal:
Multiple urethrovaginal fistulae	100
Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than four times per day	60
Requiring the wearing of absorbent materials which must be changed two to four times per day	40
Requiring the wearing of absorbent materials which must be changed less than two times per day	20
7626Breast, surgery of:
Following radical mastectomy:
Both	180
One	150
Following modified radical mastectomy:
Both	160
One	140
Following simple mastectomy or wide local excision with significant alteration of size or form:
Both	150
One	130
Following wide local excision without significant alteration of size or form:
Both or one	0
Note: For VA purposes:
(1) Radical mastectomy means removal of the entire breast, underlying pectoral muscles, and regional lymph nodes up to the coracoclavicular ligament.
(2) Modified radical mastectomy means removal of the entire breast and axillary lymph nodes (in continuity with the breast). Pectoral muscles are left intact.
(3) Simple (or total) mastectomy means removal of all of the breast tissue, nipple, and a small portion of the overlying skin, but lymph nodes and muscles are left intact.
(4) Wide local excision (including partial mastectomy, lumpectomy, tylectomy, segmentectomy, and quadrantectomy) means removal of a portion of the breast tissue.
7627Malignant neoplasms of gynecological system or breast	100
Note: A rating of 100 percent shall continue beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. 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 recurrence or metastasis, rate on residuals.
Code of Federal Regulations 441
7628Benign neoplasms of the gynecological system or breast. Rate according to impairment in function of the urinary or gynecological systems, or skin.
7629Endometriosis:
Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms	50
Pelvic pain or heavy or irregular bleeding not controlled by treatment	30
Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control	10
Note: Diagnosis of endometriosis must be substantiated by laparoscopy.
1 Review for entitlement to special monthly compensation under § 3.350 of this chapter.

Code of Federal Regulations

[60 FR 19855, Apr. 21, 1995, as amended at 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002]

CFR

4.116—Schedule of ratings—gynecological conditions and disorders of the breast.

Code of Federal Regulations