VA Diagnostic Code 7314Chronic biliary tract disease
Rated from 0% to 30% under § 4.114. Here is what the VA requires at each level.
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What each rating requires
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- 30%
With three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months.
- 10%
With one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.
- 0%
Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.
Notes on this code
These notes are part of the regulation. They change how the levels above are applied.
- Note: This diagnostic code includes cholangitis, biliary strictures, Sphincter of Oddi dysfunction, bile duct injury, and choledochal cyst. Rate primary sclerosing cholangitis under chronic liver disease without cirrhosis (DC 7345).
Chronic Biliary Tract Disease (VA Diagnostic Code 7314)
Digestive System · 38 CFR § 4.114
Understanding This Condition
Chronic biliary tract disease affects the system of ducts that carry bile from the liver and gallbladder to the small intestine. Under VA Diagnostic Code 7314, this rating category includes several related conditions:
- Cholangitis (inflammation of the bile ducts)
- Biliary strictures (narrowing of the bile ducts)
- Sphincter of Oddi dysfunction
- Bile duct injury
- Choledochal cyst
A common symptom pattern the VA considers for this condition is right upper quadrant pain accompanied by nausea and vomiting.
Note: Primary sclerosing cholangitis is rated separately, under chronic liver disease without cirrhosis (Diagnostic Code 7345).
Available Rating Levels
The VA assigns a disability rating for chronic biliary tract disease at one of three levels, based on the frequency and severity of documented symptoms over the past 12 months.
| Rating | Criteria |
|---|---|
| 30% | Three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months. |
| 10% | One or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months. |
| 0% | Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months. |
What the VA Looks For
When rating chronic biliary tract disease, the VA focuses on evidence gathered over the past 12 months, including:
- The number of clinically documented attacks of right upper quadrant pain that occur along with nausea and vomiting.
- Whether treatment required dilatation of biliary tract strictures during that period.
- Whether the condition is asymptomatic, meaning no documented attacks in the past 12 months.
Because these criteria rely on clinically documented attacks, medical records that clearly note the timing, symptoms, and any procedures performed play a central role in how the condition is evaluated.
These criteria are a rendering of § 4.114, diagnostic code 7314. The official version is the one that governs your rating.
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