Digestive System§ 4.114Updated
Rating criteria

VA Diagnostic Code 7315Cholelithiasis, chronic

Rated from 0% to 30% under § 4.114. Here is what the VA requires at each level.

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Not the right code?

In short

Summary

Rate as chronic biliary tract disease (DC 7314).

The ladder

What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 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.

  2. 10%

    With one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.

  3. 0%

    Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.

How it is applied

General rating formula

Rate as Chronic biliary tract disease (DC 7314)

Chronic Cholelithiasis (Gallstones) — VA Disability Rating (Diagnostic Code 7315)

Understanding This Condition

Chronic cholelithiasis is the medical term for chronic gallstones. It is part of the Digestive System group of conditions in the VA's rating schedule and is found under Diagnostic Code 7315 in § 4.114 of the federal regulations.

Because gallstones affect the biliary tract, the VA rates chronic cholelithiasis using the same criteria as chronic biliary tract disease (Diagnostic Code 7314). In plain terms, the VA looks at how often you experience documented attacks and how those attacks are treated over a 12-month period.

Available Rating Levels

The VA assigns one of three rating levels based on how the condition presents:

30%

Assigned when there are three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or when the condition requires dilatation of biliary tract strictures at least once during the past 12 months.

10%

Assigned when there are one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.

0%

Assigned when the condition is asymptomatic, with no 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 cholelithiasis, the VA focuses on:

  • Clinically documented attacks — episodes of right upper quadrant pain accompanied by nausea and vomiting that appear in your medical records.
  • The number of attacks in the past 12 months, which distinguishes between the 0%, 10%, and 30% levels.
  • Treatment involving dilatation of biliary tract strictures at least once during the past 12 months, which can support the 30% level.

Because this condition is rated as chronic biliary tract disease (DC 7314), the same standards for documented attacks and treatment apply.

These criteria are a rendering of § 4.114, diagnostic code 7315. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 7315 and attach the evidence for the level you are asking for. Other Digestive System codes may cover your secondary conditions.

Find out which rating your evidence supports.

Six reads your records against these exact criteria and tells you what the VA is still missing.

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