Digestive System§ 4.114Updated
Rating criteria

VA Diagnostic Code 7334Rectum, prolapse of

Rated from 10% to 100% under § 4.114. Here is what the VA requires at each level.

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What each rating requires

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  1. 100%

    Persistent irreducible prolapse, repairable or unrepairable

  2. 50%

    Manually reducible prolapse that is not repairable and occurs at times other than bowel movements, exertion, or while performing the Valsalva maneuver

  3. 30%

    Manually reducible prolapse that is not repairable and occurs only after bowel movements, exertion, or while performing the Valsalva maneuver

  4. 10%

    Spontaneously reducible prolapse that is not repairable

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note (1): For repairable prolapse of the rectum, continue the 100% evaluation for two months following repair. Thereafter, determine the appropriate evaluation based on residuals by mandatory VA examination. Apply the provisions of § 3.105(e) of this chapter to any change in evaluation based upon that or any subsequent examination.
  • Note (2): Where impairment of sphincter control constitutes the predominant disability, rate under diagnostic code 7332 (Rectum and anus, impairment of sphincter control).

Rectal Prolapse (VA Diagnostic Code 7334)

Digestive System · 38 CFR § 4.114

Understanding Rectal Prolapse

Rectal prolapse occurs when part of the rectum slips out of its normal position. Under VA Diagnostic Code 7334, the condition is evaluated based on how the prolapse behaves — including whether it can be reduced (moved back into place), whether it can be surgically repaired, and under what circumstances it occurs.

The VA assigns one of four rating levels to this condition, from 10% to 100%.

Rating Levels

RatingWhat It Reflects
100%Persistent irreducible prolapse, whether repairable or unrepairable
50%Manually reducible prolapse that is not repairable and occurs at times other than bowel movements, exertion, or while performing the Valsalva maneuver
30%Manually reducible prolapse that is not repairable and occurs only after bowel movements, exertion, or while performing the Valsalva maneuver
10%Spontaneously reducible prolapse that is not repairable

What the VA Looks At

When evaluating rectal prolapse under Diagnostic Code 7334, the VA considers:

  • Whether the prolapse can be reduced — for example, whether it returns on its own (spontaneously), whether it must be put back manually, or whether it remains out of place (irreducible).
  • Whether the prolapse is repairable — several rating levels specifically apply to prolapse that is not repairable.
  • When the prolapse occurs — such as only after bowel movements, exertion, or during the Valsalva maneuver, versus at other times.

Important Notes

  • Following surgical repair (Note 1): For a repairable prolapse of the rectum, the 100% evaluation continues for two months after repair. After that period, the appropriate evaluation is determined based on the remaining residuals through a mandatory VA examination. The provisions of § 3.105(e) apply to any change in evaluation based on that or any later examination.

  • When sphincter control is the main issue (Note 2): Where impairment of sphincter control is the predominant disability, the condition is rated under Diagnostic Code 7332 (Rectum and anus, impairment of sphincter control) instead.

This information is drawn from the VA rating schedule under 38 CFR § 4.114. Individual evaluations are based on your specific medical findings as determined by the VA.

These criteria are a rendering of § 4.114, diagnostic code 7334. 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 7334 and attach the evidence for the level you are asking for. Other Digestive System codes may cover your secondary conditions.

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