VA Diagnostic Code 7335Ano, fistula in, including anorectal fistula and anorectal abscess
Rated from 10% to 60% under § 4.114. Here is what the VA requires at each level.
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What each rating requires
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- 60%
More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment
- 40%
One or two simultaneous fistulas, with abscess, drainage, and pain
- 20%
Two or more simultaneous fistulas with drainage and pain, but without abscesses
- 10%
One fistula with drainage and pain, but without abscess
Anorectal Fistula & Abscess (VA Diagnostic Code 7335)
Understanding This Condition
An anal or anorectal fistula is an abnormal tunnel-like passage that forms in the area around the anus and rectum. It can be accompanied by an anorectal abscess (a pocket of infection), along with symptoms like drainage and pain. This condition falls under the VA's Digestive System ratings and is evaluated under Diagnostic Code 7335 within § 4.114 of the VA rating schedule.
Available Rating Levels
The VA assigns a disability rating for this condition based on how many fistulas are present, whether abscesses are involved, and the presence of drainage and pain. The recognized rating levels are:
| Rating | What It Reflects |
|---|---|
| 60% | More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment |
| 40% | One or two simultaneous fistulas, with abscess, drainage, and pain |
| 20% | Two or more simultaneous fistulas with drainage and pain, but without abscesses |
| 10% | One fistula with drainage and pain, but without abscess |
What the VA Looks For
When rating this condition, the VA focuses on the specific characteristics described in the schedule, including:
- The number of fistulas present — from a single fistula up to more than two.
- Whether the fistulas are simultaneous or, at the highest level, constant or near-constant.
- The presence or absence of abscesses.
- Symptoms of drainage and pain.
- Whether the condition is refractory to medical and surgical treatment (a factor at the 60% level).
Each rating level reflects a combination of these factors, moving from a single fistula with drainage and pain (10%) up to multiple constant fistulas with abscesses that do not respond to treatment (60%).
These criteria are a rendering of § 4.114, diagnostic code 7335. The official version is the one that governs your rating.
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File under diagnostic code 7335 and attach the evidence for the level you are asking for. Other Digestive System codes may cover your secondary conditions.
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