Digestive System§ 4.114Updated
Rating criteria

VA Diagnostic Code 7336Hemorrhoids, external or internal

Rated from 10% to 20% under § 4.114. Here is what the VA requires at each level.

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What each rating requires

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

  1. 20%

    Internal or external hemorrhoids with persistent bleeding and anemia; or continuously prolapsed internal hemorrhoids with three or more episodes per year of thrombosis

  2. 10%

    Prolapsed internal hemorrhoids with two or less episodes per year of thrombosis; or external hemorrhoids with three or more episodes per year of thrombosis

VA Disability Rating for Hemorrhoids (Diagnostic Code 7336)

Hemorrhoids are swollen veins in and around the anus and lower rectum. They can be internal (inside the rectum) or external (under the skin around the anus). The VA rates this condition under Diagnostic Code 7336 within the Digestive System (38 CFR § 4.114).

What Is This Condition?

Hemorrhoids can cause symptoms such as bleeding, prolapse (when internal hemorrhoids extend outside the anus), and thrombosis (when a blood clot forms inside a hemorrhoid). When these symptoms are severe or recurring, they may affect daily functioning and can qualify for a VA disability rating.

Available Rating Levels

The VA assigns one of the following rating percentages based on the severity and frequency of your symptoms:

20%

Internal or external hemorrhoids with persistent bleeding and anemia; or continuously prolapsed internal hemorrhoids with three or more episodes per year of thrombosis.

10%

Prolapsed internal hemorrhoids with two or fewer episodes per year of thrombosis; or external hemorrhoids with three or more episodes per year of thrombosis.

What the VA Looks For

When rating hemorrhoids under Diagnostic Code 7336, the VA considers factors such as:

  • Persistent bleeding, particularly when accompanied by anemia
  • Whether internal hemorrhoids are prolapsed — and whether the prolapse is continuous
  • The number of thrombosis episodes per year (for example, three or more episodes versus two or fewer)
  • Whether the hemorrhoids are internal or external

The level of impairment described in your medical evidence is matched to the criteria above to determine the applicable rating.

This information is grounded in the VA rating schedule for Diagnostic Code 7336 (38 CFR § 4.114) and is provided for general educational purposes.

These criteria are a rendering of § 4.114, diagnostic code 7336. 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 7336 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.

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