VA Diagnostic Code 7357Post pancreatectomy syndrome
A single 30% rating under § 4.114. Here is what the VA requires for it.
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- 30%
Following total or partial pancreatectomy, evaluate under Pancreatitis, chronic (DC 7347), Chronic complications of upper gastrointestinal surgery (DC 7303), or based on residuals such as malabsorption (Intestine, small, resection of, DC 7328), diarrhea (Irritable bowel syndrome, DC 7319, or Crohn's disease or undifferentiated form of inflammatory bowel disease, DC 7326), or diabetes (DC 7913), whichever provides the highest evaluation Minimum
Post Pancreatectomy Syndrome (VA Diagnostic Code 7357)
Digestive System · 38 CFR § 4.114
Understanding the Condition
Post pancreatectomy syndrome refers to the ongoing health effects that can follow surgery to remove all or part of the pancreas (a total or partial pancreatectomy). Because the pancreas plays a central role in digestion and blood sugar regulation, its removal can lead to a range of lasting residual conditions.
How the VA Rates It
Under Diagnostic Code 7357, the VA does not use a single stand-alone rating scale. Instead, following a total or partial pancreatectomy, the condition is evaluated under the diagnostic code that best matches the veteran's residuals — whichever provides the highest evaluation.
The VA may evaluate the condition under:
- Pancreatitis, chronic (DC 7347)
- Chronic complications of upper gastrointestinal surgery (DC 7303)
- Malabsorption — rated under Intestine, small, resection of (DC 7328)
- Diarrhea — rated under Irritable bowel syndrome (DC 7319), or Crohn's disease / undifferentiated inflammatory bowel disease (DC 7326)
- Diabetes (DC 7913)
Minimum Rating
- 30% — A minimum evaluation of 30% applies following total or partial pancreatectomy.
What the VA Looks For
When rating post pancreatectomy syndrome, the VA considers:
- Whether the veteran has undergone a total or partial pancreatectomy
- The specific residuals that remain after surgery — such as malabsorption, diarrhea, or diabetes
- Which applicable diagnostic code most accurately reflects those residuals and provides the highest evaluation
Because ratings are based on the specific residuals present after surgery, individual evaluations depend on each veteran's documented condition.
These criteria are a rendering of § 4.114, diagnostic code 7357. The official version is the one that governs your rating.
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