Genitourinary System§ 4.115bUpdated
Rating criteria

VA Diagnostic Code 7519Urethra, fistula of

A single 100% rating under § 4.115b. Here is what the VA requires for it.

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Not the right code?

In short

Summary

Rate as voiding dysfunction.

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. 100%

    Multiple urethroperineal fistulae

From the schedule

Notes on this code

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

  • Note: When evaluating any claim involving loss or loss of use of one or more creative organs, refer to § 3.350 of this chapter to determine whether the veteran may be entitled to special monthly compensation. Footnotes in the schedule indicate conditions which potentially establish entitlement to special monthly compensation; however, there are other conditions in this section which under certain circumstances also establish entitlement to special monthly compensation.

Urethral Fistula (VA Diagnostic Code 7519)

Understanding Your VA Rating for Urethral Fistula

If you're a veteran living with a urethral fistula, understanding how the VA evaluates this condition can help you make sense of your disability rating. Here's a plain-language guide based on the VA's rating schedule.


What Is a Urethral Fistula?

A urethral fistula is an abnormal connection (or passage) that forms involving the urethra — the tube that carries urine out of the body. This condition falls under the Genitourinary System in the VA's rating schedule.

Because a urethral fistula affects how the urinary system functions, the VA generally evaluates it based on voiding dysfunction — in other words, how the condition impacts your ability to urinate normally.


How the VA Rates This Condition

Under Diagnostic Code 7519 (found in 38 CFR § 4.115b), a urethral fistula is rated as voiding dysfunction.

The rating schedule identifies the following specific level:

RatingWhat the VA Looks For
100%Multiple urethroperineal fistulae

Because this condition is rated as voiding dysfunction, the VA looks at how your symptoms affect urinary function when determining your evaluation.


Special Monthly Compensation Consideration

Important note from the rating schedule: When evaluating any claim involving loss or loss of use of one or more creative organs, the VA refers to § 3.350 to determine whether a veteran may be entitled to Special Monthly Compensation (SMC).

Footnotes in the schedule indicate conditions that potentially establish entitlement to Special Monthly Compensation. However, there are other conditions in this section that — under certain circumstances — may also establish entitlement to SMC.


What This Means for You

The VA's evaluation of a urethral fistula focuses on the functional impact of the condition, particularly voiding dysfunction. If your circumstances involve loss or loss of use of a creative organ, additional compensation considerations under § 3.350 may apply.

This information is drawn directly from the VA rating schedule for Diagnostic Code 7519 and is provided for general educational purposes.

These criteria are a rendering of § 4.115b, diagnostic code 7519. 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 7519 and attach the evidence for the level you are asking for. Other Genitourinary 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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