Gynecological Conditions and Disorders of the Breast§ 4.116Updated
Rating criteria

VA Diagnostic Code 7610Vulva or clitoris, disease or injury of (including vulvovaginitis)

Rated from 0% to 100% under § 4.116. 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. 30%

    Symptoms not controlled by continuous treatment

  2. 10%

    Symptoms that require continuous treatment

  3. 0%

    Symptoms that do not require continuous treatment

  4. 10%

    7621 Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy

  5. 100%

    Vaginal fecal leakage at least once a day requiring wearing of pad

  6. 60%

    Vaginal fecal leakage four or more times per week, but less than daily, requiring wearing of pad

  7. 30%

    Vaginal fecal leakage one to three times per week requiring wearing of pad

  8. 10%

    Vaginal fecal leakage less than once a week

  9. 0%

    Without leakage

  10. 100%

    Multiple urethrovaginal fistulae

  11. 60%

    Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than four times per day

  12. 40%

    Requiring the wearing of absorbent materials which must be changed two to four times per day

  13. 20%

    Requiring the wearing of absorbent materials which must be changed less than two times per day

  14. 0%

    Both or one

  15. 100%

    7627 Malignant neoplasms of gynecological system

  16. 50%

    Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms

  17. 30%

    Pelvic pain or heavy or irregular bleeding not controlled by treatment

  18. 10%

    Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control

  19. 100%

    7630 Malignant neoplasms of the breast

How it is applied

General rating formula

General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615)

From the schedule

Notes on this code

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

  • Note: For the purpose of VA disability evaluation, a disease, injury, or adhesions of the ovaries resulting in ovarian dysfunction affecting the menstrual cycle, such as dysmenorrhea and secondary amenorrhea, shall be rated under diagnostic code 7615

VA Disability Rating: Disease or Injury of the Vulva or Clitoris (Diagnostic Code 7610)

Body System: Gynecological Conditions and Disorders of the Breast • Governed by 38 CFR § 4.116

What This Condition Is

Diagnostic Code 7610 covers disease or injury of the vulva or clitoris, including vulvovaginitis. It is one of several conditions of the female reproductive organs that the VA evaluates.

Because this condition falls under the General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs (diagnostic codes 7610 through 7615), the VA uses a shared framework to assign a rating based on your symptoms and the treatment they require.

How the VA Rates It

Under the general rating formula, ratings are based on whether your symptoms require ongoing treatment and how well they are controlled:

RatingCriteria
30%Symptoms not controlled by continuous treatment
10%Symptoms that require continuous treatment
0%Symptoms that do not require continuous treatment

What the VA Looks For

When evaluating a condition under this formula, the VA focuses on:

  • Whether your symptoms require continuous treatment. A condition managed without ongoing treatment is generally evaluated at the 0% level.
  • Whether continuous treatment is needed to manage symptoms. Symptoms that require continuous treatment fall at the 10% level.
  • Whether symptoms remain uncontrolled despite continuous treatment. When continuous treatment does not control the symptoms, the condition may be evaluated at the 30% level.

Important Note

  • Ovarian dysfunction is rated separately. For VA disability evaluation purposes, a disease, injury, or adhesions of the ovaries resulting in ovarian dysfunction that affects the menstrual cycle — such as dysmenorrhea and secondary amenorrhea — is rated under diagnostic code 7615.

Related Rating Criteria Within § 4.116

The regulation section for gynecological conditions and disorders of the breast also includes rating criteria for related conditions, which are evaluated under their own diagnostic codes:

Pelvic organ prolapse (DC 7621)

  • 10% — Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy

Vaginal fecal leakage

  • 100% — Vaginal fecal leakage at least once a day requiring wearing of a pad
  • 60% — Vaginal fecal leakage four or more times per week, but less than daily, requiring wearing of a pad
  • 30% — Vaginal fecal leakage one to three times per week requiring wearing of a pad
  • 10% — Vaginal fecal leakage less than once a week
  • 0% — Without leakage

Urethrovaginal fistulae / absorbent material use

  • 100% — Multiple urethrovaginal fistulae
  • 60% — Requiring the use of an appliance or the wearing of absorbent materials which must be changed more than four times per day
  • 40% — Requiring the wearing of absorbent materials which must be changed two to four times per day
  • 20% — Requiring the wearing of absorbent materials which must be changed less than two times per day
  • 0% — Both or one

Malignant neoplasms of the gynecological system (DC 7627)

  • 100% — Malignant neoplasms of the gynecological system

Lesions with pelvic pain or bleeding

  • 50% — Lesions involving bowel or bladder confirmed by laparoscopy, pelvic pain or heavy or irregular bleeding not controlled by treatment, and bowel or bladder symptoms
  • 30% — Pelvic pain or heavy or irregular bleeding not controlled by treatment
  • 10% — Pelvic pain or heavy or irregular bleeding requiring continuous treatment for control

Malignant neoplasms of the breast (DC 7630)

  • 100% — Malignant neoplasms of the breast

This information summarizes the VA rating schedule criteria for Diagnostic Code 7610 and related criteria under 38 CFR § 4.116. It is provided for general educational purposes only.

These criteria are a rendering of § 4.116, diagnostic code 7610. 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 7610 and attach the evidence for the level you are asking for. Other Gynecological Conditions and Disorders of the Breast codes may cover your secondary conditions.

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