VA Diagnostic Code 7625Fistula, urethrovaginal:
Rated from 20% to 100% under § 4.116. Here is what the VA requires at each level.
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What each rating requires
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- 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
Urethrovaginal Fistula (VA Diagnostic Code 7625)
Understanding This Condition
A urethrovaginal fistula is an abnormal opening or connection between the urethra and the vagina. The VA evaluates this condition under Diagnostic Code 7625, within § 4.116, as part of Gynecological Conditions and Disorders of the Breast.
Because this condition can affect daily life in different ways, the VA assigns a disability rating based on the severity of the condition and the level of management it requires.
Available Rating Levels
The VA uses the following rating levels for urethrovaginal fistula:
| Rating | Criteria |
|---|---|
| 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 |
What the VA Looks For
When rating a urethrovaginal fistula, the VA focuses on:
- The number of fistulae — the presence of multiple urethrovaginal fistulae corresponds to the highest rating level (100%).
- The use of an appliance — whether the condition requires the use of an appliance.
- The use of absorbent materials and how often they must be changed — the frequency of changes helps distinguish between the 60%, 40%, and 20% levels:
- More than four times per day
- Two to four times per day
- Less than two times per day
Documentation that reflects these specific details — the number of fistulae and the daily management the condition requires — is central to how this condition is evaluated under Diagnostic Code 7625.
These criteria are a rendering of § 4.116, diagnostic code 7625. The official version is the one that governs your rating.
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File under diagnostic code 7625 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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