VA Diagnostic Code 7629Endometriosis:
Rated from 10% to 50% 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.
- 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
Notes on this code
These notes are part of the regulation. They change how the levels above are applied.
- Note: Diagnosis of endometriosis must be substantiated by laparoscopy.
Endometriosis (VA Diagnostic Code 7629)
Understanding Your VA Rating for Endometriosis
Endometriosis is a gynecological condition rated by the VA under Diagnostic Code 7629, found in § 4.116 and classified within the body system of Gynecological Conditions and Disorders of the Breast.
The VA assigns a disability rating based on the severity of your symptoms, how well they respond to treatment, and whether the condition involves other organs such as the bowel or bladder. Ratings range from 10% to 50%.
Available Rating Levels
The VA uses the following levels when evaluating endometriosis:
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.
What the VA Looks For
When rating endometriosis, the VA focuses on the following factors:
- Confirmation of diagnosis: The diagnosis of endometriosis must be substantiated by laparoscopy.
- Type and severity of symptoms: Pelvic pain and heavy or irregular bleeding are central to how the condition is rated.
- Response to treatment: The VA distinguishes between symptoms that require continuous treatment for control (10%) and symptoms that are not controlled by treatment (30%).
- Involvement of other organs: The highest level (50%) applies when lesions involve the bowel or bladder—confirmed by laparoscopy—along with uncontrolled pelvic pain or bleeding and bowel or bladder symptoms.
Note: Diagnosis of endometriosis must be substantiated by laparoscopy.
These criteria are a rendering of § 4.116, diagnostic code 7629. The official version is the one that governs your rating.
View official sourceHow to claim this
Knowing the criteria is the first half. Getting your file to show them is the second.
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.
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.
Claim it by code
File under diagnostic code 7629 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.
Find out which rating your evidence supports.
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