---
title: "DC 7335 - Ano, fistula in, including anorectal fistula and anorectal abscess"
diagnostic_code: "7335"
body_system: "Digestive System"
cfr_section: "§ 4.114"
canonical: "https://veteranai.co/va-rating-schedule/digestive/7335-ano-fistula-in-including-anorectal-fistula-and-anorectal"
source: "https://www.ecfr.gov/current/title-38/section-4.114"
updated: "2026-07-21T04:16:57.004664Z"
---

# DC 7335 - Ano, fistula in, including anorectal fistula and anorectal abscess

Rated under § 4.114. Body system: Digestive System.

## Rating criteria

| Rating | Criteria |
| --- | --- |
| 60% | More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment |
| 40% | One or two simultaneous fistulas, with abscess, drainage, and pain |
| 20% | Two or more simultaneous fistulas with drainage and pain, but without abscesses |
| 10% | One fistula with drainage and pain, but without abscess |

# Anorectal Fistula & Abscess (VA Diagnostic Code 7335)

## Understanding This Condition

An **anal or anorectal fistula** is an abnormal tunnel-like passage that forms in the area around the anus and rectum. It can be accompanied by an **anorectal abscess** (a pocket of infection), along with symptoms like drainage and pain. This condition falls under the VA's **Digestive System** ratings and is evaluated under **Diagnostic Code 7335** within **§ 4.114** of the VA rating schedule.

## Available Rating Levels

The VA assigns a disability rating for this condition based on how many fistulas are present, whether abscesses are involved, and the presence of drainage and pain. The recognized rating levels are:

| Rating | What It Reflects |
|--------|------------------|
| **60%** | More than two constant or near-constant fistulas with abscesses, drainage, and pain, which are refractory to medical and surgical treatment |
| **40%** | One or two simultaneous fistulas, with abscess, drainage, and pain |
| **20%** | Two or more simultaneous fistulas with drainage and pain, but without abscesses |
| **10%** | One fistula with drainage and pain, but without abscess |

## What the VA Looks For

When rating this condition, the VA focuses on the specific characteristics described in the schedule, including:

- **The number of fistulas present** — from a single fistula up to more than two.
- **Whether the fistulas are simultaneous** or, at the highest level, **constant or near-constant**.
- **The presence or absence of abscesses.**
- **Symptoms of drainage and pain.**
- **Whether the condition is refractory** to medical and surgical treatment (a factor at the 60% level).

Each rating level reflects a combination of these factors, moving from a single fistula with drainage and pain (10%) up to multiple constant fistulas with abscesses that do not respond to treatment (60%).

Source: https://www.ecfr.gov/current/title-38/section-4.114