Diagnostic code
Diagnostic Code 7304: Peptic Ulcer Disease Rating Criteria
- CFR section
- 38 CFR § 4.114
- Rating range
- 0% to 100%
- Rating levels
- 5
- Body system
- Digestive system
The VA rates Peptic Ulcer Disease under diagnostic code 7304 in 38 CFR § 4.114. The table below is the full set of rating criteria, from the schedule itself, with the evidence factors raters look for at each level.
DC 7304 rating criteria
| Rating | Criteria |
|---|---|
| 0% | History of peptic ulcer disease documented by endoscopy or diagnostic imaging studies What raters look fordocumented history; endoscopy or imaging; asymptomatic |
| 20% | Episodes of abdominal pain, nausea, or vomiting lasting at least three consecutive days, occurring three times or less in the past 12 months, managed by daily prescribed medication What raters look for3+ consecutive-day episodes; up to 3 episodes/year; daily medication |
| 40% | Episodes of abdominal pain, nausea, or vomiting lasting at least three consecutive days, occurring four or more times in the past 12 months, managed by daily prescribed medication What raters look for3+ consecutive-day episodes; 4+ episodes/year; daily medication |
| 60% | Continuous abdominal pain with intermittent vomiting, recurrent hematemesis or melena, and manifestations of anemia requiring hospitalization at least once in the past 12 months What raters look forcontinuous pain; hematemesis or melena; anemia; hospitalization in past year |
| 100% | Post-operative for perforation or hemorrhage, for three months What raters look forpost-operative; perforation or hemorrhage; three months |
Frequently asked questions
What is VA diagnostic code 7304?
Diagnostic code 7304 is the VA rating schedule entry for Peptic Ulcer Disease, found in 38 CFR § 4.114. The VA assigns this code when it rates the condition and applies the criteria listed on this page.
What ratings are possible under DC 7304?
DC 7304 provides ratings of 0%, 20%, 40%, 60%, 100%. The percentage depends on which criteria your medical evidence documents, not on the diagnosis alone.
What does the highest rating under DC 7304 require?
The 100% rating for Peptic Ulcer Disease requires: Post-operative for perforation or hemorrhage, for three months.
Other digestive system codes
All 14 digestive system codes →
Claim Raven is not legal or medical advice and is not an official VA application. Rating criteria are quoted from 38 CFR Part 4; the VA applies them to your specific record.
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