Diagnostic code
Diagnostic Code 7323: Inflammatory Bowel Disease (Ulcerative Colitis / Crohn's Disease) Rating Criteria
- CFR section
- 38 CFR § 4.114
- Rating range
- 10% to 100%
- Rating levels
- 4
- Body system
- Digestive system
The VA rates Inflammatory Bowel Disease (Ulcerative Colitis / Crohn's Disease) under diagnostic code 7323 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 7323 rating criteria
| Rating | Criteria |
|---|---|
| 10% | Minimal to mild IBD managed with oral or topical agents (not immunosuppressants or biologics); recurrent abdominal pain with three or fewer daily episodes of diarrhea and no signs of systemic toxicity What raters look fororal/topical agents; 3 or fewer diarrhea episodes/day; no toxicity |
| 30% | Mild to moderate IBD managed with oral and topical agents; recurrent abdominal pain with three or fewer daily episodes of diarrhea and minimal signs of toxicity such as fever, tachycardia, or anemia What raters look fororal/topical agents; minimal toxicity; fever/tachycardia/anemia |
| 60% | Moderate IBD managed on an outpatient basis with immunosuppressants or biologics; recurrent abdominal pain, four to five daily episodes of diarrhea, and intermittent signs of toxicity What raters look forimmunosuppressants or biologics; 4-5 diarrhea episodes/day; intermittent toxicity |
| 100% | Severe IBD unresponsive to treatment, requiring hospitalization at least once per year, resulting in inability to work or recurrent abdominal pain with at least two of: six or more daily episodes of diarrhea, six or more daily episodes of rectal bleeding, recurrent rectal incontinence, or recurrent abdominal distension What raters look forunresponsive; yearly hospitalization; inability to work; severe features |
Frequently asked questions
What is VA diagnostic code 7323?
Diagnostic code 7323 is the VA rating schedule entry for Inflammatory Bowel Disease (Ulcerative Colitis / Crohn's 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 7323?
DC 7323 provides ratings of 10%, 30%, 60%, 100%. The percentage depends on which criteria your medical evidence documents, not on the diagnosis alone.
What does the highest rating under DC 7323 require?
The 100% rating for Inflammatory Bowel Disease requires: Severe IBD unresponsive to treatment, requiring hospitalization at least once per year, resulting in inability to work or recurrent abdominal pain with at least two of: six or more daily episodes of diarrhea, six or more daily episodes of rectal bleeding, recurrent rectal incontinence, or recurrent abdominal distension.