Diagnostic Code 7626: Breast, Surgery of Rating Criteria
- CFR section
- 38 CFR § 4.116
- Rating range
- 0% to 80%
- Rating levels
- 6
- Body system
- Gynecological conditions
The VA rates Breast, Surgery of under diagnostic code 7626 in 38 CFR § 4.116. 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 7626 rating criteria
| Rating | Criteria |
|---|---|
| 0% | Following wide local excision without significant alteration of size or form (both or one breast) What raters look forwide local excision; no significant alteration of size or form |
| 30% | Following simple mastectomy or wide local excision with significant alteration of size or form, one breast What raters look forsimple mastectomy; significant alteration of size or form; one breast |
| 40% | Following modified radical mastectomy, one breast What raters look formodified radical mastectomy; one breast |
| 50% | Following radical mastectomy, one breast; or following simple mastectomy or wide local excision with significant alteration of size or form, both breasts What raters look forradical mastectomy, one breast; simple mastectomy, both breasts |
| 60% | Following modified radical mastectomy, both breasts What raters look formodified radical mastectomy; both breasts |
| 80% | Following radical mastectomy, both breasts What raters look forradical mastectomy; both breasts |
Frequently asked questions
What is VA diagnostic code 7626?
Diagnostic code 7626 is the VA rating schedule entry for Breast, Surgery of, found in 38 CFR § 4.116. The VA assigns this code when it rates the condition and applies the criteria listed on this page.
What ratings are possible under DC 7626?
DC 7626 provides ratings of 0%, 30%, 40%, 50%, 60%, 80%. The percentage depends on which criteria your medical evidence documents, not on the diagnosis alone.
What does the highest rating under DC 7626 require?
The 80% rating for Breast, Surgery of requires: Following radical mastectomy, both breasts.
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