Diagnostic code
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% | Wide local excision without significant alteration of size or form (one or both breasts) What raters look forwide excision; no size change |
| 30% | Simple mastectomy or wide local excision with significant alteration of size or form, one breast What raters look forsimple mastectomy; significant alteration |
| 40% | Modified radical mastectomy, one breast What raters look formodified radical mastectomy; one breast |
| 50% | Radical mastectomy, one breast; or simple mastectomy or wide local excision with significant alteration, both breasts What raters look forradical mastectomy one breast; simple mastectomy both breasts |
| 60% | Modified radical mastectomy, both breasts What raters look formodified radical mastectomy; both breasts |
| 80% | 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: Radical mastectomy, both breasts.
Other gynecological conditions codes
All VA diagnostic 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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