**Gynecological Conditions and Disorders of the Breast**

4.116 Schedule of ratings--gynecological conditions and disorders of the
breast 4.116-1

**§4.116 Schedule of ratings---gynecological conditions and disorders of
the breast.**

Note 1: Natural menopause, primary amenorrhea, and pregnancy and
childbirth are not disabilities for rating purposes. Chronic residuals
of medical or surgical complications of pregnancy may be disabilities
for rating purposes.

Note 2: When evaluating any claim involving loss or loss of use of one
or more creative organs or anatomical loss of one or both breasts, refer
to §3.350 of this chapter to determine whether the veteran may be
entitled to special monthly compensation. Footnotes in the schedule
indicate conditions which potentially establish entitlement to special
monthly compensation; however, almost any condition in this section
might, under certain circumstances, establish entitlement to special
monthly compensation.

Rating

**7610** Vulva, disease or injury of (including vulvovaginitis).

**7611** Vagina, disease or injury of.

**7612** Cervix, disease or injury of.

**7613** Uterus, disease, injury, or adhesions of.

**7614** Fallopian tube, disease, injury, or adhesions of (including
pelvic inflammatory disease (PID)).

**7615** Ovary, disease, injury, or adhesions of.

General Rating Formula for Disease, Injury, or Adhesions of Female
Reproductive Organs (diagnostic codes 7610 through 7615):

Symptoms not controlled by continuous treatment 30

Symptoms that require continuous treatment 10

Symptoms that do not require continuous treatment 0

**7617** Uterus and both ovaries, removal of, complete:

For three months after removal 1001

Thereafter 501

**7618** Uterus, removal of, including corpus:

For three months after removal 1001

Thereafter 301

**7619** Ovary, removal of:

For three months after removal 1001

Thereafter:

Complete removal of both ovaries 301

Removal of one with or without partial removal of the other 01

**7620** Ovaries, atrophy of both, complete 201

**7621** Uterus, prolapse:

Complete, through vagina and introitus 50

Incomplete 30

**7622** Uterus, displacement of:

With marked displacement and frequent or continuous

menstrual disturbances 30

With adhesions and irregular menstruation 10

**7623** Pregnancy, surgical complications of:

With rectocele or cystocele 50

With relaxation of perineum 10

**7624** Fistula, rectovaginal:

Vaginal fecal leakage at least once a day requiring wearing of pad 100

Vaginal fecal leakage four or more times per week, but less than

daily, requiring wearing of pad 60

Vaginal fecal leakage one to three times per week requiring

wearing of pad 30

Vaginal fecal leakage less than once a week 10

Without leakage 0

**7625** Fistula, urethrovaginal:

Multiple urethrovaginal fistulae 100

Requiring the use of an appliance or the wearing of absorbent

materials which must be changed more than four times per day 60

Requiring the wearing of absorbent materials which must be

changed two to four times per day 40

Requiring the wearing of absorbent materials which must be

changed less than two times per day 20

**7626** Breast, surgery of:

Following radical mastectomy:

Both 801

One 501

Following modified radical mastectomy:

Both 601

One 401

Following simple mastectomy or wide local excision

with significant alteration of size or form:

Both 501

One 301

Following wide local excision without significant

alteration of size or form:

Both or one 0

**Note:** For VA purposes:

> \(1\) *Radical mastectomy* means removal of the entire breast,
> underlying pectoral muscles, and regional lymph nodes up to the
> coracoclavicular ligament.
>
> \(2\) *Modified radical mastectomy* means removal of the entire breast
> and axillary lymph nodes (in continuity with the breast). Pectoral
> muscles are left intact.
>
> \(3\) *Simple (or total) mastectomy* means removal of all of the
> breast tissue, nipple, and a small portion of the overlying skin, but
> lymph nodes and muscles are left intact.
>
> \(4\) *Wide local excision* (including partial mastectomy, lumpectomy,
> tylectomy, segmentectomy, and quadrantectomy) means removal of a
> portion of the breast tissue.

**7627** Malignant neoplasms of gynecological system or breast 100

Note: A rating of 100 percent shall continue beyond the cessation of any
surgical, X-ray, antineoplastic chemotherapy or other therapeutic
procedure. Six months after discontinuance of such treatment, the
appropriate disability rating shall be determined by mandatory VA
examination. Any change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of §3.105(e) of this
chapter. If there has been no local recurrence or metastasis, rate on
residuals.

**7628** Benign neoplasms of the gynecological system or breast. Rate
according to impairment in function of the urinary or gynecological
systems, or skin.

**7629** Endometriosis:

Lesions involving bowel or bladder confirmed by laparoscopy, pelvic

pain or heavy or irregular bleeding not controlled by treatment,

and bowel or bladder symptoms 50

Pelvic pain or heavy or irregular bleeding not controlled

by treatment 30

Pelvic pain or heavy or irregular bleeding requiring

continuous treatment for control 10

Note: Diagnosis of endometriosis must be substantiated by laparoscopy.

1Review for entitlement to special monthly compensation under §3.350 of
this chapter.

\[29 FR 6718, May 22, 1964, as amended at 41 FR 11301, Mar. 18, 1976; 41
FR 34258, Aug. 13, 1976; redesignated and revised, 60 FR 19855, Apr. 21,
1995; 67 FR 6874, Feb. 14, 2002; 67 FR 37695, May 30, 2002\]

**Supplement *Highlights* references**: 12(1), 28(1).