EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Appendectomy Residuals
✓ VERIFIED AGAINST 38 C.F.R.§ 4.114 (Digestive system) · reviewed 2026-05-17 · ClaimRecon Editorial Team
Appendectomy Residuals is rated by the U.S. Department of Veterans Affairs under DC 7301 of 38 CFR § 4.114, DC 7301 (current peritoneal adhesions rate-as for appendectomy residuals; pre-amendment fallback was DC 7399 by-analogy) across 5 severity tiers (0% / 10% / 30% / 50% / 80%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.
OVERVIEW
Residual symptoms following surgical removal of the appendix, including adhesions and scarring
RATING CRITERIA (5 LEVELS)
0%
History of post-surgical adhesions, currently asymptomatic.
10%
Symptomatic post-appendectomy adhesions per DC 7301 with at least one of: abdominal pain, nausea, vomiting, colic, constipation, or diarrhea.
30%
Symptomatic adhesions with dietary modification AND at least one of those symptoms.
50%
Adhesions with recurrent obstruction requiring hospitalization 1+ times/year.
80%
Persistent partial bowel obstruction inoperable/refractory OR requiring TPN.
KEY EVIDENCE TO GATHER
-Service treatment records showing injury or complaints
-Imaging (X-ray, MRI, CT)
-Range of motion measurements
-Flare-up documentation per Sharp v. Shulkin
-Buddy statements describing limitations
-Prescription history
-Physical therapy records
-Employment impact documentation
C&P EXAM TIPS (6)
1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.
2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.
3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.
4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).
5.If you use assistive devices (brace, cane), bring them.
6.Describe daily activity impact: work, sleep, household tasks.
SOURCES & EDITORIAL
Rating criteria text quoted verbatim from 38 C.F.R. § 4.114 (Digestive system). Source verified 2026-05-17 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026