What happens during a C&P exam for Duodenal Ulcer?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Duodenal Ulcer

Q: What are the VA rating percentages for Duodenal Ulcer?

Duodenal Ulcer (DC 7304) is rated at 0%, 20%, 40%, 60%, 100% under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries). History of peptic ulcer disease documented by endoscopy or diagnostic imaging studies.

Q: What rates 0% for Duodenal Ulcer under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries)?

Under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) (DC 7304), a 0% rating for Duodenal Ulcer requires: History of peptic ulcer disease documented by endoscopy or diagnostic imaging studies.

Q: What rates 20% for Duodenal Ulcer under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries)?

Under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) (DC 7304), a 20% rating for Duodenal Ulcer requires: Episodes of abdominal pain, nausea, or vomiting, that: last for at least three consecutive days in duration; occur three times or less in the past 12 months; and are managed by daily prescribed medication.

Q: What rates 40% for Duodenal Ulcer under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries)?

Under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) (DC 7304), a 40% rating for Duodenal Ulcer requires: Episodes of abdominal pain, nausea, or vomiting, that: last for at least three consecutive days in duration; occur four or more times in the past 12 months; and are managed by daily prescribed medication.

Q: What rates 60% for Duodenal Ulcer under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries)?

Under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) (DC 7304), a 60% rating for Duodenal Ulcer requires: Continuous abdominal pain with intermittent vomiting, recurrent hematemesis (vomiting blood) or melena (tarry stools); and manifestations of anemia which require hospitalization at least once in the past 12 months.

Q: What rates 100% for Duodenal Ulcer under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries)?

Under 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) (DC 7304), a 100% rating for Duodenal Ulcer requires: Post-operative for perforation or hemorrhage, for three months. Per Note: after three months at the 100% evaluation, rate on residuals as determined by mandatory VA medical examination; any change in evaluation is subject to the provisions of § 3.105(e).

Q: What evidence do I need for a Duodenal Ulcer VA claim?

Key evidence for a Duodenal Ulcer claim includes: 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. All evidence should document both the condition and its impact on daily functioning.

DC 7304 | 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.114 (Digestive system) · reviewed 2026-05-17 · ClaimRecon Editorial Team

Duodenal Ulcer is rated by the U.S. Department of Veterans Affairs under DC 7304 of 38 CFR § 4.114, DC 7304 (rate-as for duodenal ulcer per § 4.114 amendment; the former DC 7305 framework was consolidated into the DC 7304 peptic ulcer schedule along with DC 7307 gastritis and H. pylori / Zollinger-Ellison entries) across 5 severity tiers (0% / 20% / 40% / 60% / 100%). 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

Open sore in the first part of the small intestine, often from H. pylori, causing pain relieved by eating

RATING CRITERIA (5 LEVELS)

History of peptic ulcer disease documented by endoscopy or diagnostic imaging studies.

20%

Episodes of abdominal pain, nausea, or vomiting, that: last for at least three consecutive days in duration; occur three times or less in the past 12 months; and are managed by daily prescribed medication.

40%

Episodes of abdominal pain, nausea, or vomiting, that: last for at least three consecutive days in duration; occur four or more times in the past 12 months; and are managed by daily prescribed medication.

60%

Continuous abdominal pain with intermittent vomiting, recurrent hematemesis (vomiting blood) or melena (tarry stools); and manifestations of anemia which require hospitalization at least once in the past 12 months.

100%

Post-operative for perforation or hemorrhage, for three months. Per Note: after three months at the 100% evaluation, rate on residuals as determined by mandatory VA medical examination; any change in evaluation is subject to the provisions of § 3.105(e).

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.

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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.

→ View § 4.114 on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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