What are the VA rating percentages for Intestinal Fistula?

Intestinal Fistula (DC 7330) is rated at 30%, 60%, 100% under 38 CFR § 4.114, DC 7330. Intermittent fecal discharge with persistent drainage for more than 3 months in the past 12 months.

What rates 30% for Intestinal Fistula under 38 CFR § 4.114, DC 7330?

Under 38 CFR § 4.114, DC 7330 (DC 7330), a 30% rating for Intestinal Fistula requires: Intermittent fecal discharge with persistent drainage for more than 3 months in the past 12 months.

What happens during a C&P exam for Intestinal Fistula?

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.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Intestinal Fistula

Q: What rates 60% for Intestinal Fistula under 38 CFR § 4.114, DC 7330?

Under 38 CFR § 4.114, DC 7330 (DC 7330), a 60% rating for Intestinal Fistula requires: Requiring enteral nutritional support along with at least one of: (1) daily discharge equivalent to three or less 130cc ostomy bags, (2) <10 pad changes per day, or (3) BMI 16-18 with persistent drainage for 2+ months in the past 12 months.

Q: What rates 100% for Intestinal Fistula under 38 CFR § 4.114, DC 7330?

Under 38 CFR § 4.114, DC 7330 (DC 7330), a 100% rating for Intestinal Fistula requires: Requiring total parenteral nutrition (TPN); OR enteral support with at least one of: (1) ≥4 ostomy bags daily, (2) ≥10 pad changes/day, or (3) BMI 1 month in 12 months.

Q: What evidence do I need for a Intestinal Fistula VA claim?

Key evidence for a Intestinal Fistula 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 7330 | 38 CFR § 4.114, DC 7330 | 

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

Intestinal Fistula is rated by the U.S. Department of Veterans Affairs under DC 7330 of 38 CFR § 4.114, DC 7330 across 3 severity tiers (30% / 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

Abnormal connection between the intestine and another organ or the skin surface

RATING CRITERIA (3 LEVELS)

30%

Intermittent fecal discharge with persistent drainage for more than 3 months in the past 12 months.

60%

Requiring enteral nutritional support along with at least one of: (1) daily discharge equivalent to three or less 130cc ostomy bags, (2) <10 pad changes per day, or (3) BMI 16-18 with persistent drainage for 2+ months in the past 12 months.

100%

Requiring total parenteral nutrition (TPN); OR enteral support with at least one of: (1) ≥4 ostomy bags daily, (2) ≥10 pad changes/day, or (3) BMI <16 with persistent drainage for >1 month in 12 months.

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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