EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Peptic Ulcer Disease
DC 7306 | 38 CFR § 4.114, DC 7306 |
Peptic Ulcer Disease is rated by the U.S. Department of Veterans Affairs under DC 7306 of 38 CFR § 4.114, DC 7306 across 4 severity tiers (10% / 20% / 40% / 60%). 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
Combined gastric and duodenal ulcer disease with chronic or recurrent ulceration
RATING CRITERIA (4 LEVELS)
10%
Mild: recurring at least once a year but less than the criteria for 20%.
20%
Moderate: recurring episodes of severe symptoms two or three times a year averaging 10 days or more; or, continuous moderate manifestations.
40%
Moderately severe: less than severe but with impairment of health manifested by anemia and weight loss; or, recurrent incapacitating episodes averaging 10 days or more at least four times a year.
60%
Severe: pain only partially relieved by standard therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health.
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 reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026