EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Peritoneal Adhesions
✓ VERIFIED AGAINST 38 C.F.R.§ 4.114 (Digestive system) · reviewed 2026-05-17 · ClaimRecon Editorial Team
Peritoneal Adhesions is rated by the U.S. Department of Veterans Affairs under DC 7301 of 38 CFR § 4.114, DC 7301 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
Bands of scar tissue between abdominal organs and the peritoneum, often from prior surgery
RATING CRITERIA (5 LEVELS)
0%
History of peritoneal adhesions, currently asymptomatic.
10%
Symptomatic peritoneal adhesions persisting or recurring after surgery, trauma, inflammatory disease (e.g., chronic cholecystitis, Crohn's disease), or infection, as determined by a healthcare provider; and at least one of: (1) abdominal pain, (2) nausea, (3) vomiting, (4) colic, (5) constipation, or (6) diarrhea.
30%
Symptomatic adhesions per above; AND medically-directed dietary modification other than TPN; AND at least one of those associated symptoms.
50%
Symptomatic adhesions per above; AND clinical evidence of recurrent obstruction requiring hospitalization at least once a year; AND medically-directed dietary modification other than TPN; AND at least one associated symptom.
80%
Persistent partial bowel obstruction that is either inoperable and refractory to treatment, OR requires total parenteral nutrition (TPN) for obstructive symptoms.
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