VA Form 21-0960J-2
Male Reproductive Organ Conditions
You have or are claiming Erectile dysfunction and need your doctor to complete a DBQ to support your VA disability claim.
- Who fills it
- doctor
- Journey phase
- Evidence & Statements
- Estimated time
- 10-15 minutes to review this walkthrough; doctor typically needs 20-40 minutes to complete the DBQ itself.
- When to file
- Before your C&P exam or when scheduling a private DBQ with your treating physician.
Official VA form page: https://www.benefits.va.gov/COMPENSATION/dbq_publicdbqs.asp
Gather before you start
- ▸Your treating physician contact information
- ▸Relevant medical records for the condition being examined
- ▸Diagnostic codes relevant to your claim: 7520-7529
- ▸List of current medications and dosages
- ▸Description of your worst functional days (not average)
- ▸Blank DBQ form to give your doctor (download from VA.gov)
Attach with the form
- ▸Completed VA Form 21-0960J-2 signed by treating physician
- ▸Supporting medical records
Before the Exam: What to Tell Your Doctor
How to brief your doctor so they document what VA raters need
Your doctor will complete VA Form 21-0960J-2 (Male Reproductive Organ Conditions DBQ) after examining you. This walkthrough helps you prepare them. The DBQ is a standardized questionnaire; your doctor's answers directly determine your VA rating. Brief them on these specific points before the exam so nothing important is missed or underdocumented.
Common mistakes
- ×Asking your doctor to just "fill out the VA form" without briefing them - an uninformed completion is often generic and leads to lower ratings.
- ×Bringing the DBQ to a provider who has never seen you before - your treating physician who knows your history will write the most credible documentation.
- ×Going to the exam and waiting for the doctor to ask questions - come prepared with specific examples of your worst days and functional limitations.
Key Questions Your Doctor Must Answer on the DBQ
Checklist of the DBQ's most important questions
These are the key clinical questions from the Male Reproductive Organ Conditions DBQ. Help your doctor understand what each question is asking and give them concrete examples for your situation. Print this section and bring it to the appointment. 1. Is there voiding dysfunction present? WHY IT MATTERS: Voiding dysfunction (urine leakage, frequency, or obstructed voiding) is rated based on severity TIPS: Describe daytime and nighttime voiding frequency; Note any need for absorbent materials or appliances 2. What is the daytime and nighttime urinary frequency? WHY IT MATTERS: Urinary frequency criteria specify exact numbers for each rating level TIPS: Track voiding times for several days before the exam; Note awakening frequency at night for voiding 3. Is there loss of use of a creative organ (erectile dysfunction)? WHY IT MATTERS: Loss of use of a creative organ qualifies for Special Monthly Compensation (SMC-K) TIPS: Be honest about erectile function even if embarrassing; Document any medications tried and their effectiveness 4. Is the condition related to a service-connected disability or treatment? WHY IT MATTERS: Many male reproductive conditions are secondary to other service-connected conditions or their medications TIPS: Note if ED is caused by medications for service-connected conditions; Document any connection to PTSD, diabetes, or spinal conditions
Common mistakes
- ×Not claiming Special Monthly Compensation for erectile dysfunction
- ×Being too embarrassed to fully describe symptoms
- ×Not connecting the condition to service-connected disabilities as secondary
What VA Raters Look for in This DBQ
Rating-determining factors your doctor must document clearly
VA raters use the Male Reproductive Organ Conditions DBQ to determine your disability rating. The most important rating factors for this condition are: 1. Voiding dysfunction severity (leakage requiring absorbent materials, frequency, obstruction) 2. Urinary frequency (daytime interval and nighttime awakening frequency) 3. Whether there is obstructed voiding requiring catheterization 4. Loss of use of creative organ (qualifies for SMC-K) 5. Presence of urinary tract infections and their frequency For each factor, give your doctor specific examples from your daily life so they can document accurately (not generically).
Common mistakes
- ×Failing to document voiding frequency with specific numbers
- ×Not mentioning medications that may contribute to erectile dysfunction
Authority
- 38 CFR 4.1 - Functional impairment as the basis for rating.
Exam Day Preparation Checklist
What to bring and do before your C&P exam or private DBQ appointment
Preparation checklist for the Male Reproductive Organ Conditions DBQ exam: 1. Track urinary frequency for several days before the exam 2. Be prepared to discuss erectile function honestly 3. Document all medications that may affect reproductive function 4. Bring records connecting condition to service-connected disabilities Remember: Describe your WORST days, not your average days. VA raters evaluate the full range of your disability including its worst manifestations.
Common mistakes
- ×Describing your best days or average functioning instead of your worst - VA rates the full range of disability.
- ×Minimizing symptoms out of stoicism or pride - accurate documentation is not exaggeration; it is honesty.
- ×Not mentioning secondary symptoms, side effects, or additional conditions the doctor may not ask about.
Statutory and regulatory authority
- 38 CFR 4.1 - Functional impairment as the basis for rating.