Department of Veterans Affairs § 4.115A

Department of Veterans Affairs § 4.115a

Rat- THE GENITOURINARY SYSTEM ing

NOTE: A rating of 100 percent shall be assigned § 4.115 Nephritis. as of the date of hospital admission for trans- Albuminuria alone is not nephritis, plant surgery and shall continue. One year following discharge, the appropriate disability rat- nor will the presence of transient albu- ing shall be determined by mandatory VA ex- min and casts following acute febrile amination. Any change in evaluation based illness be taken as nephritis. The glo- upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of merular type of nephritis is usually this chapter. preceded by or associated with severe 7354 Hepatitis C (or non-A, non-B hepatitis): infectious disease; the onset is sudden, With serologic evidence of hepatitis C infection and the following signs and symptoms due to and the course marked by red blood hepatitis C infection: cells, salt retention, and edema; it may Near-constant debilitating symptoms (such as clear up entirely or progress to a fatigue, malaise, nausea, vomiting, anorexia, chronic condition. The nephrosclerotic arthralgia, and right upper quadrant pain) ...... 100 Daily fatigue, malaise, and anorexia, with sub- type, originating in hypertension or ar- stantial weight loss (or other indication of mal- teriosclerosis, develops slowly, with nutrition), and hepatomegaly, or; incapacitating minimum laboratory findings, and is episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, associated with natural progress. Sepa- arthralgia, and right upper quadrant pain) hav- rate ratings are not to be assigned for ing a total duration of at least six weeks during disability from disease of the heart and the past 12-month period, but not occurring constantly ...... 60 any form of nephritis, on account of Daily fatigue, malaise, and anorexia, with minor the close interrelationships of cardio- weight loss and hepatomegaly, or; incapaci- vascular disabilities. If, however, ab- tating episodes (with symptoms such as fatigue, malaise, nausea, vomiting, anorexia, sence of a kidney is the sole renal dis- arthralgia, and right upper quadrant pain) hav- ability, even if removal was required ing a total duration of at least four weeks, but because of nephritis, the absent kidney less than six weeks, during the past 12-month period ...... 40 and any hypertension or heart disease Daily fatigue, malaise, and anorexia (without will be separately rated. Also, in the weight loss or hepatomegaly), requiring dietary event that chronic renal disease has restriction or continuous medication, or; incapacitating episodes (with symptoms such as progressed to the point where regular fatigue, malaise, nausea, vomiting, anorexia, dialysis is required, any coexisting hy- arthralgia, and right upper quadrant pain) hav- pertension or heart disease will be sep- ing a total duration of at least two weeks, but less than four weeks, during the past 12- arately rated. month period ...... 20 [41 FR 34258, Aug. 13, 1976, as amended at 59 Intermittent fatigue, malaise, and anorexia, or; incapacitating episodes (with symptoms such FR 2527, Jan. 18, 1994] as fatigue, malaise, nausea, vomiting, anorexia, arthralgia, and right upper quadrant § 4.115a Ratings of the genitourinary pain) having a total duration of at least one system—dysfunctions. week, but less than two weeks, during the past 12-month period ...... 10 Diseases of the genitourinary system Nonsymptomatic ...... 0 generally result in disabilities related NOTE (1): Evaluate sequelae, such as cirrhosis or malignancy of the liver, under an appro- to renal or voiding dysfunctions, infec- priate diagnostic code, but do not use the tions, or a combination of these. The same signs and symptoms as the basis for following section provides descriptions evaluation under DC 7354 and under a diagnostic code for sequelae. (See § 4.14.). of various levels of disability in each of NOTE (2): For purposes of evaluating conditions these symptom areas. Where diagnostic under diagnostic code 7354, ‘‘incapacitating codes refer the decisionmaker to these episode’’ means a period of acute signs and symptoms severe enough to require bed rest specific areas dysfunction, only the and treatment by a physician. predominant area of dysfunction shall be considered for rating purposes. (Authority: 38 U.S.C. 1155) Since the areas of dysfunction de- scribed below do not cover all symp- [29 FR 6718, May 22, 1964, as amended at 34 toms resulting from genitourinary dis- FR 5063, Mar. 11, 1969; 40 FR 42540, Sept. 15, eases, specific diagnoses may include a 1975; 41 FR 11301, Mar. 18, 1976; 66 FR 29488, May 31, 2001] description of symptoms assigned to that diagnosis.

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