VA Disability Rating for Intestinal Fistula (DC 7330)
Diagnostic Code 7330 · 38 CFR §4.114
What Is It?
An intestinal fistula is an abnormal tunnel-like connection between the intestine and another organ (such as the bladder, vagina, or skin surface) or between two different sections of intestine. This allows intestinal contents to leak where they should not go, causing infections, skin breakdown, and significant discomfort. Veterans may develop fistulas from combat injuries, surgical complications, inflammatory bowel disease, or radiation treatment. Fistulas can be extremely difficult to treat and often require multiple surgeries to repair.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Copious intestinal discharge draining externally from the fistula, requiring constant care, appliances, and wound management. Completely debilitating and incompatible with most employment. |
| 60% | Significant fistula with frequent drainage, recurring infections, and major impact on daily life. Requires ongoing medical management and wound care. |
| 30% | Moderate fistula with intermittent drainage, periodic infections, and need for regular medical attention. Symptoms disrupt normal activities but are partially managed. |
| 10% | Mild or well-controlled fistula with minimal drainage, infrequent complications, and symptoms mostly managed with conservative treatment. |
Evidence Needed
- Imaging studies (CT with contrast, MRI, or fistulogram) showing the fistula tract
- Surgical records from any repair attempts
- Treatment records documenting drainage, infections, and wound care needs
- Records of any appliances or supplies needed to manage the fistula
- Documentation of the frequency and volume of drainage
- Records of antibiotic courses for fistula-related infections
C&P Exam Tips
- Describe the location of the fistula and exactly what drains from it
- Report how often drainage occurs and how much comes out
- Explain the wound care routine you follow daily
- Describe any skin problems around the fistula opening
- Report how many infections you have had and the antibiotics needed
- Explain how managing the fistula affects your ability to work, socialize, and travel
How to File
File under DC 7330 for intestinal fistula. Include imaging showing the fistula tract, all surgical records, and documentation of ongoing drainage and wound care needs. If the fistula developed from a service-connected injury or condition, clearly establish that connection in your claim.
Common Mistakes
Not getting proper imaging Underreporting the daily management burden Not claiming while waiting for surgical repair
Frequently Asked Questions
Can an intestinal fistula heal on its own?
Some small, simple fistulas may close on their own with conservative management including bowel rest and antibiotics. However, many fistulas require surgical repair, and some are chronic conditions that persist despite multiple treatment attempts. Your rating should reflect your current symptoms.
What is a fistulogram?
A fistulogram is a special imaging test where contrast dye is injected into the fistula opening to map the tract. It shows exactly where the abnormal connection runs and helps surgeons plan repairs. This test provides excellent evidence for your VA claim because it objectively demonstrates the fistula.