VA Disability Rating for Pruritus Ani (DC 7337)
Diagnostic Code 7337 · 38 CFR §4.114
What Is It?
Pruritus ani is chronic, persistent itching around the anal area. While it might sound minor, severe cases involve intense itching that disrupts sleep, makes it impossible to sit comfortably, and leads to skin breakdown from constant scratching. Veterans may develop this condition from parasitic infections acquired during deployments, as a side effect of antibiotics used during service, from hemorrhoids or other anorectal conditions, or from chronic moisture and irritation in field conditions. The constant itching and need to address it can be socially debilitating.
Rating Criteria
| Rating | Criteria |
|---|---|
| 10% | Chronic anal itching that persists despite treatment, causes significant discomfort, disrupts sleep, and requires ongoing management with medicated creams, dietary modifications, or other interventions. |
| 0% | Mild or intermittent itching that resolves with basic hygiene measures and does not significantly impact daily activities. |
Evidence Needed
- Examination findings documenting skin changes around the anal area
- Treatment records showing prescription medications used for the itching
- Documentation of the chronicity of symptoms and treatment attempts
- Records of any underlying conditions contributing to the pruritus
- Documentation of sleep disruption or impact on daily activities
- Records of any testing done to identify the cause (cultures, biopsies)
C&P Exam Tips
- Describe the intensity of the itching and how much it disrupts your daily life
- Report how the itching affects your sleep
- Explain all treatments you have tried and how effective they have been
- Describe any skin changes, bleeding from scratching, or infections that have developed
- Report how the condition affects your ability to sit for extended periods at work
- Do not minimize the condition — chronic pruritus ani can be severely debilitating
How to File
File under DC 7337 for pruritus ani. Include treatment records showing the chronicity of the condition and all treatments attempted. If the condition developed from a parasitic infection during service or as a complication of another service-connected condition, provide documentation establishing that link.
Common Mistakes
Not seeking treatment because of embarrassment Not investigating underlying causes Expecting a high rating
Frequently Asked Questions
Why is the maximum rating only 10% for pruritus ani?
The VA considers this condition less disabling than many other digestive conditions. However, if the pruritus is a symptom of another underlying condition, the underlying condition may be rated at a higher level. Make sure all contributing conditions are identified and claimed.
Can field conditions during deployment cause chronic pruritus ani?
Yes. Prolonged exposure to moisture, heat, limited hygiene facilities, parasitic infections, and dietary changes during deployments can all contribute to chronic anal itching. Document the connection to your service conditions in your claim.