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Gastric Ulcer

DC 7304 §4.114 Digestive ICD-10: K25.9 Direct

Stomach ulcer. Rated by severity of symptoms.

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VA rating criteria

RatingCriteria
60%Severe; pain only partially relieved by standard ulcer therapy, periodic vomiting, recurrent hematemesis or melena, with manifestations of anemia and weight loss productive of definite impairment of health
40%Moderately severe; less than severe but with impairment of health manifested by anemia and weight loss; or recurrent incapacitating episodes averaging 10 days or more in duration at least four or more times a year
20%Moderate; recurring episodes of severe symptoms two or three times a year averaging 10 days in duration; or with continuous moderate manifestations
10%Mild; with recurring symptoms once or twice yearly

Filing this claim

This is typically filed as a direct service connection claim. You need a current diagnosis, evidence of in-service event or exposure, and a nexus letter linking them. Use the letter generators to draft your nexus letter and Statement in Support of Claim.

Step by step

  1. File an Intent to File (Form 21-0966) to lock your effective date.
  2. Confirm you have a current medical diagnosis in a medical record.
  3. Get a nexus letter — magic phrase: "at least as likely as not."
  4. Write a Statement in Support of Claim (21-4138).
  5. If applicable, gather buddy statements (21-10210).
  6. File the formal 21-526EZ.

Source: 38 CFR §4.114. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.

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