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Internal · Condition guide

IBS VA disability:
ratings, evidence and next steps.

Understand the rating criteria, organize supporting records, and find official help with your claim.

GrantsHubUSA · Independent editorial guide

Diagnostic code
DC 7319
Rating framework
38 CFR § 4.114
Key consideration
How often abdominal pain happens

Overview

How VA evaluates IBS.

VA updated its digestive rating criteria on May 19, 2024. IBS is now rated 10%, 20% or 30% based on how often you have abdominal pain related to bowel movements over the previous three months.

Every level also requires two or more of these: a change in stool frequency, a change in stool form, straining or urgency, mucus, abdominal bloating, or a feeling of distension.

A diagnosis alone does not establish a particular rating.

Presumptive service connection: For veterans who served in the Southwest Asia theater of operations during the Persian Gulf War, chronic functional gastrointestinal disorders such as IBS can be presumed service-connected under 38 CFR § 3.317. The regulation currently requires the condition to reach a compensable level by December 31, 2026. Check VA's Gulf War page for current locations and deadlines.

IBS rating criteria, at a glance.

The rating levels under DC 7319, as updated May 19, 2024.

RatingCriteria in brief
10%Abdominal pain related to bowel movements at least once during the previous three months, plus two or more of the listed symptoms.
20%Abdominal pain related to bowel movements at least three days per month during the previous three months, plus two or more of the listed symptoms.
30%Abdominal pain related to bowel movements at least one day per week during the previous three months, plus two or more of the listed symptoms.

Source: 38 CFR § 4.114, DC 7319

These summaries are not the full legal criteria or a self-assessment tool.VA decides the rating from the evidence. Read the full regulation text at the source link.

Build a clear evidence record.

  • Treatment recordsDiagnosis and records of symptoms and treatment.
  • Symptom logHow often pain and other symptoms happened over the last three months.
  • Tests ruling out other conditionsResults that separate IBS from inflammatory bowel disease, which is rated differently.
  • Service recordsFor Gulf War veterans, records showing service in the Southwest Asia theater.
Read VA's evidence guidance

Preparing for a C&P exam

  1. 1Follow the instructions in your appointment notice, and call the exam provider if you need to reschedule.
  2. 2Describe symptoms honestly, including how often they happen, how long they last, and changes over time.
  3. 3Explain the effects on work, relationships and everyday activities, including your worst days.
VA's guide to claim exams

Common pitfalls to avoid.

  • No symptom recordTrack how often symptoms happen, since frequency sets the level.
  • Missed appointmentsContact the exam provider before the date if you cannot attend.
  • Not mentioning Gulf War serviceIf you served in the Southwest Asia theater, say so in your claim.

Questions about IBS claims.

No. VA first decides whether the condition is service-connected, then rates it based on the evidence of how it affects you. A diagnosis alone does not set a rating.

VA compares the evidence, including the exam report and your records, with the criteria in 38 CFR § 4.114. When the evidence falls between two levels, VA assigns the higher one if the disability more nearly matches it (38 CFR § 4.7).

Read your appointment notice, bring a list of medications and treatment, and be ready to describe how often symptoms happen, how long they last, and how they affect work, relationships and daily activities. If you cannot attend, contact the exam provider before the appointment.

VA's directory lists accredited attorneys, claims agents and Veterans Service Organization representatives. Help from a Veterans Service Organization is free.

Check the original guidance.

This guide explains published information. It does not replace medical care or advice from an accredited claims professional.

Make your next step a clear one.

Explore more conditions, or use the VA pay calculator to plan ahead.