Diagnostic Code 7523 · 38 CFR §4.115b
Testicular atrophy is the shrinking and functional loss of one or both testicles. The atrophied testis stops producing normal levels of testosterone and sperm. Veterans may develop testicular atrophy from varicocele, direct trauma during service, torsion, infections (orchitis from mumps or STIs acquired during service), medication side effects, or exposure to toxic substances. The VA rates this based on whether one or both testes are affected.
| Rating | Criteria |
|---|---|
| 0% | Complete atrophy of one testis. Noncompensable under DC 7523, but establishes the condition for secondary service-connection claims (e.g., for low testosterone, infertility, depression secondary to low T). May also support an award of Special Monthly Compensation under SMC-K (loss of use of a creative organ). |
| 20% | Complete atrophy of both testes. Also typically warrants SMC-K. Hormone replacement therapy and any psychological/depression residuals can support separate secondary claims. |
Physical examination or ultrasound documenting the atrophied testis with measurements is essential. Hormone levels (testosterone, FSH, LH) showing functional loss provide objective evidence. Semen analysis if fertility is a concern documents reproductive impact. Records of the event causing the atrophy (injury, infection, toxic exposure) establish the nexus to service.
The 0% rating for single testicular atrophy acknowledges the condition is service-connected without providing direct compensation. However, this 0% rating is very valuable because it opens the door to secondary claims for testosterone deficiency, ED, depression, and SMC — which can add up to significant compensation. Never skip filing for the 0% rating.
Special monthly compensation under 38 USC 1114(k) provides additional monthly payment for loss of a creative organ. Bilateral testicular atrophy or loss typically qualifies. This is on top of your regular disability compensation and must be specifically applied for.