Diagnostic Code 7627 · 38 CFR §4.116
DC 7627 covers malignant neoplasms (cancers) of the gynecological system, including ovarian cancer, cervical cancer, uterine cancer, vulvar cancer, and vaginal cancer. This is separate from breast cancer, which is rated under DC 7630. Veterans may develop gynecological cancers linked to environmental exposures during service (Agent Orange, burn pits, radiation, contaminated water), or as a result of conditions acquired during service. The VA automatically rates active gynecological cancer at 100 percent during treatment and for six months after treatment ends.
| Rating | Criteria |
|---|---|
| 100% | Active gynecological cancer. This 100 percent rating continues throughout treatment and for six months after the last surgical, radiation, chemotherapy, or other therapeutic procedure. After the six-month period, the VA conducts a mandatory reexamination and rates based on chronic residuals including scars, lymphedema, disfigurement, and other impairment of function under the appropriate diagnostic codes. |
Pathology reports confirming the cancer diagnosis are essential. Treatment records documenting all surgeries, chemotherapy, and radiation provide the basis for the 100 percent rating. Records of ongoing monitoring and any evidence of recurrence keep the rating current. Post-treatment evaluations documenting residual effects support the permanent rating after the six-month period. Exposure documentation linking the cancer to service (deployment records, toxic exposure registries) establishes the service connection.
The 100 percent rating lasts throughout active treatment plus six months after your last treatment session. After that, the VA will schedule a reexamination. Even if the cancer is in remission, you keep the 100 percent rating until the VA completes that reexamination — they cannot reduce your rating without it.
Certain gynecological cancers are presumptively connected to specific exposures. The PACT Act expanded presumptive conditions for burn pit and toxic exposure. Agent Orange exposure has established presumptives for several cancers. Check the current list of presumptive conditions for your specific exposure, as this list is periodically updated.