Diagnostic Code 7618 · 38 CFR §4.116
DC 7618 covers surgical removal of the uterus (including the corpus) when both ovaries are NOT removed together. This differs from DC 7617, which covers removal of the uterus along with both ovaries. Because the ovaries are preserved, hormonal function continues and surgical menopause does not occur. Veterans may require a hysterectomy due to conditions that developed during or were worsened by service, including fibroids, endometriosis, abnormal bleeding, or complications from other service-connected conditions. The VA provides a temporary 100 percent rating for three months of convalescence after surgery, followed by a permanent 30 percent rating.
| Rating | Criteria |
|---|---|
| 100% | Assigned for three months immediately following the surgery to allow for recovery from the hysterectomy. |
| 30% | Permanent rating assigned after the three-month convalescence period. This reflects the lasting impact of uterus removal while recognizing that ovarian hormone production continues. |
The surgical report documenting the hysterectomy is the primary evidence needed. The report should confirm that the uterus was removed and clarify the status of the ovaries. Pathology reports showing why the surgery was necessary help support the claim. Pre-operative records documenting the condition that led to surgery connect it to service. Post-operative records showing recovery complications, if any, support additional claims. Documentation linking the underlying condition to military service is essential.
DC 7617 covers removal of the uterus AND both ovaries, resulting in a permanent 50 percent rating after convalescence. DC 7618 covers removal of the uterus only (ovaries preserved), with a permanent 30 percent rating. Both include three months of convalescence at 100 percent. The key distinction is whether both ovaries were also removed.
The permanent rating under DC 7618 is 30 percent. However, complications and secondary conditions can add additional ratings. Adhesions, bladder dysfunction, chronic pain, and mental health effects can each be rated separately, potentially resulting in a combined rating well above 30 percent.