Hemorrhoids VA rating
The VA rates hemorrhoids under DC 7336, and most ratings land in the 0–20% range. What decides yours is the criteria below and what your record actually documents.
What the criteria ask for at each level
DC 7336 — 38 CFR §4.114
| Rating | What the record has to show |
|---|---|
| 0% | Present but not meeting the 10% criteria. Service connection is granted; the payment is not. |
| 10% | Prolapsed internal hemorrhoids with two or fewer thrombosis episodes a year, or external hemorrhoids with three or more. |
| 20% | Persistent bleeding with anemia, or continuously prolapsed internal hemorrhoids with three or more thrombosis episodes a year. |
The schedule's own words
Ratings turn on specific terms, and a record that describes the same reality in different language often reads as a lower rating. These are the words this code measures:
- persistent bleeding
- with secondary anemia
- thrombosis episodes per year
Evidence that moves this rating
- GI/colonoscopy records documenting bleeding or anemia (bloodwork)
- Treatment records for each flare
What your statement has to cover
Doctors chart symptoms; they rarely chart consequences. That part is yours, and it is usually what separates a documented rating from a reported one.
- Count episodes per year — thrombosis (painful clotted flares) frequency drives the rating.
- Commonly secondary to service-connected IBS, chronic constipation from pain medications, or years of heavy lifting.
Our Statement Builderwalks through the questions that produce that kind of statement, in the schedule's own terms.
Before you spend money on this claim
VA ratings do not add. Each new rating applies only to the part of you the VA still counts as unimpaired, then rounds to the nearest ten — so from 70%, a new 10% condition leaves you at exactly 70% and changes your payment by nothing.
That does not make the claim worthless; it can still matter for TDIU, for SMC, or later when something else is added. But it is worth knowing before you pay for a nexus letter rather than after. Check what one more condition does at your rating — it takes a minute.