Hemorrhoids VA Rating and Service Connection

Hemorrhoids can range from an occasional medical issue to a chronic condition with recurring symptoms such as bleeding, pain, or prolapse.  

In some cases, these symptoms rise to a level the VA considers compensable, particularly when they are persistent or result in medical complications. 

This guide looks at how the VA determines eligibility and assigns a hemorrhoids VA rating, including the criteria used to evaluate severity, the evidence required to establish service connection, and how related conditions such as IBS may factor into the claim.

Key Takeaways

• Hemorrhoids are evaluated under diagnostic code 7336, which applies to both internal and external hemorrhoids. 

• The VA disability rating for hemorrhoids is either 10% or 20%, depending on how frequently symptoms occur and whether complications such as anemia, continuous prolapse, or thrombosis is present. 

• Hemorrhoids may qualify for VA compensation when medical evidence shows a current diagnosis and a link to military service or a service-connected condition. 

Service-Related Factors That May Contribute to Hemorrhoids

Hemorrhoids are swollen veins and excess tissue located in the lower rectum or anus. They may develop over time when repeated pressure affects rectal blood flow. 

Service-related factors that may contribute include prolonged sitting or standing, physically demanding duties, and chronic digestive strain.  

These stressors can increase the likelihood of hemorrhoids and make symptoms more likely to recur.  

When Hemorrhoids May Qualify for VA Compensation

Many veterans wonder if they can claim hemorrhoids for VA disability. The truth is YES, when medical evidence shows a current diagnosis and a link between the condition and military service. 

The VA evaluates hemorrhoids by reviewing clinical findings such as persistent bleeding, thrombosis, prolapse, recurrence, and how symptoms interfere with routine activities. 

Hemorrhoids VA Rating Criteria

The VA rates hemorrhoids under diagnostic code (DC) 7336, with potential VA ratings of 10% or 20%. 

• 20% VA Rating: Internal or external hemorrhoids with persistent bleeding and anemia; or continuously prolapsed internal hemorrhoids with three or more episodes per year of thrombosis 

• 10% VA Rating: Prolapsed internal hemorrhoids with two or less episodes per year of thrombosis; or external hemorrhoids with three or more episodes per year of thrombosis 

Understanding How the VA Rates Hemorrhoids

The VA rates hemorrhoids based on how severe they are, how often they flare up, and whether they cause ongoing medical problems. 

A 20% VA rating is assigned when hemorrhoids cause serious, ongoing issues. This usually means: 

• You have persistent bleeding that leads to anemia, or 

• Your internal hemorrhoids stay continuously prolapsed, and you experience three or more clotting episodes per year 

A 10% VA rating applies when hemorrhoids are recurring but less severe. This may include: 

• Internal hemorrhoids that prolapse and cause one or two clotting episodes per year, or 

• External hemorrhoids with three or more clotting episodes per year 

Establishing Service Connection for Hemorrhoids

A VA claim requires establishing service connection, including the following: 

1. A current diagnosis of hemorrhoids 

2. An in-service injury, illness, or event 

3. A medical nexus connecting the hemorrhoids to your service 

A nexus letter can be a key component of service connection. It’s a written medical opinion that explains the relationship between your current diagnosis and military service. 

Do You Need a Nexus Letter for a Hemorrhoids VA Rating?

A nexus letter isn’t required for all hemorrhoids claims, but it can be critical when the connection to military service isn’t clearly documented in your service records.  

This is especially common when symptoms began after service, were treated intermittently, or developed secondary to another condition. 

Did You Know? You can get a credible nexus letter through Telemedica from anywhere worldwide. All you need is an internet connection.  

What to Expect During a VA Hemorrhoids C&P Exam

A compensation and pension (C&P) exam evaluates when your symptoms began, how often they occur, and how they affect daily functioning.  

The examiner may ask about service duties, bowel habits, flare-ups, and treatment history. 

The VA uses this information alongside medical records to decide both service connection and your potential disability rating. 

Learn More: How Much Weight Does a C&P Exam Have? 

Secondary VA Disability: Hemorrhoids and IBS

Hemorrhoids may occur secondary to chronic gastrointestinal conditions, including irritable bowel syndrome.  

Repeated episodes of diarrhea, constipation, and strain can cause ongoing pressure on rectal veins. 

When IBS is already service-connected, hemorrhoids may qualify as VA disability for hemorrhoids secondary to IBS if medical evidence establishes a causal or aggravating relationship.  

Secondary conditions are evaluated separately and may affect the overall combined rating. 

How to File a VA Claim for Hemorrhoids

You can apply for VA benefits in one of the following ways: 

• Online at VA.gov 

• Mail a completed VA Form 21-526EZ 

• Fax your completed application to 844-531-7818 (Inside the U.S.) or 248-524-4260 (Outside the U.S.). 

• Submit your application in person at a local regional VA office. 

Medical Evidence Wins VA Claims

Did you know that a lack of medical evidence is the #1 reason VA disability claims are denied? 

Medical evidence is a crucial piece of the puzzle that VA raters consider when reviewing a disability claim. Telemedica provides solutions for veterans looking to bolster their claims through high-quality medical evidence that wins claims! 

Schedule your 20-minute consultation call and learn how to get the supporting medical evidence you need to strengthen your claim. 

Conclusion

The VA rates hemorrhoids based on symptom severity, recurrence, and documented complication, not just a current diagnosis.  

Understanding the rating criteria, service connection requirements, and the role of medical evidence can make a difference when pursuing compensation. 

When documentation is incomplete or symptoms developed secondary to another condition, a well-supported medical opinion may clarify eligibility and strengthen your claim. 

FAQs | Frequently Asked Questions

What is the VA rating for hemorrhoids?

VA ratings for hemorrhoids are either 10% or 20%, depending on how frequently symptoms occur and whether complications such as anemia, continuous prolapse, or thrombosis is present. 

What is the new VA rating for hemorrhoids?

The VA still rates hemorrhoids under diagnostic code 7336, but now places greater emphasis on symptom severity, recurrence, and functional impact, allowing some mild or moderate cases to qualify for compensation. 

What is the maximum VA rating for hemorrhoids?

The maximum VA rating for hemorrhoids is 20%, under diagnostic code 7336. 

What is the internal hemorrhoids VA rating?

Internal hemorrhoids are rated under diagnostic code 7336 at 10% or 20%, depending on symptom severity, recurrence, prolapse, thrombosis, and whether complications such as anemia are present. 

Does bleeding alone qualify for a hemorrhoids VA rating?

No. Bleeding by itself doesn’t qualify for a hemorrhoids VA rating. Under DC 7336, bleeding must be persistent and accompanied by anemia, or the condition must involve prolapse or recurrent thrombosis. 

Is surgery required to receive a VA rating for hemorrhoids?

No, surgery isn’t required. Ratings are based on symptoms, recurrence, and complications rather than treatment type.