What happens during a C&P exam for Celiac Disease?

Bring all relevant medical records and a written list of symptoms. Report your worst days, not your best. The VA rates based on overall impairment.

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Celiac Disease

Q: What are the VA rating percentages for Celiac Disease?

Celiac Disease (DC 7355) is rated at 80%, 50%, 30% under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment). Malabsorption syndrome with weakness which interferes with activities of daily living; and weight loss resulting in wasting and nutritional deficiencies; and with systemic manifestations including but not limited to, weakness and fatigue, dermatitis, lymph node enlargement, hypocalcemia, low vitamin levels; and anemia related to malabsorption; and episodes of abdominal pain and diarrhea due to lactase deficiency or pancreatic insufficiency.

Q: What rates 80% for Celiac Disease under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment)?

Under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment) (DC 7355), a 80% rating for Celiac Disease requires: Malabsorption syndrome with weakness which interferes with activities of daily living; and weight loss resulting in wasting and nutritional deficiencies; and with systemic manifestations including but not limited to, weakness and fatigue, dermatitis, lymph node enlargement, hypocalcemia, low vitamin levels; and anemia related to malabsorption; and episodes of abdominal pain and diarrhea due to lactase deficiency or pancreatic insufficiency.

Q: What rates 50% for Celiac Disease under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment)?

Under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment) (DC 7355), a 50% rating for Celiac Disease requires: Malabsorption syndrome with chronic diarrhea managed by medically-prescribed dietary intervention such as prescribed gluten-free diet, with nutritional deficiencies due to lactase and pancreatic insufficiency; and with systemic manifestations including, but not limited to, weakness and fatigue, dermatitis, lymph node enlargement, hypocalcemia, low vitamin levels, or atrophy of the inner intestinal lining shown on biopsy.

Q: What rates 30% for Celiac Disease under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment)?

Under 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment) (DC 7355), a 30% rating for Celiac Disease requires: Malabsorption syndrome with chronic diarrhea managed by medically-prescribed dietary intervention such as prescribed gluten-free diet; and without nutritional deficiencies.

Q: What evidence do I need for a Celiac Disease VA claim?

Key evidence for a Celiac Disease claim includes: Service treatment records; Current medical diagnosis and treatment records; Buddy/lay statements; Prescription history; Employment impact documentation. All evidence should document both the condition and its impact on daily functioning.

DC 735538 C.F.R. § 4.114

Diagnostic Code

DC 7355

38 C.F.R. § 4.114

Rating Range

30–80%

3 severity tiers

Source

Verified

38 C.F.R. § 4.114

Celiac Disease is rated by the U.S. Department of Veterans Affairs under DC 7355 of 38 CFR § 4.114, DC 7355 (NEW DC added by 2024-05-19 amendment) across 3 severity tiers (80% / 50% / 30%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Autoimmune disorder triggered by gluten ingestion, causing damage to the small intestine lining with malabsorption sequelae

Rating Criteria

80%

Malabsorption syndrome with weakness which interferes with activities of daily living; and weight loss resulting in wasting and nutritional deficiencies; and with systemic manifestations including but not limited to, weakness and fatigue, dermatitis, lymph node enlargement, hypocalcemia, low vitamin levels; and anemia related to malabsorption; and episodes of abdominal pain and diarrhea due to lactase deficiency or pancreatic insufficiency.

50%

Malabsorption syndrome with chronic diarrhea managed by medically-prescribed dietary intervention such as prescribed gluten-free diet, with nutritional deficiencies due to lactase and pancreatic insufficiency; and with systemic manifestations including, but not limited to, weakness and fatigue, dermatitis, lymph node enlargement, hypocalcemia, low vitamin levels, or atrophy of the inner intestinal lining shown on biopsy.

30%

Malabsorption syndrome with chronic diarrhea managed by medically-prescribed dietary intervention such as prescribed gluten-free diet; and without nutritional deficiencies.

03Key Evidence

—Service treatment records

—Current medical diagnosis and treatment records

—Buddy/lay statements

—Prescription history

—Employment impact documentation

—Any relevant diagnostic testing

04C&P Exam Tips

1Bring all relevant medical records and a written list of symptoms.

2Report your worst days, not your best. The VA rates based on overall impairment.

3Document how the condition affects daily activities, work, and relationships.

4Mention all medications and their side effects.

5Bring buddy statements from people who observe your symptoms.

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Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.114 (Digestive system). Source verified 2026-05-27 by ClaimRecon Editorial Team against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

View § 4.114 on eCFR →Cornell Law mirror →Editorial Standards →Suggest a correction →

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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