What secondary conditions are linked to Ulcerative Colitis?

Common secondary conditions for Ulcerative Colitis include Primary Sclerosing Cholangitis, Anemia, Arthritis. Secondary service connection is established under 38 C.F.R. 3.310 when a condition is caused or aggravated by an already service-connected disability.

What happens during a C&P exam for Ulcerative Colitis?

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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Ulcerative Colitis

Q: What are the VA rating percentages for Ulcerative Colitis?

Ulcerative Colitis (DC 7326) is rated at 10%, 30%, 60%, 100% under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment). Minimal to mild symptomatic inflammatory bowel disease that is managed with oral or topical agents (other than immunosuppressants or other biologic agents); and is characterized by recurrent abdominal pain with three or less daily episodes of diarrhea and no signs of systemic toxicity.

Q: What rates 10% for Ulcerative Colitis under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment) (DC 7326), a 10% rating for Ulcerative Colitis requires: Minimal to mild symptomatic inflammatory bowel disease that is managed with oral or topical agents (other than immunosuppressants or other biologic agents); and is characterized by recurrent abdominal pain with three or less daily episodes of diarrhea and no signs of systemic toxicity.

Q: What rates 30% for Ulcerative Colitis under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment) (DC 7326), a 30% rating for Ulcerative Colitis requires: Mild to moderate inflammatory bowel disease that is managed with oral and topical agents (other than immunosuppressants or other biologic agents); and is characterized by recurrent abdominal pain with three or less daily episodes of diarrhea and minimal signs of toxicity such as fever, tachycardia, or anemia.

Q: What rates 60% for Ulcerative Colitis under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment) (DC 7326), a 60% rating for Ulcerative Colitis requires: Moderate inflammatory bowel disease that is managed on an outpatient basis with immunosuppressants or other biologic agents; and is characterized by recurrent abdominal pain, four to five daily episodes of diarrhea; and intermittent signs of toxicity such as fever, tachycardia, or anemia.

Q: What rates 100% for Ulcerative Colitis under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment)?

Under 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment) (DC 7326), a 100% rating for Ulcerative Colitis requires: Severe inflammatory bowel disease that is unresponsive to treatment; and requires hospitalization at least once per year; and results in either an inability to work or is characterized by recurrent abdominal pain associated with at least two of the following: (1) six or more episodes per day of diarrhea, (2) six or more episodes per day of rectal bleeding, (3) recurrent episodes of rectal incontinence, or (4) recurrent abdominal distension.

Q: What evidence do I need for a Ulcerative Colitis VA claim?

Key evidence for a Ulcerative Colitis 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 732638 C.F.R. § 4.114

Diagnostic Code

DC 7326

38 C.F.R. § 4.114

Rating Range

10–100%

4 severity tiers

Source

Verified

38 C.F.R. § 4.114

Ulcerative Colitis is rated by the U.S. Department of Veterans Affairs under DC 7326 of 38 CFR § 4.114, DC 7326 (Crohn's / undifferentiated IBD; the former DC 7323 ulcerative colitis framework was consolidated here by § 4.114 amendment) across 4 severity tiers (10% / 30% / 60% / 100%). 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. This condition is frequently rated as secondary to Primary Sclerosing Cholangitis or Anemia under 38 C.F.R. § 3.310.

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

Overview

Chronic inflammatory bowel disease affecting the colon and rectum, causing ulcers and bloody diarrhea

Rating Criteria

10%

Minimal to mild symptomatic inflammatory bowel disease that is managed with oral or topical agents (other than immunosuppressants or other biologic agents); and is characterized by recurrent abdominal pain with three or less daily episodes of diarrhea and no signs of systemic toxicity.

30%

Mild to moderate inflammatory bowel disease that is managed with oral and topical agents (other than immunosuppressants or other biologic agents); and is characterized by recurrent abdominal pain with three or less daily episodes of diarrhea and minimal signs of toxicity such as fever, tachycardia, or anemia.

60%

Moderate inflammatory bowel disease that is managed on an outpatient basis with immunosuppressants or other biologic agents; and is characterized by recurrent abdominal pain, four to five daily episodes of diarrhea; and intermittent signs of toxicity such as fever, tachycardia, or anemia.

100%

Severe inflammatory bowel disease that is unresponsive to treatment; and requires hospitalization at least once per year; and results in either an inability to work or is characterized by recurrent abdominal pain associated with at least two of the following: (1) six or more episodes per day of diarrhea, (2) six or more episodes per day of rectal bleeding, (3) recurrent episodes of rectal incontinence, or (4) recurrent abdominal distension.

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.

05Secondary Conditions

Primary Sclerosing CholangitisMODERATE

Associated hepatobiliary condition

AnemiaMODERATE

Chronic blood loss

ArthritisMODERATE

Extraintestinal manifestation

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Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria text quoted verbatim from 38 C.F.R. § 4.114 (Digestive system). Source verified 2026-05-17 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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