38 CFR Part 4 — 38 CFR § 4.116
Fallopian Tube Disease Or Injury
dc-7614-fallopian-tube-disease-or-injury
Gynecological / breast
Diagnostic code
7614
Why your DC matters: DC 7614 is the exact code the VA uses to rate this condition. It determines which symptoms unlock which percentage, what evidence the rater looks for, and which secondaries are most likely to be approved.
Last verified against 38 CFR (eCFR Part 4):
Rating criteria (38 CFR Part 4)
Diagnostic code 7614 — Fallopian Tube Disease Or Injury — is listed under 38 CFR § 4.116 in 38 CFR Part 4. The paragraphs below summarize how this code is used; the official schedule text controls exact percentages, formulas, and notes.
Schedule summary (educational, not a substitute for the regulation): Educational index row from the rating schedule naming convention; confirm exact diagnostic code, effective date, and criteria in the current eCFR Part 4.
Exact rating criteria: Open Part 4 in the eCFR (link under “Official source” below). Locate your diagnostic code number (7614) in the correct body-system subpart, or use Find in Page (Ctrl+F / ⌘F) for “7614”. Copy the verbatim rating table, including any parenthetical notes, exceptions, and cross-references, for the version of Part 4 that applies to your effective date.
Effective dates & which schedule version applies
Which diagnostic code, percentage, and effective date apply depends on the facts of your claim and the version of the rating schedule in force for the period being decided. Generally, VA applies the schedule in effect at the specified time under 38 U.S.C. § 5110 and implementing rules, subject to exceptions (e.g., protected ratings, liberalizing law changes—see regulation and VA manual policy as applicable).
For older claims, the **current** eCFR may not match the text that applied years ago. If your decision references a prior percentage or code, compare against the Part 4 text **as of** your claim’s relevant dates; historical Federal Register / CFR snapshots may be needed for precise comparison.
The “Last verified” date on this page is when we last checked this educational summary against the electronic CFR—not the date of any VA policy or your personal claim decision.
Notes for your claim
Evidence: Show that your diagnosis and severity match the factors the schedule names for DC 7614 (e.g., measurements, frequency, treatment, functional loss), with medical and lay evidence as appropriate.
C&P exams: Results should reflect the schedule’s requirements (correct joints measured, correct formulas). If the exam omits required findings, consider submitting records or requesting clarification.
If you disagree with the DC, percentage, or effective date, review the Part 4 text for your period and consider a supplemental claim or appeal with a VA-accredited representative.
This site does not provide legal advice.
Official source
38 CFR Part 4 (eCFR) — locate diagnostic code 7614 in the subpart for your body system (use Find in Page if needed).
DC 7614 explicitly covers pelvic inflammatory disease (PID) and other fallopian tube disease, injury, or adhesions — including chronic salpingitis, hydrosalpinx, tubo-ovarian abscess sequelae, post-surgical tubal adhesions, ectopic pregnancy residuals, and MST-related tubal infection sequelae. PID is named explicitly in the code heading, which is significant: chronic PID and its tubal sequelae are common MST residuals. Per § 4.116 General Rating Formula for Disease, Injury, or Adhesions of Female Reproductive Organs: 0% (symptoms not requiring continuous treatment), 10% (symptoms requiring continuous treatment), 30% (symptoms not controlled by continuous treatment). Critical lanes: (1) MST-related PID — sexual assault residuals frequently include PID and chronic tubal pathology; (2) chronic PID with tubal-factor infertility — significant functional consequence; (3) post-surgical adhesions (post-ectopic, post-appendectomy with tubal involvement) as direct secondary. The PID lane is especially important for female veterans — chronic PID sequelae are notoriously underclaimed.
Rating Tiers — What Each Percentage Requires
| Rating | What It Takes | Evidence That Supports It |
|---|---|---|
| 30% | Symptoms not controlled by continuous treatment. | Gynecology consult documenting refractory tubal pathology despite ongoing treatment (chronic pelvic pain regimen, hormonal suppression, repeated salpingostomy/adhesiolysis); hysterosalpingogram showing tubal damage; symptom diary. |
| 10% | Symptoms requiring continuous treatment. | Prescription history showing ongoing antibiotic prophylaxis, chronic pelvic pain regimen, hormonal suppression; gynecology follow-up notes. |
| 0% | Symptoms not requiring continuous treatment. | Diagnosis documented but symptoms manageable with episodic care or surveillance only. |
What Qualifies Under DC 7614?
Fallopian tube disease, injury, or adhesions (including PID)
PID is explicitly named in the code title. Includes: acute or chronic PID, post-PID tubal adhesions, chronic salpingitis, hydrosalpinx, tubo-ovarian abscess sequelae, post-ectopic adhesions, MST-related tubal infection sequelae, post-surgical tubal damage.
Tier ladder driven by treatment requirement + control
Per § 4.116 General Rating Formula for Disease/Injury/Adhesions of Female Reproductive Organs:
- • 0% — Symptoms not requiring continuous treatment
- • 10% — Symptoms requiring continuous treatment
- • 30% — Symptoms not controlled by continuous treatment
MST direct SC pathway under § 3.304(f)(5)
Post-MST PID and chronic tubal pathology rate as direct service connection. Relaxed evidentiary standards.
Tubal-factor infertility as functional consequence
Bilateral tubal occlusion or chronic hydrosalpinx causes infertility. Part of DC 7614 rating + drives mental health secondaries.
Language Your Rater Needs to See
These are the exact (or near-exact) regulatory phrases that unlock specific tiers. If your DBQ or C&P report doesn't use this vocabulary, the rater may default to a lower percentage even when symptoms qualify.
“Symptoms NOT controlled by continuous treatment”
30% gate. Anchor with gynecology consult documenting refractory pelvic pain or recurrent PID episodes despite ongoing antibiotic prophylaxis or chronic pain regimen. Hysterosalpingogram showing bilateral tubal occlusion supports refractoriness.
“Symptoms requiring continuous treatment”
10% gate. Continuous treatment = ongoing antibiotic prophylaxis for recurrent PID, chronic pelvic pain analgesic regimen, ongoing hormonal suppression.
“MST-related PID and chronic tubal pathology — direct SC under § 3.304(f)(5)”
PID is a recognized MST residual — sexual assault frequently causes acute PID that progresses to chronic tubal pathology, infertility, and chronic pelvic pain. Direct SC with relaxed evidentiary standards. Stack with DC 9411 PTSD.
“Tubal-factor infertility from chronic PID or post-surgical tubal damage”
Bilateral tubal occlusion or chronic hydrosalpinx causes infertility — a major functional consequence. Anchors 30% via 'symptoms not controlled' and drives MDD/anxiety secondaries.
Evidence Checklist — Specific to This Condition
Gynecology consult documenting fallopian tube disease, injury, adhesions, or chronic PID
CRITICALAnchor diagnosis. Pelvic exam, transvaginal ultrasound (hydrosalpinx), hysterosalpingogram (HSG) showing tubal patency or occlusion, laparoscopy if indicated.
Treatment regimen documentation — continuous vs. episodic
CRITICALOngoing antibiotic prophylaxis, chronic pelvic pain regimen, hormonal suppression all qualify as continuous treatment.
Symptom diary — pelvic pain, dyspareunia, fever recurrences, infertility, abnormal discharge
CRITICALDocuments functional impact and refractoriness.
PID history documentation — emergency visits, hospital admissions, microbiology
CRITICALRecurrent or chronic PID anchors the etiology. ER/hospital records for acute episodes; cultures.
MST documentation if applicable
IMPORTANTRestricted/unrestricted report, mental health records, lay statements. Relaxed standards per § 3.304(f)(5).
Hysterosalpingogram (HSG) showing tubal patency or occlusion
IMPORTANTDocuments tubal damage extent. Bilateral occlusion = severe tubal-factor infertility.
Surgical records (if applicable) — salpingectomy, salpingostomy, adhesiolysis
IMPORTANTPost-ectopic surgery, post-PID surgery, post-tubo-ovarian abscess drainage all anchor adhesive disease.
C&P Exam Tips
Bring gynecology consult + HSG + treatment regimen documentation
HSG showing tubal damage anchors refractoriness and tubal-factor infertility.
Request a female C&P examiner if preferred (especially for MST claims)
VA must accommodate reasonable preference.
Document refractoriness explicitly + recurrent PID episodes
Anchors 30% gate. Recurrent ER visits for PID + bilateral tubal occlusion = refractory.
Don't minimize MST-related PID and chronic tubal pathology
PID is a recognized MST residual. File aggressively.
Don't accept 0% with documented tubal-factor infertility
Bilateral tubal occlusion = major functional consequence; anchors 30% via refractoriness.
Common Mistakes That Cost Veterans Points
Not filing chronic PID and its tubal sequelae
Acute PID episodes resolve but leave chronic tubal damage, adhesions, and chronic pelvic pain — all rateable under DC 7614. File even if the acute infection cleared years ago.
Not pursuing MST-related PID as direct SC
Sexual assault frequently causes acute PID with chronic sequelae. Direct SC under § 3.304(f)(5) with relaxed evidentiary standards.
Settling for 0% with documented tubal damage
Bilateral tubal occlusion on HSG or chronic hydrosalpinx with infertility anchors 30% via 'symptoms not controlled.'
Not stacking PTSD (DC 9411) for MST-related claims
MST residuals stack physical (DC 7614 tubal, DC 7613 uterine, DC 7611 vaginal, DC 7610 vulvar) + mental health (DC 9411).
Not pursuing post-ectopic adhesive disease as secondary
Ectopic pregnancy surgery (salpingectomy or salpingostomy) commonly leaves tubal adhesions. If predicate ectopic was in service or secondary to SC condition, direct secondary.
Tactical Plays
⚡ File MST-related PID and chronic tubal pathology as direct SC under § 3.304(f)(5)
Sexual assault frequently causes acute PID with chronic tubal sequelae — adhesions, hydrosalpinx, tubal-factor infertility, chronic pelvic pain. Direct SC under DC 7614 with relaxed evidentiary standards. Stack with DC 9411 PTSD with MST stressor and other physical residuals (DC 7613 uterine, DC 7611 vaginal, DC 7610 vulvar).
⚡ Anchor refractoriness with HSG + recurrent PID documentation
Hysterosalpingogram showing bilateral tubal occlusion + history of recurrent PID episodes anchors 30% via 'symptoms not controlled.' Bilateral tubal damage = major functional consequence. Pull ER/hospital records for every PID episode.
⚡ Pursue tubal-factor infertility as functional consequence
Bilateral tubal occlusion or chronic hydrosalpinx causes infertility. The functional consequence is part of the DC 7614 rating; the psychological impact (depression, MDD) is a separate secondary rating under DC 9434. Many female veterans miss the secondary stack entirely.
⚡ File post-ectopic / post-tubal-surgery adhesive disease as secondary
Ectopic pregnancy surgery (salpingectomy, salpingostomy), tubo-ovarian abscess drainage, and other tubal procedures commonly leave adhesive disease. If the predicate procedure was in service or secondary to SC condition, adhesive disease is direct secondary under DC 7614.
⚡ Don't let the acute PID resolve narrative defeat the chronic sequelae claim
Acute PID episodes often resolve with antibiotics — but the chronic tubal damage, adhesions, hydrosalpinx, and chronic pelvic pain persist for decades. The chronic sequelae are what rate under DC 7614. File even if your acute PID was years or decades ago — the residual tubal pathology is the rateable condition.
Secondary Conditions to File With This One
PTSD secondary to MST
STRONGDC 9411
MST residuals stack physical (DC 7614 tubal, DC 7613 uterine, DC 7611 vaginal, DC 7610 vulvar) + mental health (DC 9411 PTSD with MST stressor).
Infertility secondary to tubal damage
STRONGBilateral tubal occlusion or chronic hydrosalpinx causes infertility. Major functional consequence; drives mental health secondaries.
Major depressive disorder secondary to chronic pelvic pain + infertility
STRONGDC 9434
Chronic pelvic pain + infertility + treatment burden drive depression. Well-documented secondary.
Ectopic pregnancy as secondary risk
MODERATEDamaged tubes carry elevated ectopic pregnancy risk. Acute ectopic events trigger surgical intervention; document as secondary if predicate tubal damage is SC.
Chronic pelvic pain syndrome
MODERATEPost-PID pelvic pain often persists. Functional component rated under DC 7614.
DC 7613 uterine adhesions (commonly co-present)
MODERATEDC 7613
Severe PID often involves uterus + tubes; file each separately if both are documented.
Compensation Scenarios
2026 rates (effective Dec 1, 2025, per va.gov)
0% — single, no dependents
TOTAL
$0.00/mo
Symptoms not requiring continuous treatment.
10% — single, no dependents
Base rating
$180.42
TOTAL
$180.42/mo
Symptoms requiring continuous treatment (antibiotic prophylaxis, chronic pelvic pain regimen, hormonal suppression).
30% — single, no dependents
Base rating
$552.47
TOTAL
$552.47/mo
Symptoms not controlled by continuous treatment (refractory chronic PID, bilateral tubal occlusion, refractory chronic pelvic pain).
30% DC 7614 tubal + 30% DC 7613 uterine + 70% DC 9411 PTSD MST (comprehensive MST file)
Base rating
$2,362.30
TOTAL
$2,362.30/mo
MST residuals frequently affect uterus + tubes + mental health. Each rates separately.
Note: Amounts are approximations rounded to nearest dollar. Actual comp varies with effective date, dependents (spouse, children, parents — each adds), Aid & Attendance, and additional disabilities. Combined ratings use VA Math (§ 4.25), not simple addition.
Key Definitions
🦠What is Pelvic Inflammatory Disease (PID)?
Infection of the upper female reproductive tract (uterus, fallopian tubes, ovaries) typically caused by sexually transmitted bacteria ascending from the vagina/cervix. Acute PID presents with pelvic pain, fever, abnormal discharge, and cervical motion tenderness. Chronic PID develops when the acute infection causes lasting damage — tubal scarring, adhesions, hydrosalpinx, chronic pelvic pain. Chronic PID is named explicitly in DC 7614 and rates under the General Rating Formula.
💧What is Hydrosalpinx?
A fallopian tube filled with fluid (typically clear or serous) due to distal tubal obstruction, usually from previous PID, surgery, or endometriosis. Visualized on transvaginal ultrasound or HSG. Causes infertility, chronic pelvic pain, and increased ectopic pregnancy risk. Rated under DC 7614.
🪖How does MST cause PID and chronic tubal pathology?
Sexual assault can directly transmit infectious organisms (chlamydia, gonorrhea, mycoplasma) that cause acute PID, which then progresses to chronic tubal damage, adhesions, hydrosalpinx, tubal-factor infertility, and chronic pelvic pain. These chronic sequelae are MST residuals rateable under DC 7614 as direct service connection per § 3.304(f)(5) — relaxed evidentiary standards apply.
🚫What is tubal-factor infertility?
Infertility caused by fallopian tube damage — bilateral tubal occlusion (HSG shows no contrast spillage), chronic hydrosalpinx, severe peritubal adhesions preventing oocyte capture. Accounts for ~30% of female infertility. Major functional consequence anchoring 'symptoms not controlled by continuous treatment' (30% gate) and driving depression/anxiety secondaries.
How to File Your Claim
Identify etiology + SC pathway
MST direct SC under § 3.304(f)(5) (PID is a recognized MST residual), post-surgical adhesions secondary to SC predicate, in-service PID direct SC.
Get gynecology consult + HSG + treatment regimen documentation
HSG showing tubal damage anchors refractoriness and tubal-factor infertility.
Pull PID history — every ER visit, hospital admission, culture report
Recurrent or chronic PID anchors the etiology.
File 21-526EZ specifying 'fallopian tube disease/injury/adhesions including PID (DC 7614)'
Identify specific condition in claim narrative (chronic PID, hydrosalpinx, post-ectopic adhesions, etc.).
Stack PTSD (DC 9411) + DC 7613 uterine + DC 7611 vaginal if applicable
MST file stacks physical + mental health across multiple anatomic sites.
Typical Claim Timeline
File initial claim
Day 0–7: Submit VA Form 21-526EZ with all medical evidence on file
VA acknowledges claim
Week 1–2: Receive confirmation letter and claim tracking number
C&P examination scheduled
Month 1–3: VA contracts an exam vendor and sends you appointment notice
Attend C&P exam
Bring your full evidence package; describe symptoms on your worst days, not your best
Decision & rating notice
Month 3–6: Decision letter with rating percentage and effective date
First payment & retro back pay
Within 15 days of decision; retroactive to claim date (or effective date if earlier)
Timeline varies by case complexity and VA regional office workload. Some claims resolve faster; others take longer.
Important Considerations
MST direct SC pathway has relaxed evidentiary standards
PID is a recognized MST residual. Per § 3.304(f)(5), corroborating evidence supports SC.
Chronic PID sequelae rate even if acute infection was years ago
Tubal adhesions, hydrosalpinx, tubal-factor infertility persist for decades. File the chronic residual claim.
Tubal-factor infertility is a major functional consequence
Bilateral tubal occlusion anchors 30% via 'symptoms not controlled.' Drives MDD/anxiety secondaries.
Request female C&P examiner if preferred
VA must accommodate reasonable preference.
Related Tools & Resources
Frequently Asked Questions
Does PID rate under DC 7614 even if the acute infection cleared?
Yes — DC 7614 explicitly includes PID and covers chronic post-PID sequelae: tubal adhesions, hydrosalpinx, chronic pelvic pain, tubal-factor infertility. These chronic residuals persist for decades after the acute infection clears and are the rateable condition. File even if your acute PID episodes were years or decades ago.
Can I file MST-related PID as direct service connection?
Yes — sexual assault can directly transmit infectious organisms causing acute PID with chronic tubal sequelae. DC 7614 covers chronic PID, tubal adhesions, hydrosalpinx, and tubal-factor infertility as direct SC under § 3.304(f)(5) with relaxed evidentiary standards. Corroborating evidence (behavioral change records, lay statements, mental health treatment) supports service connection. Stack with DC 9411 PTSD with MST stressor.
What anchors the 30% refractory gate?
Symptoms NOT controlled by continuous treatment. Examples: hysterosalpingogram showing bilateral tubal occlusion with infertility; recurrent PID episodes despite antibiotic prophylaxis; refractory chronic pelvic pain despite ongoing analgesic regimen; chronic hydrosalpinx requiring repeated drainage. Document refractoriness explicitly in gynecology consults — bilateral tubal damage is the strongest anchor.
How does tubal-factor infertility affect my rating?
Tubal-factor infertility from bilateral tubal occlusion or chronic hydrosalpinx is a major functional consequence anchoring the 30% 'symptoms not controlled' tier. The infertility itself is part of the DC 7614 rating; the psychological impact (depression, anxiety, MDD) is a separate secondary rating under DC 9434/9400. Many female veterans miss the secondary stack entirely.
Can I file post-ectopic pregnancy adhesions under DC 7614?
Yes — ectopic pregnancy surgery (salpingectomy, salpingostomy) commonly leaves tubal adhesive disease. If the predicate ectopic occurred in service or as secondary to SC condition (e.g., post-PID), the adhesive disease is direct or secondary service connection under DC 7614.
Official Regulatory Source
Fallopian tube, disease, injury, or adhesions of (including PID) rates under 38 CFR § 4.116, DC 7614 — 0/10/30% under General Rating Formula for Disease/Injury/Adhesions of Female Reproductive Organs.
38 CFR § 4.116 — Gynecological Conditions and Disorders of the Breast (eCFR) →Scroll to DC 7614. PID explicitly in the code title. MST direct SC per 38 CFR § 3.304(f)(5). Stack with DC 7613 (uterus), DC 7615 (ovary), DC 9411 (PTSD MST stressor) for comprehensive MST file.
Next Steps
If your rating decision lists DC 7614, compare your current symptoms and documentation against the criteria above. Consider:
- Requesting a copy of your rating decision and C&P exam report from the VA
- Gathering all relevant medical records (VA and private providers)
- Documenting functional limitations and how they impact work and daily activities
- Obtaining a nexus letter if needed to establish or strengthen service connection
- Filing for secondary conditions that may be related to this primary condition
- Contacting a VA-accredited VSO, claims agent, or attorney to review your file
This is general educational information only — not legal or medical advice.
Also: DC code lookup (tools) lists the same index in a compact layout.
Source: 38 CFR Part 4, Diagnostic Code 7614 • va.gov
⚠️ Important Disclaimer
This page provides general educational information only based on public VA regulations (38 CFR) and va.gov resources. It is not legal, medical, or claims assistance. Ratings and service connections are decided case-by-case by the VA based on the individual veteran’s evidence. We do not prepare claims, generate documents, or provide personalized advice. Always consult a VA-accredited Veterans Service Organization (VSO), attorney, or your physician for help with your specific situation. Verify the latest rules on va.gov.