Hysterectomy Residuals

DC 7618Gynecological/Breast38 CFR 4.116, DC 7618

Residual effects from the surgical removal of the uterus. The VA rating depends on whether one or both ovaries were also removed during the hysterectomy. Removal of both ovaries leads to surgical menopause and a higher rating.

How the VA rates this condition

This condition has a fixed rating under VA regulations. Unlike most conditions, the rating does not vary based on severity. If the VA grants service connection, the rating percentage is set by regulation.

Diagnostic code

DC 7618

Rating range

30% – 50%

Rating levels

Rating criteria are defined in 38 CFR 4.116, DC 7618. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You had a complete hysterectomy with removal of both ovaries (bilateral oophorectomy), causing surgical menopause.

What the VA looks for

Hysterectomy with bilateral oophorectomy operative report
Both ovaries removed confirmed by pathology
Surgical menopause documented
Hormone replacement therapy if applicable
Menopausal symptoms documented (hot flashes, mood changes)

Common Pitfalls

⚠Not confirming whether both ovaries were removed, which is the key difference between a 30% and 50% rating. Review your operative report carefully.
⚠Failing to file separate claims for surgical scars, adhesions, bladder dysfunction, or bowel complications that resulted from the hysterectomy.
⚠Not documenting menopausal symptoms (hot flashes, night sweats, mood changes, sleep disturbance) that result from surgical menopause after bilateral oophorectomy.
⚠Not filing for depression or adjustment disorder as a secondary condition. Loss of reproductive organs can cause significant psychological impact.

Related DBQ Forms

DBQ Gynecological Conditions and Disorders of the Breast

View evidence checklist →C&P exam prep guide →See secondary conditions →

Related Conditions

Conditions commonly associated with Hysterectomy Residuals or rated under the same body system.

Major Depressive Disorder (MDD)

DC 9434·Mental Disorders·Possible secondary

Osteoporosis

DC 5013·Musculoskeletal·Possible secondary

Insomnia Disorder

DC 9499·Mental Disorders·Possible secondary

Endometriosis

DC 7629·Gynecological/Breast

Uterine Fibroids (Leiomyomata)

DC 7613·Gynecological/Breast

Polycystic Ovary Syndrome (PCOS)

DC 7615·Gynecological/Breast

Ovarian Cysts

DC 7615·Gynecological/Breast

Cervicitis

DC 7612·Gynecological/Breast

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

How the VA rates this condition

Diagnostic code

DC 7618

Rating range

30% – 50%

Rating levels

Rating Levels

You had a complete hysterectomy with removal of both ovaries (bilateral oophorectomy), causing surgical menopause.

What the VA looks for

Hysterectomy with bilateral oophorectomy operative report
Both ovaries removed confirmed by pathology
Surgical menopause documented
Hormone replacement therapy if applicable
Menopausal symptoms documented (hot flashes, mood changes)

Common Pitfalls

⚠Not confirming whether both ovaries were removed, which is the key difference between a 30% and 50% rating. Review your operative report carefully.

⚠Failing to file separate claims for surgical scars, adhesions, bladder dysfunction, or bowel complications that resulted from the hysterectomy.

⚠Not documenting menopausal symptoms (hot flashes, night sweats, mood changes, sleep disturbance) that result from surgical menopause after bilateral oophorectomy.

⚠Not filing for depression or adjustment disorder as a secondary condition. Loss of reproductive organs can cause significant psychological impact.