Chronic Pelvic Floor Dysfunction

DC 7699-7629Gynecological/Breast38 CFR 4.116, DC 7699-7629

A condition where the muscles of the pelvic floor do not work correctly, causing problems with bladder control, bowel movements, and pelvic pain. It is common after childbirth, pelvic surgery, or military physical training. The VA rates pelvic floor dysfunction based on how much it limits your daily life.

How the VA rates this condition

The VA rates this condition based on how much it affects your ability to work and carry out daily activities. The examiner will focus on the functional limitations your condition causes, not just the diagnosis itself.

Diagnostic code

DC 7699-7629

Rating range

0% – 30%

Rating levels

Rating criteria are defined in 38 CFR 4.116, DC 7699-7629. 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

Your pelvic floor dysfunction causes severe symptoms not controlled by treatment, such as frequent urinary incontinence requiring pads, fecal urgency, or pelvic organ prolapse.

What the VA looks for

Frequent urinary incontinence requiring absorbent pads
Fecal urgency or incontinence
Pelvic organ prolapse documented on examination
Failed conservative treatment requiring surgical evaluation
Significant limitation of daily activities and employment

Common Pitfalls

⚠Not getting evaluated by a pelvic floor physical therapist — objective pelvic floor muscle testing with biofeedback or manometry provides measurable evidence of dysfunction.
⚠Failing to connect the condition to military service — physical training, heavy lifting, ruck marches, and childbirth during service are common causes that should be documented.
⚠Not filing separate claims for urinary incontinence and bowel dysfunction — these can be rated independently under the genitourinary and digestive systems for a higher combined rating.
⚠Overlooking pelvic organ prolapse as a related condition — prolapse often accompanies pelvic floor dysfunction and is separately ratable.

Related DBQ Forms

DBQ Gynecological Conditions and Disorders of the Breast

View evidence checklist →See secondary conditions →

Condition Rating Guides

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

Chronic Pelvic Floor Dysfunction

How the VA rates this condition

Diagnostic code

DC 7699-7629

Rating range

0% – 30%

Rating levels

Rating Levels

Your pelvic floor dysfunction causes severe symptoms not controlled by treatment, such as frequent urinary incontinence requiring pads, fecal urgency, or pelvic organ prolapse.

What the VA looks for

Frequent urinary incontinence requiring absorbent pads
Fecal urgency or incontinence
Pelvic organ prolapse documented on examination
Failed conservative treatment requiring surgical evaluation
Significant limitation of daily activities and employment

Common Pitfalls

⚠Not getting evaluated by a pelvic floor physical therapist — objective pelvic floor muscle testing with biofeedback or manometry provides measurable evidence of dysfunction.

⚠Failing to connect the condition to military service — physical training, heavy lifting, ruck marches, and childbirth during service are common causes that should be documented.

⚠Not filing separate claims for urinary incontinence and bowel dysfunction — these can be rated independently under the genitourinary and digestive systems for a higher combined rating.

⚠Overlooking pelvic organ prolapse as a related condition — prolapse often accompanies pelvic floor dysfunction and is separately ratable.