Evidence Checklist: Nephrectomy Residuals (Kidney Removal)

Nexus opinion linking nephrectomy to service ("at least as likely as not")Critical

A medical opinion stating it is "at least as likely as not" (50%+ probability) that the condition requiring nephrectomy is connected to your military service. Minimum 30% rating for nephrectomy.

Documentation of remaining kidney function

Medical assessment of the remaining kidney's health and any functional limitations or complications.

Current renal function labs (GFR, BUN, creatinine)Critical

Laboratory results showing current kidney function of the remaining kidney, including glomerular filtration rate, blood urea nitrogen, and creatinine levels.

Surgical records documenting kidney removalCritical

Operative reports confirming the nephrectomy, including the reason for surgery and whether it was partial or complete.

Scar documentation for separate rating consideration

Photographs and measurements of the surgical scar, including any pain or functional limitation, which may qualify for a separate compensable rating.

Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

Personal statement describing symptoms and functional impact

Your own written account of how this condition affects your daily activities, work, and relationships. Describe your worst days.

Completed DBQ Kidney and Urinary Tract ConditionsCritical

Standardized form capturing renal function, voiding dysfunction, and residual symptoms following nephrectomy.

Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.