Irritable bowel syndrome (IBS) (DC 7319) | VA Rating Tool

Diagnostic Code7319
CategoryThe Digestive System
SubcategoryThe Digestive System
Also Known Asibs, Irritable bowel syndrome, irritable bowel syndrome, Irritable bowel syndrome (IBS), irritable bowel, stomach cramps, diarrhea, constipation, abdominal pain, bowel problems
CFR Section4.110-4.114
📊 What Veterans Actually Get
10%
Most Common Rating
45.0%
of Vets Get This
68.0%
Approval Rate
#22
Most Claimed

IBS is most commonly rated at 10% (moderate, with frequent episodes of bowel disturbance and abdominal distress). The 30% rating requires severe IBS with diarrhea or alternating diarrhea and constipation with more or less constant abdominal distress.

Pro Tip: Keep a symptom diary tracking episodes, severity, and missed work/activities. IBS secondary to PTSD or anxiety is a well-established medical connection through the gut-brain axis. Get your GI doctor to document the frequency.
Rating Criteria
Rating Criteria
30% Abdominal pain related to defecation at least one day per week during the previous three months; and two or more of the following: (1) change in stool frequency, (2) change in stool form, (3) altered stool passage (straining and/or urgency), (4) mucorrhea, (5) abdominal bloating, or (6) subjective distension
20% Abdominal pain related to defecation for at least three days per month during the previous three months; and two or more of the following: (1) change in stool frequency, (2) change in stool form, (3) altered stool passage (straining and/or urgency), (4) mucorrhea, (5) abdominal bloating, or (6) subjective distension
10% Abdominal pain related to defecation at least once during the previous three months; and two or more of the following: (1) change in stool frequency, (2) change in stool form, (3) altered stool passage (straining and/or urgency), (4) mucorrhea, (5) abdominal bloating, or (6) subjective distension

Conditions Secondary to This

4 links
Generalized anxiety disorder
9400
Strong

Fear of episodes and unpredictability causes significant anxiety

Major depressive disorder
9434
Strong

Chronic GI distress and dietary restrictions lead to depression

Hemorrhoids, external or internal
7336
Moderate

Chronic bowel dysfunction can lead to hemorrhoids

Hiatal hernia and paraesophageal hernia
7346
Moderate

GI conditions often co-occur — shared inflammatory mechanisms

This May Be Secondary To

6 links
Fibromyalgia
DC 5025
Strong

Fibromyalgia and IBS frequently co-occur — shared central sensitization

Generalized anxiety disorder
DC 9400
Strong

Anxiety directly affects gut motility through the gut-brain axis

Endometriosis
DC 7629
Moderate

Endometrial implants on the bowel and pelvic adhesions frequently cause IBS-like symptoms including bloating, diarrhea, constipation, and abdominal cramping.

Major depressive disorder
DC 9434
Moderate

Depression disrupts gut-brain axis function

Panic disorder and/or agoraphobia
DC 9412
Moderate

Panic disorder and chronic anxiety worsen IBS through the gut-brain axis, increasing bowel motility and abdominal distress.

Posttraumatic stress disorder
DC 9411
Moderate

PTSD affects the gut-brain axis, disrupting normal bowel function. The stress response commonly manifests as GI symptoms.

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.