Education · 38 CFR § 4.115b · Kidneys, bladder, and reproductive organs (genitourinary system) · not your rating · we do not file
Pyelonephritis, chronic VA rating (DC 7504)
VA rates pyelonephritis, chronic under diagnostic code 7504 in 38 CFR § 4.115b. The rule book lists 0%, 10%, 30%, 60%, 80%, and 100%. Below: each level in plain English, then the exact words.
Rule-book name: Pyelonephritis, chronic. Last checked against eCFR on 2026-10-10 (eCFR issue 2026-08-27). Official text: 38 CFR § 4.115b on eCFR.
Each rating level in plain English
- 100%: The published words look at: surgery, an implant, or a joint replacement, with dates; and how often it happens.
- 80%: The published words look at: how often it happens.
- 60%: The published words look at: how often it happens.
- 30%: The published words look at: how often it happens.
- 0%: The published words look at: how often it happens.
- 30%: The published words look at: a procedure to stretch the esophagus, or a stent; and hospital stays.
- 10%: The published words look at: medicine you take for it; hospital stays; and how long it lasts.
- 0%: The published words look at: medicine you take for it; and hospital stays.
Plain words come from our reading aid for the published words. They never add a symptom. The quotes below are the rule.
Exact words in 38 CFR § 4.115b
38 CFR 4.115a Renal dysfunction
100% · “Chronic kidney disease with glomerular filtration rate (GFR) less than 15 mL/min/1.73 m for at least 3 consecutive months during the past 12 months; or requiring regular routine dialysis; or eligible kidney transplant recipient”
80% · “Chronic kidney disease with GFR from 15 to 29 mL/min/1.73 m for at least 3 consecutive months during the past 12 months”
60% · “Chronic kidney disease with GFR from 30 to 44 mL/min/1.73 m for at least 3 consecutive months during the past 12 months”
30% · “Chronic kidney disease with GFR from 45 to 59 mL/min/1.73 m for at least 3 consecutive months during the past 12 months”
0% · “GFR from 60 to 89 mL/min/1.73 m and either recurrent red blood cell (RBC) casts, white blood cell (WBC) casts, or granular casts for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m and structural kidney abnormalities (cystic, obstructive, or glomerular) for at least 3 consecutive months during the past 12 months; or GFR from 60 to 89 mL/min/1.73 m and albumin/creatinine ratio (ACR) ≥30 mg/g for at least 3 consecutive months during the past 12 months”
38 CFR 4.115a Urinary tract infection
30% · “Recurrent symptomatic infection requiring drainage by stent or nephrostomy tube; or requiring greater than 2 hospitalizations per year; or requiring continuous intensive management”
10% · “Recurrent symptomatic infection requiring 1-2 hospitalizations per year or suppressive drug therapy lasting six months or longer”
0% · “Recurrent symptomatic infection not requiring hospitalization, but requiring suppressive drug therapy for less than 6 months”
Source: § 4.115b Ratings of the genitourinary system—diagnoses.
Notes printed with this code
“Rate as renal dysfunction or urinary tract infection, whichever is predominant.”
What records usually show this
VA reads these things from your records: service treatment records, VA and private treatment records, and the VA claim exam (C&P exam). The published words on this page talk about:
- Surgery, an implant, or a joint replacement, with dates: usually found in a test or exam result in your records. The rule book reads this number from the test, not from a statement.
- How often it happens: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
- A procedure to stretch the esophagus, or a stent: usually found in treatment notes, prescriptions, or a log you kept that show how often, when those records exist.
- Hospital stays: usually found in treatment notes, prescriptions, or a log you kept that show how often, when those records exist.
- Medicine you take for it: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
- How long it lasts: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
Education only. This does not say you have any of these, and a record that mentions them does not decide a rating. Only write what is true for you. Evidence needed for your disability claim · VA claim exam (C&P exam)
Put your records next to these lines
Statement review checks your own statement against the published words for this code and points out what it does not cover yet. It does not write it for you. Ask My Records finds where your uploaded records mention these topics and shows the page number.
Save this and organize your records - start free
14-day free trial, then $9.99/month or $107.99/year. No success fees, never a cut of your VA pay.
Prefer free, hands-on help? Accredited Veterans Service Officers (VSOs) can file a claim with you at no cost. Find accredited help on VA.gov.
Common questions
What percentages does the VA rating schedule list for Pyelonephritis, chronic (DC 7504)?
38 CFR § 4.115b lists 0%, 10%, 30%, 60%, 80%, and 100% for diagnostic code 7504. VA decides which line fits from the evidence. This page is not your rating.
Where do these words come from?
They are quoted from the public eCFR copy of 38 CFR § 4.115b, last checked 2026-10-10. The official page is linked on this page so you can check every word.
Does this page tell me what my rating will be?
No. It shows what the published rule book says. It does not predict a rating, a decision, or a dollar amount, and it does not say you have this condition.
Who can file a VA claim for me for free?
Accredited Veterans Service Officers (VSOs) can prepare and file a claim with you at no cost. VA lists accredited representatives on VA.gov. We do not file.
This page quotes the public VA rule book. It is not your rating and not your pay. We do not say you have this condition. We do not file. You, or a free accredited representative, file with VA.
Veterans Benefits AI · veteransbenefitsai.com · MAOMA Enterprises LLC. Veterans Benefits AI (veteransbenefitsai.com) is not affiliated with similarly named sites such as veteransbenefits.ai, with any VA GPT or chatbot, or with the U.S. Department of Veterans Affairs.