38 CFR Part 4 — 38 CFR § 4.114

Chronic biliary tract disease — VA Diagnostic Code 7314

Digestive

Diagnostic code

7314

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38 CFR § 4.114 lists Diagnostic Code 7314 as “Chronic biliary tract disease.” The percentage lines are 30, 10, and 0. The note names conditions the code includes and sends primary sclerosing cholangitis to DC 7345.

Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was up to date as of 2026-10-01 and last amended on 2026-08-27. The § 4.114 source note prints 29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 11, 1969; 40 FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. 18, 1976; 66 FR 29488, May 31, 2001; 89 FR 19743, Mar. 20, 2024.

The rating criteria at each level

7314 Chronic biliary tract disease

Rating %: 30

Criteria (verbatim). With three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months.

Rating %: 10

Criteria (verbatim). With one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.

Rating %: 0

Criteria (verbatim). Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.

Rating %	Criteria (verbatim)
30	With three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months; or requiring dilatation of biliary tract strictures at least once during the past 12 months.
10	With one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.
0	Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.

Note: This diagnostic code includes cholangitis, biliary strictures, Sphincter of Oddi dysfunction, bile duct injury, and choledochal cyst. Rate primary sclerosing cholangitis under chronic liver disease without cirrhosis (DC 7345).

Each criteria cell ends with a period. The 30 percent cell says “during the past 12 months.” The 10 and 0 percent cells say “in the past 12 months.” The 30 percent cell joins the attack count to dilatation of biliary tract strictures with “or.” The 10 percent cell is the attack count only.

DC 7314 prints a 0 percent line, so § 4.31 is not what creates that line. 38 CFR § 4.7 assigns the higher rating when the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned. 38 CFR § 4.6 requires each element affecting the evidence to be studied so that decisions will be equitable and just.

The opening of 38 CFR § 4.114 says: “Do not combine ratings under diagnostic codes 7301 through 7329 inclusive, 7331, 7342, 7345 through 7350 inclusive, 7352, and 7355 through 7357 inclusive, with each other. Instead, when more than one rating is warranted under those diagnostic codes, assign a single evaluation under the diagnostic code that reflects the predominant disability picture, and elevate it to the next higher evaluation if warranted by the severity of the overall disability.” DC 7314 is inside 7301 through 7329. DC 7345 is inside 7345 through 7350.

Source: 38 CFR § 4.114, Diagnostic Code 7314, eCFR full-text XML for 2026-10-01.

What the words mean in your records

Three or more, or dilatation

The 30 percent line is three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months, or dilatation of biliary tract strictures at least once during the past 12 months.

One or two attacks

The 10 percent line is one or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months. It does not repeat the dilatation clause.

Primary sclerosing cholangitis

The note says to rate that disease under chronic liver disease without cirrhosis, DC 7345. The note’s inclusion list is cholangitis, biliary strictures, Sphincter of Oddi dysfunction, bile duct injury, and choledochal cyst.

Evidence that speaks to each level

What the rater needs to see. Three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months, or dilatation of biliary tract strictures at least once during the past 12 months.

Where that usually lives. The clinical notes of the attacks, or the procedure note for the dilatation.

What the rater needs to see. One or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.

Where that usually lives. The same clinical notes.

What the rater needs to see. Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.

Where that usually lives. The history the 0 percent line describes. The line is printed on DC 7314.

Level	What the rater needs to see	Where that usually lives
30	Three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months, or dilatation of biliary tract strictures at least once during the past 12 months.	The clinical notes of the attacks, or the procedure note for the dilatation.
10	One or two clinically documented attacks of right upper quadrant pain with nausea and vomiting in the past 12 months.	The same clinical notes.
0	Asymptomatic, without history of a clinically documented attack of right upper quadrant pain with nausea and vomiting in the past 12 months.	The history the 0 percent line describes. The line is printed on DC 7314.

VA’s public DBQ list, checked October 5, 2026, names “Gallbladder” under Gastrointestinal. The file is Gallbladder.

The exam form

DC 7314 prints the 30, 10, and 0 percent lines and the inclusion note. This page does not say the form replaces that text.

Related codes and how they interact

Cholelithiasis uses this code. Gallbladder removal has its own lines.

DC 7315 is “Cholelithiasis, chronic.” The row says: “Rate as chronic biliary tract disease (DC 7314).”

DC 7318 is complications of cholecystectomy (gallbladder removal), such as strictures and biliary leaks. Its lines are 30, 10, and 0, in different words from DC 7314. DC 7317 says to rate gallbladder injury as DC 7301, DC 7314, or DC 7318, depending on the predominant disability.

38 CFR § 4.14 says the evaluation of the same disability under various diagnoses is to be avoided, and that the evaluation of the same manifestation under different diagnoses is to be avoided.

Secondary conditions and presumptions

38 CFR § 3.309(a) lists “Calculi of the kidney, bladder, or gallbladder.” It does not say “Chronic biliary tract disease.” That calculi name covers three sites. This page does not assign it to DC 7314.

A separate question, when a presumption does not decide it, is a medical question on the facts under 38 CFR § 3.310. Paragraph (a) covers disability proximately due to or the result of a service-connected disease or injury. Paragraph (b) covers increase in severity and requires a medical baseline.

Short answers

What is the VA rating for chronic biliary tract disease?

Under 38 CFR § 4.114, Diagnostic Code 7314 is 30, 10, or 0 percent, using the attack counts and the dilatation clause printed on those lines. Education only. VA decides on the evidence.

Does chronic cholelithiasis have a separate percentage table?

DC 7315 says to rate chronic cholelithiasis as chronic biliary tract disease under DC 7314.

FAQ

How does VA rate chronic biliary tract disease under DC 7314?

Three or more clinically documented attacks of right upper quadrant pain with nausea and vomiting during the past 12 months, or dilatation of biliary tract strictures at least once in that period, is 30 percent. One or two such attacks in the past 12 months is 10 percent. Asymptomatic, without that history in the past 12 months, is 0 percent. Education only.

Where does primary sclerosing cholangitis go?

The DC 7314 note says to rate it under DC 7345, chronic liver disease without cirrhosis.

Is gallbladder calculi the same listing?

Section 3.309(a) says “Calculi of the kidney, bladder, or gallbladder.” DC 7314’s title is “Chronic biliary tract disease.” The page does not treat those as the same name.

Next steps

Read the decision for DC 7314, the attack count, and any dilatation or DC 7345 assignment.
The free worksheet is a place to write the code, the findings, and the records you already have. It does not file a claim or protect a filing date. An accredited representative is at find a VSO.
Other digestive codes are on the digestive diagnostic-code index.

Education only. Not legal or medical advice. My Claim Packet is not a VA-accredited representative and does not file claims. VA decides every claim on its own evidence.

Other codes in this body system

Nearby catalog entries in Digestive, ordered by diagnostic code number. All Digestive codes

Also: DC code lookup (tools) lists the same index in a compact layout.

Source: 38 CFR Part 4, Diagnostic Code 7314 • va.gov

⚠️ Important Disclaimer

This page provides general educational information based on public VA regulations and VA.gov resources. It is not legal or medical advice, and My Claim Packet is not a VA-accredited representative. Any worksheets or draft documents produced by the tools must be reviewed for accuracy and are not filed with VA for you. Ratings and service connection are decided case-by-case from the individual record. Consult a VA-accredited VSO, claims agent, attorney, or qualified clinician for help with your situation, and verify current rules using the linked official source.