Bulimia Nervosa
Bulimia Nervosa is rated under Diagnostic Code 9521 using the same separate eating disorder rating schedule as anorexia. This is the only exception to the single mental health rating rule; veterans will receive a separate rating for the eating disorder in addition to any other mental health rating. The VA only rates eating disorders that result in extreme weight loss. Incapacitating episodes are defined as bed rest and treatment prescribed by a physician.
VA Rating Levels
Weight is below the expected minimum weight for the individual's height.
Weight is below the expected minimum weight with up to 2 weeks of incapacitating episodes per year.
Weight is below 85% of the expected minimum weight with more than 2 weeks but fewer than 6 weeks of incapacitating episodes per year.
Weight is below 85% of the expected minimum weight with more than 6 weeks of incapacitating episodes per year.
Weight is below 80% of the expected minimum weight with at least 6 weeks of incapacitating episodes per year and hospitalization more than twice a year for nutrition by IV or feeding tube.
Exam Tips & Key Evidence
- →Eating disorders are the one exception to the single mental health rating rule. You can receive a separate eating disorder rating in addition to your other mental health rating.
- →The VA only rates eating disorders when they result in significant weight loss.
- →Incapacitating episodes, for rating purposes, require bed rest prescribed by a physician.
- →Common secondary conditions to look into include Barrett's Esophagus, esophagitis, and GERD.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.130, Diagnostic Code 9521