VC
GenitourinaryDC 7502-7533

Kidney Disease / Nephropathy

Kidney conditions are rated under 38 CFR § 4.115a, Diagnostic Codes 7502–7533. The VA primarily uses the continuum from albumin (protein) in urine and kidney function tests (creatinine, GFR) to establish severity.

VA Rating Levels

30%

Albumin constant (persistent proteinuria), or transient at least once; BUN 26–40; or creatinine 1.5–3.0; or GFR 30–59. Moderate kidney impairment.

60%

Constant proteinuria, BUN 40+, creatinine 3–5.9, or GFR 15–29. Marked kidney impairment.

80%

Uremia requiring dialysis or renal transplant; creatinine 6+. Severely compromised kidney function.

100%

Chronic kidney disease requiring regular dialysis or post-transplant with complications.

Exam Tips & Key Evidence

  • Kidney disease is commonly secondary to diabetes (diabetic nephropathy) or long-term NSAID use
  • Lab values (creatinine, GFR, BUN, urinalysis) are the primary evidence
  • After transplant, you are eligible for 100% for one year post-surgery then re-evaluated

Commonly Related Conditions

38 CFR Reference

38 CFR § 4.115a, Diagnostic Codes 7502–7533