Neurogenic Bladder
Neurogenic bladder is rated under DC 7542. This condition involves loss of bladder control due to nerve or brain damage. It is rated under the urinary rating system using whichever measure (frequency, obstructed voiding, or voiding dysfunction) produces the highest rating. Neurogenic bladder commonly results from spinal cord injuries, TBI, multiple sclerosis, diabetes, or other neurological conditions.
VA Rating Levels
Voiding dysfunction requiring absorbent materials changed once daily, or urinary frequency every 1-2 hours during the day or 3-4 times at night.
Voiding dysfunction requiring pad changes 2-4 times daily, or urinary frequency of less than every hour or 5+ times at night.
Voiding dysfunction requiring appliance use or absorbent materials changed more than 4 times daily.
Exam Tips & Key Evidence
- →Neurogenic bladder is a strong secondary claim for veterans with service-connected spinal cord injuries, TBI, multiple sclerosis, or diabetic neuropathy.
- →If you require catheterization (even intermittent self-catheterization), that supports a higher rating. Intermittent catheter use rates at 30% under obstructed voiding, while continuous use as an appliance rates at 60% under voiding dysfunction.
- →Document the underlying neurological condition causing the bladder dysfunction, as this establishes the service connection chain.
- →Neurogenic bladder can cause both incontinence and retention. Track all symptoms, as different aspects may rate under different urinary measures.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.115b, Diagnostic Code 7542