GenitourinaryDC 7542

Urinary Incontinence / Bladder Conditions

Neurogenic bladder and urinary incontinence are rated under 38 CFR § 4.115b, Diagnostic Code 7542. Ratings reflect the degree of bladder dysfunction and ability to control urination.

VA Rating Levels

20%

Voiding dysfunction that requires wearing absorbent material occasionally; may include frequency or nocturia.

40%

Urinary frequency that requires wearing absorbent materials, or intermittent catheterization 3–4 times per day; significant limitation.

60%

Continuous urine leakage requiring wearing absorbent material at all times.

Exam Tips & Key Evidence

→Bladder conditions are common secondary to TBI, spinal cord injury, radiculopathy, or prostate conditions
→Document how often per day you experience leakage and whether you use pads/diapers
→Urinary tract infections from neurogenic bladder are also ratable

Commonly Related Conditions

TBI (Traumatic Brain Injury)Prostate ConditionsRadiculopathy Lumbar Spine (Lower Back)

38 CFR Reference

38 CFR § 4.115b, Diagnostic Code 7542