Complete or incomplete pelvic organ prolapse due to injury, disease, or surgical complications of pregnancy (DC 7621)

Rating levels

• 10% — You qualify for 10% if you have complete or incomplete pelvic organ prolapse caused by injury, disease, or surgical complications of pregnancy. This is the only schedular rating offered under DC 7621 — there are no higher or lower tiers. The 10% rating is per veteran, not per prolapsed organ. If you also have associated genitourinary symptoms (urinary leakage, frequency, retention), digestive symptoms (constipation, fecal incontinence, obstruction), or skin symptoms, those are rated separately under their own diagnostic codes and combined with the 10% under DC 7621 — see the CFR Note below.
• -1% — Pelvic organ prolapse means a pelvic organ has dropped from its normal anatomic position into or through the vaginal canal — often from weakened pelvic-floor support after childbirth, surgical complication, hysterectomy, or aging combined with chronic strain. The Note lists the recognized sub-types: uterine or vaginal vault prolapse (uterus or apex descends), cystocele (bladder bulges into anterior vaginal wall), urethrocele (urethra prolapses, often together with cystocele as cystourethrocele), rectocele (rectum bulges into posterior vaginal wall), and enterocele (small bowel herniates into the upper vagina). The rating rule is unusual: prolapse itself only gets 10% no matter how many organs have descended, BUT any functional symptom the prolapse causes — urinary incontinence under DC 7542/voiding dysfunction, fecal incontinence under DC 7332, vaginal-skin breakdown — is rated separately under its own DC and then combined per 38 CFR § 4.25. This is an explicit exception to the anti-pyramiding rule of 38 CFR § 4.14, because the regulation expressly directs the combination.