Condition Rating Guides
How VA Rates Erectile Dysfunction: DC 7522 and SMC-K Secondary Claim Guide
The VA rates erectile dysfunction under 38 CFR 4.115b, Diagnostic Code 7522. While the schedular evaluation is almost universally 0% noncompensable, 38 CFR 3.350(a) lists SMC-K for loss of use of a creative organ, which is a separate question from the schedular evaluation.
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Diagnostic Code 7522 and the 0% rating
Under 38 CFR 4.115b, DC 7522 lists "Erectile dysfunction, with or without penile deformity," at 0%. Its footnote directs review for special monthly compensation under 38 CFR 3.350. VA decides whether SMC-K applies.
Statutory SMC-K monthly payments
Under DC 7522, erectile dysfunction is evaluated at 0%, and a footnote directs VA to review for special monthly compensation under 38 CFR 3.350. VA decides whether SMC-K applies.
Secondary service connection via medications
Erectile dysfunction is most frequently claimed as a secondary condition caused by prescribed medications for service-connected conditions. Selective serotonin reuptake inhibitors (SSRIs) prescribed for PTSD, depression, or anxiety commonly cause sexual dysfunction. Similarly, beta-blockers and antihypertensive drugs prescribed for high blood pressure frequently result in erectile difficulty.
Physical secondary causes (diabetes, back, and prostate)
Erectile dysfunction also develops secondary to physical nerve damage or surgical interventions. Autonomic neuropathy from diabetes mellitus (DC 7913), spinal cord trauma, lumbar disc disease affecting the pudendal nerve, and prostatectomy for prostate cancer frequently result in physical loss of erectile capability.
Medical evidence and examination requirements
To prove an erectile dysfunction claim, veterans need a clinical diagnosis in treatment notes, pharmacy records showing prescribed medications (such as sildenafil or tadalafil), and a Male Reproductive System DBQ. For secondary claims, a strong medical nexus letter linking the medication side effect or underlying nerve pathology to service connection is critical.
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