VA Rating for Colon Cancer Explained

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If you’re a veteran with colon cancer and can show a connection between your medical diagnosis and your military service, you may be eligible for VA disability benefits.

Veterans with colon cancer may qualify for a 100% disability rating during cancer treatments and for six months after the treatments end.

Afterward, follow-up ratings may be assigned based on the long-term effects or complications of the disease or its treatment.

Summary of Key Points

• Eligibility for VA Disability Benefits: Veterans diagnosed with colon cancer may qualify for VA disability benefits if they can establish a service connection between their medical condition and military service, with a 100% disability rating during treatment and for six months afterward.

• Colon Cancer and the PACT Act: The PACT Act presumes a connection between colon cancer and military service for Gulf War-era and post-9/11 veterans, particularly those exposed to environmental toxins like burn pits, simplifying the claims process.

• Long-Term Effects and Follow-Up Ratings: After the initial 100% rating period, veterans may receive follow-up ratings based on the residual symptoms or complications from colon cancer or its treatment, ranging from 10% to 60%.

• Secondary Conditions to Colon Cancer: Secondary conditions, such as incontinence, loss of sphincter control, and complications from colon removal, may also be rated by the VA based on their severity, allowing veterans to receive additional compensation.

Key Colon Cancer Updates Through the PACT Act:

For Gulf War-era and post-9/11 veterans, the PACT Act introduces a presumption that certain conditions, including colon cancer, are related to service due to potential toxin exposure (such as burn pits and radiation).

This means veterans don’t need to provide as much evidence connecting their cancer to their military service—making the claims process faster and more straightforward.

Colon Cancer in Veterans

Colon cancer is one of the most common cancers among veterans, especially those exposed to toxins during their service.

This connection is becoming increasingly recognized, particularly through legislative changes like the PACT Act, which acknowledges the link between military service, environmental hazards, and increased cancer risks, including colon cancer.

Key Risk Factors for Veterans

• Toxic Exposure: Many veterans, particularly those who served in post-9/11 conflicts and the Gulf War, were exposed to burn pits, Agent Orange, and other hazardous chemicals. These exposures have been linked to an increased risk of colon cancer, as well as other gastrointestinal conditions.

• Stress and Combat: The high levels of stress veterans experience, especially those with PTSD, can exacerbate gastrointestinal issues, potentially increasing the risk of developing colon cancer.

• Lifestyle Factors During Service: A diet high in processed foods, low in fiber, and poor access to fresh fruits and vegetables, especially during deployments, can contribute to long-term gastrointestinal issues, including the development of polyps that may become cancerous over time.

Recognizing the Symptoms

Veterans, like anyone else, might not experience early symptoms of colon cancer, which is why screenings are essential.

When they do appear, the signs often depend on the size and location of the cancer within the large intestine.

Common symptoms include:

• Changes in bowel habits, such as persistent diarrhea or constipation.

• Rectal bleeding or noticing blood in the stool.

• Abdominal discomfort, including cramps, gas, or pain.

• A feeling of incomplete bowel movements during a trip to the restroom.

• Fatigue or weakness without a clear cause.

• Unexplained weight loss without intentional changes to diet or exercise.

These symptoms can vary and often mimic other gastrointestinal conditions, so it’s important to consult a healthcare provider if any persist.

How to Qualify for VA Disability Benefits for Colon Cancer

• Service Connection: For most veterans, the first step is establishing that your colon cancer is connected to your military service. This typically involves providing medical records and service documents that show your condition began or was aggravated during your time in the military.

• Presumptive Service Connection (PACT Act): Veterans who served during the Gulf War era or post-9/11 may automatically qualify for a presumptive service connection under the PACT Act, especially if they were exposed to burn pits, radiation, or other toxic substances. This means you don’t need to provide evidence linking your cancer to your service; the VA assumes the connection.

What is the VA Rating for Colon Cancer?

The VA rates active cancers of the digestive system, including colon cancer, at 100% under 38 CFR § 4.114, DC 7343.

The VA rating criteria for colon cancer is as follows:

• 100% Rating: Veterans undergoing active cancer treatment (such as surgery, chemotherapy, or radiation) receive a temporary 100% disability rating. This rating continues throughout treatment and for six months after it ends.

• Reevaluation: After this period, a new Compensation and Pension (C&P) exam will be conducted to reassess the veteran’s condition and adjust the rating based on the cancer’s current status or any residual effects, known as “secondary conditions.”

• Residuals Rating: If the cancer is in remission but the veteran experiences residual symptoms (e.g., digestive issues, bowel obstructions, or surgical complications), the rating will depend on the severity of these residual effects. The rating typically ranges from 10% to 60%, depending on how much the symptoms affect the veteran’s work, life, and social functioning.

What Happens After Colon Cancer Treatment Ends?

Once your treatment for colon cancer concludes, the VA will schedule a follow-up C&P exam.

If your cancer is in remission, the VA will likely reduce your rating, but you may still receive disability benefits based on secondary conditions related to your treatment, such as bowel dysfunction or incontinence.

These conditions can still significantly affect your quality of life, and the VA will assign separate ratings for them.

Common Secondary Disabilities from Colon Cancer

Many veterans experience ongoing health issues following treatment for colon cancer.

These are called secondary disabilities and can also be rated by the VA.

Some of the most common secondary conditions to colon cancer include:

• Incontinence (Voiding Dysfunction): This condition is rated from 10% to 60% under Diagnostic Code 7517, depending on the severity and frequency of symptoms such as the need for pads or catheter use.

• Loss of Sphincter Control: Rated under Diagnostic Code 7332, loss of sphincter control is rated from 0% to 100%, depending on the level of incontinence and the need for assistive measures like pads or surgery.

• Symptoms from Colon Removal: If part or all of the colon is removed, the VA rates this condition under Diagnostic Code 7329, with ratings ranging from 10% to 40% based on the severity of symptoms such as diarrhea, pain, or other complications resulting from the surgery.

Veterans can also receive special monthly compensation if they experience additional issues such as erectile dysfunction due to the cancer or its treatment.

Pro Tips for Navigating Your Colon Cancer VA Disability Claim

• Leverage the PACT Act: If you’re a Gulf War-era or post-9/11 veteran, use the PACT Act’s presumption of service connection to fast-track your claim. This can save you time and avoid the need for extensive medical evidence.

• File Secondary Condition Claims: Don’t stop at your primary colon cancer claim. Be sure to include claims for secondary service connection like incontinence, sphincter issues, or other gastrointestinal problems that arise after treatment. These conditions can also increase your overall rating.

• Get a Strong Medical Nexus Letter: If you’re not eligible for a presumptive connection under the PACT Act, make sure to get a detailed Nexus Letter that ties your colon cancer diagnosis to your military service.

• TDIU Eligibility: If your colon cancer or secondary condition prevents you from working, you may be eligible for Total Disability Individual Unemployability (TDIU). This allows you to receive full benefits, even if your overall disability rating is less than 100%.

Colon Cancer and VA Disability: Frequently Asked Questions (FAQs)

Is colon cancer a VA disability?

Yes, colon cancer can be service-connected for VA disability benefits if there is evidence showing that the veteran’s military service contributed to or caused the condition. Veterans who served in areas where they were exposed to toxins, such as burn pits, Agent Orange, or other hazardous substances, may qualify for presumptive service connection under the PACT Act. This law presumes that certain cancers, including gastrointestinal cancers like colon cancer, are related to military service, especially for Gulf War and post-9/11 veterans.

What is the VA disability rating for colon cancer?

The VA assigns a 100% disability rating for veterans diagnosed with active colon cancer. This rating remains in place during treatment (such as surgery, chemotherapy, or radiation) and for six months following the end of treatment. Afterward, the VA will conduct a reevaluation through a Compensation and Pension (C&P) exam to determine if the cancer is in remission. Based on the residual effects of the treatment, a lower rating may be assigned depending on the severity of any lingering symptoms or complications.

How does the VA rate residuals after colon cancer treatment?

After the active treatment phase for colon cancer ends, the VA assigns ratings for any residual symptoms or conditions caused by the treatment. Common residuals include bowel dysfunction, incontinence, and the need for a colostomy or similar procedures. The VA uses different diagnostic codes to rate these conditions based on their severity. For example, voiding dysfunction may be rated under diagnostic code 7517, ranging from 10% to 60%, while loss of sphincter control could be rated as high as 100% depending on the severity.

What is the PACT Act, and how does it affect veterans with colon cancer?

The PACT Act (Honoring Our PACT Act) significantly expands access to VA benefits for veterans exposed to toxic substances during their service. It provides presumptive service connections for certain cancers, including colon cancer, for veterans who served in designated locations or periods. Veterans covered under the PACT Act do not need to prove that their cancer is directly related to their service, as the VA presumes the connection. This makes it easier for veterans to qualify for disability benefits without extensive medical evidence linking their cancer to service.

Can I receive VA disability for complications after colon cancer surgery?

Yes, veterans can receive VA disability ratings for complications or residuals after colon cancer surgery. For example, if a veteran experiences incontinence or bowel issues following surgery, these complications can be rated as secondary conditions to the original cancer diagnosis. The VA evaluates the severity of these residuals, assigning separate ratings based on how much they impact the veteran’s daily life and work abilities.

How long do I keep my 100% VA disability rating for colon cancer?

Veterans diagnosed with active colon cancer are awarded a 100% VA disability rating during treatment and for six months following the completion of the treatment. After this period, the VA requires a reevaluation through a C&P exam. If the cancer is in remission, the VA will assign a new rating based on any residual symptoms or conditions resulting from the cancer or its treatment.

What if my colon cancer returns after my VA reevaluation?

If your colon cancer returns after the VA reevaluation, you are eligible to have your 100% disability rating reinstated. The VA will rate your condition as active again and provide the same benefits you received during your initial treatment period. It is essential to notify the VA as soon as possible if your cancer recurs so you can receive the appropriate benefits and support.

Can I get VA disability for colon polyps?

Yes, VA ratings for colon polyps range from 0% to 100%, depending on the severity of symptoms, the predominant disability (rated under various Diagnostic Codes), and how it impacts the veteran’s daily life and functionality. Higher ratings are assigned for more severe symptoms and complications. Colon polyps are often rated in connection with broader gastrointestinal conditions rather than receiving a standalone rating. They are evaluated under Diagnostic Codes such as Peritoneal Adhesions (DC 7301), Irritable Bowel Syndrome (DC 7319), Ulcerative Colitis (DC 7323), Large Bowel Resection (DC 7329), or Malignant Neoplasms of the Digestive System (DC 7343).

How does the VA determine if my colon cancer is service-connected?

To establish service connection for colon cancer, the VA looks for evidence linking the condition to your military service. For veterans exposed to toxic substances like burn pits, the PACT Act provides presumptive service connection, meaning you do not have to prove a direct link between your service and your cancer. If you do not qualify under the presumptive connection, you will need to provide medical evidence and service records that demonstrate your cancer is related to your time in the military.

Can I receive TDIU (Total Disability Individual Unemployability) for colon cancer?

Yes, veterans with colon cancer or residual effects that prevent them from maintaining substantially gainful employment may qualify for TDIU (Total Disability Individual Unemployability). Even if your overall VA disability rating is less than 100%, TDIU allows you to receive benefits at the 100% rate if your condition significantly impacts your ability to work. To qualify, you must meet the VA’s rating criteria for TDIU, such as having one disability rated at 60% or higher, or multiple disabilities with a combined rating of 70% or higher.

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