VA BENEFITS REFERENCE
38 CFR 4.113: Shared Regulatory Context
Read the source context and regulatory notes referenced by diagnostic-code pages using 38 CFR 4.113, with official citations and the current text date.
These source provisions supply context for the linked rating criteria. They are not separate evaluations automatically assigned to every condition. Read the diagnostic code and its own cross-references together.
There are diseases of the digestive system, particularly within the abdomen, which, while differing in the site of pathology, produce a common disability picture characterized in the main by varying degrees of abdominal distress or pain, anemia and disturbances in nutrition. Consequently, certain coexisting diseases in this area, as indicated in the instruction under the title “Diseases of the Digestive System,” do not lend themselves to distinct and separate disability evaluations without violating the fundamental principle relating to pyramiding as outlined in § 4.14.
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Official Sources
Last verified 2026-10-25. Source publication or legal effective dates are shown separately where available.
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