Male Reproductive Organ Conditions (Including Prostate Cancer) DBQ: Official VA Form

The public Male Reproductive Organ Conditions (Including Prostate Cancer) Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

7 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 7520: Penis, removal of half or more
• DC 7521: Penis, removal of glans
• DC 7522: Erectile dysfunction, with or without penile deformity
• DC 7523: Testis, atrophy complete
• DC 7524: Testis, removal
• DC 7525: Prostatitis, urethritis, epididymitis, orchitis (unilateral or bilateral), chronic only
• DC 7527: Prostate gland injuries, infections, hypertrophy, postoperative residuals, bladder outlet obstruction

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

Read The Claim Examination Guide · Return To The Rating Schedule