Renal dysfunction, diabetic nephropathy, kidney stones, glomerulonephritis, cystic kidney disease, kidney removal and transplant are documented for VA disability claims on this 9-page questionnaire. The clinician establishes renal dysfunction using GFR and urine findings sustained for 3 months, then records dialysis, structural abnormalities, stone treatment and colic, recurrent infections, transplant eligibility and the supporting lab results. VA rates kidney conditions from these findings.
The Veteran's treating or examining clinician completes the form and signs the Section XII examiner's certification. The Veteran completes no part of it.
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Kidney Conditions (Nephrology) Disability Benefits Questionnaire
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Yes. The form says GFR, estimated GFR and creatinine-based approximations of GFR are accepted for evaluation when appropriate and calculated by a medical professional. Item 9C records GFR results with dates, and item 9D asks about ACR of 30 mg/g or more and RBC, WBC or granular casts over 3 months.
Yes. Section IV covers kidney and ureteral stones: location, whether they cause ureteral stricture, treatment for recurrent stones (diet, drug therapy or procedures and how many per year), complications such as hydronephrosis, infection or impaired function, and whether colic attacks are occasional or frequent.