Chronic inflammation and scarring of bile ducts
With end-stage liver disease, cholangiocarcinoma, or requiring transplant
With cirrhosis or recurrent cholangitis
With early disease, no cirrhosis
Medical Evidence
Current diagnosis from a qualified healthcare provider, medical records documenting symptoms and treatment history
Service Connection
Evidence linking your condition to military service (service treatment records, incident reports, or nexus letter)
Personal Statement
Your detailed account of how primary sclerosing cholangitis (psc) affects your daily life and when symptoms began
Lay Evidence
Buddy letters from fellow service members or family who can corroborate your symptoms
During your Compensation & Pension exam for primary sclerosing cholangitis (psc), examiners will assess your symptoms against the rating criteria above.
Be specific: Describe your worst day, not your average day
Document everything: Bring copies of all medical records and evidence
Functional impact: Explain how symptoms affect work, sleep, and daily activities
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