| Code | Condition | Levels in the schedule |
|---|
| 7200 | Soft tissue injury of the mouth, other than tongue or lips | See entry |
| 7201 | Lips, injuries of | See entry |
| 7202 | Tongue, loss of whole or part | 100%, 60%, 30% |
| 7203 | Esophagus, stricture of | 80%, 50%, 30%, 10%, 0% |
| 7204 | Esophageal motility disorder | See entry |
| 7205 | Esophagus, diverticulum of, acquired | See entry |
| 7206 | Gastroesophageal reflux disease | 80%, 50%, 30%, 10%, 0% |
| 7207 | Barrett's esophagus | 30%, 10% |
| 7301 | Peritoneum, adhesions of, due to surgery, trauma, disease, or infection | 80%, 50%, 30%, 10%, 0% |
| 7303 | Chronic complications of upper gastrointestinal surgery | 80%, 50%, 30%, 10%, 0% |
| 7304 | Peptic ulcer disease | 100%, 60%, 40%, 20%, 0% |
| 7307 | Gastritis, chronic | See entry |
| 7308 | Postgastrectomy syndrome | See entry |
| 7309 | Stomach, stenosis of | See entry |
| 7310 | Stomach, injury of, residuals | See entry |
| 7311 | Residuals of injury of the liver | See entry |
| 7312 | Cirrhosis of the liver | 100%, 60%, 30%, 10%, 0% |
| 7314 | Chronic biliary tract disease | 30%, 10%, 0% |
| 7315 | Cholelithiasis, chronic | See entry |
| 7317 | Gallbladder, injury of | See entry |
| 7318 | Cholecystectomy (gallbladder removal), complications of (such as strictures and biliary leaks) | 30%, 10%, 0% |
| 7319 | Irritable bowel syndrome (IBS) | 30%, 20%, 10% |
| 7323 | Colitis, ulcerative | See entry |
| 7325 | Enteritis, chronic | See entry |
| 7326 | Crohn's disease or undifferentiated form of inflammatory bowel disease | 100%, 60%, 30%, 10% |
| 7327 | Diverticulitis and diverticulosis | 30%, 20%, 0% |
| 7328 | Intestine, small, resection of | 80%, 60%, 40%, 20%, 0% |
| 7329 | Intestine, large, resection of | 100%, 60%, 40%, 20%, 10% |
| 7330 | Intestinal fistulous disease, external | 100%, 60%, 30% |
| 7331 | Peritonitis, tuberculous, active or inactive | 100% |
| 7332 | Rectum and anus, impairment of sphincter control | 100%, 60%, 30%, 10%, 0% |
| 7333 | Rectum and anus, stricture of | 100%, 60%, 30%, 10% |
| 7334 | Rectum, prolapse of | 100%, 50%, 30%, 10% |
| 7335 | Ano, fistula in, including anorectal fistula and anorectal abscess | 60%, 40%, 20%, 10% |
| 7336 | Hemorrhoids, external or internal | 20%, 10% |
| 7337 | Pruritus ani (anal itching) | 10%, 0% |
| 7338 | Hernia, including femoral, inguinal, umbilical, ventral, incisional, and other (but not including hiatal) | 100%, 60%, 30%, 20%, 10%, 0% |
| 7342 | Visceroptosis, symptomatic, marked | 10% |
| 7343 | Malignant neoplasms of the digestive system, exclusive of skin growths | 100% |
| 7344 | Benign neoplasms, exclusive of skin growths | See entry |
| 7345 | Chronic liver disease without cirrhosis | 100%, 60%, 40%, 20%, 0% |
| 7346 | Hiatal hernia and paraesophageal hernia | See entry |
| 7347 | Pancreatitis, chronic | 100%, 60%, 30% |
| 7348 | Vagotomy with pyloroplasty or gastroenterostomy | 40%, 30%, 20% |
| 7350 | Liver abscess | See entry |
| 7351 | Liver transplant | 100%, 60%, 30% |
| 7352 | Pancreas transplant | 100%, 30% |
| 7354 | Hepatitis C (or non-A, non-B hepatitis) | See entry |
| 7355 | Celiac disease | 80%, 50%, 30% |
| 7356 | Gastrointestinal dysmotility syndrome | 80%, 50%, 30%, 10% |
| 7357 | Post pancreatectomy syndrome | 30% |
Source: eCFR Title 38, §4.114, current as of 2026-11-05. Criteria are reproduced verbatim for reference.