Hyperparathyroidism
The VA rates Hyperparathyroidism under Diagnostic Code 7904 across 4 severity levels, from 0% to 100%. The applicable level depends on the full criteria and the evidence for the condition. These percentages are alternatives, not amounts to add together.
Rating schedule — DC 7904 at a glance
- Minimum rating
- 0%
- Maximum rating
- 100%
- Rating tiers
- 4
- CFR section
- § 4.119
- Body system
- Endocrine System
- Secondary conditions
- 0
Lowest schedular rating available
Full schedular disability
0%, 10%, 60%, 100%
Part 4 rating schedule
None mapped
What are the VA rating criteria for Hyperparathyroidism?
| Rating | Criteria |
|---|---|
| 0% | Asymptomatic |
| 10% | Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control |
| 60% | Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture) |
| 100% | For six months from date of discharge following surgery |
“Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture)”
What other endocrine conditions does the VA rate?
These diagnostic codes sit next to Hyperparathyroidism in 38 CFR Part 4. The rating schedule is ordered anatomically, so neighbouring codes usually cover the same joint, organ, or system, and a claim often involves more than one of them.
- 7900Hyperthyroidism (Graves' Disease)Rated up to 100%
- 7901Thyroid enlargement, toxicRated up to 0%
- 7902Thyroid enlargement, nontoxicRated up to 0%
- 7903HypothyroidismRated up to 100%
- 7905HypoparathyroidismRated up to 100%
- 7906ThyroiditisRated up to 0%
- 7907Cushing's syndromeRated up to 100%
- 7908AcromegalyRated up to 100%
- 7909Diabetes insipidusRated up to 30%
- 7911Addison's disease (adrenocortical insufficiency)Rated up to 60%
Common Questions About Hyperparathyroidism VA Ratings
What is the VA rating range for Hyperparathyroidism?
The VA rates Hyperparathyroidism under Diagnostic Code 7904 at 0%, 10%, 60%, 100%. The minimum 0% rating requires: Asymptomatic. The maximum 100% rating requires: For six months from date of discharge following surgery.
Which 38 CFR diagnostic code does the VA use for Hyperparathyroidism?
The VA rates Hyperparathyroidism under Diagnostic Code (DC) 7904, governed by 38 CFR 38 CFR § 4.119. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 0% and a 100% rating for Hyperparathyroidism?
A 0% rating requires: Asymptomatic. A 100% rating requires: For six months from date of discharge following surgery. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Hyperparathyroidism qualify for TDIU?
Yes — a 100% rating for Hyperparathyroidism alone meets the single-disability threshold for TDIU (38 CFR § 4.16). If the condition prevents substantially gainful employment, the veteran is compensated at the 100% rate without a schedular 100% rating.
What evidence supports a higher rating for Hyperparathyroidism?
The key evidence for Hyperparathyroidism is documentation of how the condition affects daily functioning. Treatment records showing worsening symptoms, functional limitations documented by your provider, and buddy statements describing observable impact on daily life all strengthen the claim. A nexus letter from a qualified medical professional linking the current severity to service is essential for contested claims.
What happens at the C&P exam for Hyperparathyroidism?
The C&P examiner uses a Endocrine System DBQ and evaluates your condition against the DC 7904 rating criteria. The examiner documents symptom frequency, severity, and functional impact. Bring all treatment records and describe your worst days, not your best — the VA rates on the full clinical picture across time, not a snapshot of one good day.
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