Hyperparathyroidism
Hyperparathyroidism is rated under 38 CFR 38 CFR § 4.119, Diagnostic Code 7904, from 0% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: For six months from date of discharge following surgery. Most claims establish the 0% or 10% rating before reaching the top tier.
Rating schedule — DC 7904 at a glance
- Minimum rating
- 0%
- Maximum rating
- 100%
- Rating tiers
- 4
- CFR section
- 38 CFR § 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?
Asymptomatic
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
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)
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)”
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 (Total Disability Individual Unemployability)?
Veterans rated for Hyperparathyroidism may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Hyperparathyroidism?
Service connection for Hyperparathyroidism requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Hyperparathyroidism?
A Compensation & Pension (C&P) exam for Hyperparathyroidism uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
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