Pernicious anemia and Vitamin Bdeficiency anemia: 12

The VA rates Pernicious anemia and Vitamin Bdeficiency anemia: 12 under Diagnostic Code 7722 at 10%, 100%. The minimum 10% rating requires: Requiring continuous treatment with Vitamin Binjections, Vitamin Bsublingual or high-dose oral tablets, or Vitamin Bnasal spray or gel 12 12 12. The maximum 100% rating requires: For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral Btherapy 12.

The VA rates Pernicious anemia and Vitamin Bdeficiency anemia: 12 under Diagnostic Code (DC) 7722, governed by 38 CFR 38 CFR § 4.117. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.

A 10% rating requires: Requiring continuous treatment with Vitamin Binjections, Vitamin Bsublingual or high-dose oral tablets, or Vitamin Bnasal spray or gel 12 12 12. A 100% rating requires: For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral Btherapy 12. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.

Veterans rated for Pernicious anemia and Vitamin Bdeficiency anemia: 12 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.

Service connection for Pernicious anemia and Vitamin Bdeficiency anemia: 12 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.

A Compensation & Pension (C&P) exam for Pernicious anemia and Vitamin Bdeficiency anemia: 12 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.