Addison's disease (adrenocortical insufficiency) — VA Rating Criteria (38 CFR DC 7911)
The VA rates Addison's disease (adrenocortical insufficiency) under 38 CFR 38 CFR § 4.119, Diagnostic Code 7911, from 20% to 60% based on the frequency and functional severity of symptoms. The maximum 60% rating requires Four or more crises during the past year. Related conditions in the Endocrine body system share this rating framework.
What are the VA rating criteria for Addison's disease (adrenocortical insufficiency)?
One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control
Three crises during the past year, or; five or more episodes during the past year
Four or more crises during the past year
“Three crises during the past year, or; five or more episodes during the past year”
How does the VA rate Endocrine conditions?
Common Questions About Addison's disease (adrenocortical insufficiency) VA Ratings
What is the VA disability rating for Addison's disease (adrenocortical insufficiency)?
The VA rates Addison's disease (adrenocortical insufficiency) under Diagnostic Code 7911 at the following tiers: 20%, 40%, 60%. The minimum 20% rating requires: One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control. The maximum 60% rating requires: Four or more crises during the past year.
What is Diagnostic Code 7911?
Diagnostic Code 7911 is the VA rating identifier for Addison's disease (adrenocortical insufficiency) within 38 CFR 38 CFR § 4.119. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.
What is the highest rating for Addison's disease (adrenocortical insufficiency)?
The highest schedular rating for Addison's disease (adrenocortical insufficiency) under DC 7911 is 60%. This tier requires: Four or more crises during the past year. Veterans who cannot secure substantially gainful employment due to Addison's disease (adrenocortical insufficiency) alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.
What 38 CFR section governs Addison's disease (adrenocortical insufficiency) ratings?
Addison's disease (adrenocortical insufficiency) is rated under 38 CFR 38 CFR § 4.119, Diagnostic Code 7911. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.
Which conditions are commonly secondary to Addison's disease (adrenocortical insufficiency)?
Secondary conditions caused or aggravated by Addison's disease (adrenocortical insufficiency) may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.
What evidence do I need to establish service connection for Addison's disease (adrenocortical insufficiency)?
Service connection for Addison's disease (adrenocortical insufficiency) requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.
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