Aplastic anemia — VA Rating Criteria (38 CFR DC 7716)
The VA rates Aplastic anemia under 38 CFR 38 CFR § 4.117, Diagnostic Code 7716, from 30% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurri…. Related conditions in the Hematologic body system share this rating framework.
What are the VA rating criteria for Aplastic anemia?
Requiring transfusion of platelets or red cells, on average, at least once per 12-month period; or infections recurring, on average, at least once per 12-month period
Requiring transfusion of platelets or red cells, on average, at least once every three months per 12-month period; or infections recurring, on average, at least once every three months per 12-month period; or using continuous therapy with immunosuppressive agent or newer platelet stimulating factors
Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period
“Requiring transfusion of platelets or red cells, on average, at least once every three months per 12-month period; or infections recurring, on average, at least once every three months per 12-month period; or using continuous therapy with immunosuppressive agent or newer platelet stimulating factors”
How does the VA rate Hematologic conditions?
Common Questions About Aplastic anemia VA Ratings
What is the VA disability rating for Aplastic anemia?
The VA rates Aplastic anemia under Diagnostic Code 7716 at the following tiers: 30%, 60%, 100%. The minimum 30% rating requires: Requiring transfusion of platelets or red cells, on average, at least once per 12-month period; or infections recurring, on average, at least once per 12-month period. The maximum 100% rating requires: Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period.
What is Diagnostic Code 7716?
Diagnostic Code 7716 is the VA rating identifier for Aplastic anemia within 38 CFR 38 CFR § 4.117. 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 Aplastic anemia?
The highest schedular rating for Aplastic anemia under DC 7716 is 100%. This tier requires: Requiring peripheral blood or bone marrow stem cell transplant; or requiring transfusion of platelets or red cells, on average, at least once every six weeks per 12-month period; or infections recurring, on average, at least once every six weeks per 12-month period. Veterans who cannot secure substantially gainful employment due to Aplastic anemia 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 Aplastic anemia ratings?
Aplastic anemia is rated under 38 CFR 38 CFR § 4.117, Diagnostic Code 7716. 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 Aplastic anemia?
Secondary conditions caused or aggravated by Aplastic anemia 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 Aplastic anemia?
Service connection for Aplastic anemia 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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