Folic acid deficiency — VA Rating Criteria (38 CFR DC 7721)

The VA rates Folic acid deficiency under Diagnostic Code 7721 at the following tiers: 0%, 10%. The minimum 0% rating requires: Asymptomatic or requiring treatment only by dietary modification. The maximum 10% rating requires: Requiring continuous treatment with high-dose oral supplementation.

Diagnostic Code 7721 is the VA rating identifier for Folic acid deficiency 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.

The highest schedular rating for Folic acid deficiency under DC 7721 is 10%. This tier requires: Requiring continuous treatment with high-dose oral supplementation. Veterans who cannot secure substantially gainful employment due to Folic acid deficiency alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Folic acid deficiency is rated under 38 CFR 38 CFR § 4.117, Diagnostic Code 7721. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Folic acid deficiency may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Folic acid deficiency 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.