Hyperparathyroidism — VA Rating Criteria (38 CFR DC 7904)
The VA rates Hyperparathyroidism 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. Related conditions in the Endocrine body system share this rating framework.
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)”
How does the VA rate Endocrine conditions?
Common Questions About Hyperparathyroidism VA Ratings
What is the VA disability rating for Hyperparathyroidism?
The VA rates Hyperparathyroidism under Diagnostic Code 7904 at the following tiers: 0%, 10%, 60%, 100%. The minimum 0% rating requires: Asymptomatic. The maximum 100% rating requires: For six months from date of discharge following surgery.
What is Diagnostic Code 7904?
Diagnostic Code 7904 is the VA rating identifier for Hyperparathyroidism 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 Hyperparathyroidism?
The highest schedular rating for Hyperparathyroidism under DC 7904 is 100%. This tier requires: For six months from date of discharge following surgery. Veterans who cannot secure substantially gainful employment due to Hyperparathyroidism 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 Hyperparathyroidism ratings?
Hyperparathyroidism is rated under 38 CFR 38 CFR § 4.119, Diagnostic Code 7904. 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 Hyperparathyroidism?
Secondary conditions caused or aggravated by Hyperparathyroidism 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 Hyperparathyroidism?
Service connection for Hyperparathyroidism 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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