Pernicious anemia and Vitamin Bdeficiency anemia: 12 — VA Rating Criteria (38 CFR DC 7722)

The VA rates Pernicious anemia and Vitamin Bdeficiency anemia: 12 under Diagnostic Code 7722 at the following tiers: 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.

Diagnostic Code 7722 is the VA rating identifier for Pernicious anemia and Vitamin Bdeficiency anemia: 12 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 Pernicious anemia and Vitamin Bdeficiency anemia: 12 under DC 7722 is 100%. This tier 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. Veterans who cannot secure substantially gainful employment due to Pernicious anemia and Vitamin Bdeficiency anemia: 12 alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.

Pernicious anemia and Vitamin Bdeficiency anemia: 12 is rated under 38 CFR 38 CFR § 4.117, Diagnostic Code 7722. 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 Pernicious anemia and Vitamin Bdeficiency anemia: 12 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 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 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.