[Code of Federal Regulations]
[Title 38, Volume 1]
[Revised as of July 1, 2003]
From the U.S. Government Printing Office via GPO Access
[CITE: 38CFR4.119]
[Page 431-433]
TITLE 38--PENSIONS, BONUSES, AND VETERANS' RELIEF
CHAPTER I--DEPARTMENT OF VETERANS AFFAIRS
PART 4--SCHEDULE FOR RATING DISABILITIES--Table of Contents
Subpart B--Disability Ratings
Sec. 4.119 Schedule of ratings--endocrine system.
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Rating
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7900 Hyperthyroidism
Thyroid enlargement, tachycardia (more than 100 beats per 100
minute), eye involvement, muscular weakness, loss of weight,
and sympathetic nervous system, cardiovascular, or
astrointestinal symptoms.....................................
Emotional instability, tachycardia, fatigability, and 60
increased pulse pressure or blood pressure...................
Tachycardia, tremor, and increased pulse pressure or blood 30
pressure.....................................................
Tachycardia, which may be intermittent, and tremor, or; 10
continuous medication required for control...................
Note (1): If disease of the heart is the predominant finding,
evaluate as hyperthyroid heart disease (DC 7008) if doing so
would result in a higher evaluation than using the criteria
above.
Note (2): If ophthalmopathy is the sole finding, evaluate as
field vision, impairment of (DC 6080); diplopia (DC 6090); or
impairment of central visual acuity (DC 6061-6079).
7901 Thyroid gland, toxic adenoma of
Thyroid enlargement, tachycardia (more than 100 beats per 100
minute), eye involvement, muscular weakness, loss of weight,
and sympathetic nervous system, cardiovascular, or
gastrointestinal symptoms....................................
Emotional instability, tachycardia, fatigability, and 60
increased pulse pressure or blood pressure...................
[[Page 432]]
Tachycardia, tremor, and increased pulse pressure or blood 30
pressure.....................................................
Tachycardia, which may be intermittent, and tremor, or; 10
continuous medication required for control...................
Note (1): If disease of the heart is the predominant finding,
evaluate as hyperthyroid heart disease (DC 7008) if doing so
would result in a higher evaluation than using the criteria
above.
Note (2): If ophthalmopathy is the sole finding, evaluate as
field vision, impairment of (DC 6080); diplopia (DC 6090); or
impairment of central visual acuity (DC 6061-6079).
7902 Thyroid gland, nontoxic adenoma of
With disfigurement of the head or neck........................ 20
Without disfigurement of the head or neck..................... 0
Note: If there are symptoms due to pressure on adjacent organs
such as the trachea, larynx, or esophagus, evaluate under the
diagnostic code for disability of that organ, if doing so
would result in a higher evaluation than using this
diagnostic code.
7903 Hypothyroidism
Cold intolerance, muscular weakness, cardiovascular 100
involvement, mental disturbance (dementia, slowing of
thought, depression), bradycardia (less than 60 beats per
minute), and sleepiness......................................
Muscular weakness, mental disturbance, and weight gain........ 60
Fatigability, constipation, and mental sluggishness........... 30
Fatigability, or; continuous medication required for control.. 10
7904 Hyperparathyroidism
Generalized decalcification of bones, kidney stones, 100
gastrointestinal symptoms (nausea, vomiting, anorexia,
constipation, weight loss, or peptic ulcer), and weakness....
Gastrointestinal symptoms and weakness........................ 60
Continuous medication required for control.................... 10
Note: Following surgery or treatment, evaluate as digestive,
skeletal, renal, or cardiovascular residuals or as endocrine
dysfunction.
7905 Hypoparathyroidism
Marked neuromuscular excitability (such as convulsions, 100
muscular spasms (tetany), or laryngeal stridor) plus either
cataract or evidence of increased intracranial pressure (such
as papilledema)..............................................
Marked neuromuscular excitability, or; paresthesias (of arms, 60
legs, or circumoral area) plus either cataract or evidence of
increased intracranial pressure..............................
Continuous medication required for control.................... 10
7907 Cushing's syndrome
As active, progressive disease including loss of muscle 100
strength, areas of osteoporosis, hypertension, weakness, and
enlargement of pituitary or adrenal gland....................
Loss of muscle strength and enlargement of pituitary or 60
adrenal gland................................................
With striae, obesity, moon face, glucose intolerance, and 30
vascular fragility...........................................
Note: With recovery or control, evaluate as residuals of
adrenal insufficiency or cardiovascular, psychiatric, skin,
or skeletal complications under appropriate diagnostic code.
7908 Acromegaly
Evidence of increased intracranial pressure (such as visual 100
field defect), arthropathy, glucose intolerance, and either
hypertension or cardiomegaly.................................
Arthropathy, glucose intolerance, and hypertension............ 60
Enlargement of acral parts or overgrowth of long bones, and 30
enlarged sella turcica.......................................
7909 Diabetes insipidus
Polyuria with near-continuous thirst, and more than two 100
documented episodes of dehydration requiring parenteral
hydration in the past year...................................
Polyuria with near-continuous thirst, and one or two 60
documented episodes of dehydration requiring parenteral
hydration in the past year...................................
Polyuria with near-continuous thirst, and one or more episodes 40
of dehydration in the past year not requiring parenteral
hydration....................................................
Polyuria with near-continuous thirst.......................... 20
7911 Addison's disease (Adrenal Cortical Hypofunction)
Four or more crises during the past year...................... 60
Three crises during the past year, or; five or more episodes 40
during the past year.........................................
One or two crises during the past year, or; two to four 20
episodes during the past year, or; weakness and fatigability,
or; corticosteroid therapy required for control..............
Note (1): An Addisonian ``crisis'' consists of the rapid onset
of peripheral vascular collapse (with acute hypotension and
shock), with findings that may include: anorexia; nausea;
vomiting; dehydration; profound weakness; pain in abdomen,
legs, and back; fever; apathy, and depressed mentation with
possible progression to coma, renal shutdown, and death.
Note (2): An Addisonian ``episode,'' for VA purposes, is a
less acute and less severe event than an Addisonian crisis
and may consist of anorexia, nausea, vomiting, diarrhea,
dehydration, weakness, malaise, orthostatic hypotension, or
hypoglycemia, but no peripheral vascular collapse.
Note (3): Tuberculous Addison's disease will be evaluated as
active or inactive tuberculosis. If inactive, these
evaluations are not to be combined with the graduated ratings
of 50 percent or 30 percent for non-pulmonary tuberculosis
specified under Sec. 4.88b. Assign the higher rating.
7912 Pluriglandular syndrome
Evaluate according to major manifestations.
7913 Diabetes mellitus
Requiring more than one daily injection of insulin, restricted 100
diet, and regulation of activities (avoidance of strenuous
occupational and recreational activities) with episodes of
ketoacidosis or hypoglycemic reactions requiring at least
three hospitalizations per year or weekly visits to a
diabetic care provider, plus either progressive loss of
weight and strength or complications that would be
compensable if separately evaluated..........................
Requiring insulin, restricted diet, and regulation of 60
activities with episodes of ketoacidosis or hypoglycemic
reactions requiring one or two hospitalizations per year or
twice a month visits to a diabetic care provider, plus
complications that would not be compensable if separately
evaluated....................................................
Requiring insulin, restricted diet, and regulation of 40
activities...................................................
Requiring insulin and restricted diet, or; oral hypoglycemic 20
agent and restricted diet....................................
Manageable by restricted diet only............................ 10
[[Page 433]]
Note (1): Evaluate compensable complications of diabetes
separately unless they are part of the criteria used to
support a 100 percent evaluation. Noncompensable
complications are considered part of the diabetic process
under diagnostic code 7913.
Note (2): When diabetes mellitus has been conclusively
diagnosed, do not request a glucose tolerance test solely for
rating purposes.
7914 Neoplasm, malignant, any specified part of the endocrine 100
system.........................................................
Note: A rating of 100 percent shall continue beyond the
cessation of any surgical, X-ray, antineoplastic chemotherapy
or other therapeutic procedure. Six months after
discontinuance of such treatment, the appropriate disability
rating shall be determined by mandatory VA examination. Any
change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of Sec.
3.105(e) of this chapter. If there has been no local
recurrence or metastasis, rate on residuals.
7915 Neoplasm, benign, any specified part of the endocrine
system rate as residuals of endocrine dysfunction.
7916 Hyperpituitarism (prolactin secreting pituitary
dysfunction)
7917 Hyperaldosteronism (benign or malignant)
7918 Pheochromocytoma (benign or malignant)
Note: Evaluate diagnostic codes 7916, 7917, and 7918 as
malignant or benign neoplasm as appropriate.
7919 C-cell hyperplasia of the thyroid......................... 100
Note: A rating of 100 percent shall continue beyond the
cessation of any surgical, X-ray, antineoplastic chemotherapy
or other therapeutic procedure. Six months after
discontinuance of such treatment, the appropriate disability
rating shall be determined by mandatory VA examination. Any
change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of Sec.
3.105(e) of this chapter. If there has been no local
recurrence or metastasis, rate on residuals.
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(Authority: 38 U.S.C. 1155)
[61 FR 20446, May 7, 1996]
Neurological Conditions and Convulsive Disorders
Editorial Note: For Federal Register citations affecting Sec. 3.1,
see the List of Sections Affected, which appears in the Finding Aids
section of the printed volume and on GPO Access.
PART I -- DEPT OF VA
CFR
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