- Diagnostic Code
- 7714
- CFR Section
- §4.117 — Hemic & Lymphatic
Rating Tiers
100%
major
With at least 4 or more painful episodes per 12-month period, occurring in skin, joints, bones, or any major organs, caused by hemolysis and sickling of red blood cells, with anemia, thrombosis, and infarction, with residual symptoms precluding even light manual labor
60%
With 3 painful episodes per 12-month period or with symptoms precluding other than light manual labor
30%
With 1 or 2 painful episodes per 12-month period
10%
Asymptomatic, established case in remission, but with identifiable organ impairment
What Raters Look For
Based on M21-1 adjudication criteria for Hemic & Lymphatic conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.G- •Complete blood count (CBC) values: hemoglobin, platelet count, white cell count
- •Whether transfusions are required and how frequently
- •Bone marrow biopsy or transplant history
- •Response to treatment and current treatment regimen
- •Constitutional symptoms: fatigue, weight loss, fever