- Diagnostic Code
- 7721
- CFR Section
- §4.117 — Hemic & Lymphatic
Rating Tiers
100%
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]
10%
Requiring continuous treatment with high-dose oral supplementation | 12 12 12 Requiring continuous treatment with Vitamin Binjections, Vitamin Bsublingual or high-dose oral tablets, or Vitamin Bnasal spray or gel
0%
Asymptomatic or requiring treatment only by dietary modification
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