- Diagnostic Code
- 7900
- CFR Section
- §4.119 — Endocrine
Rating Tiers
30%
For six months after initial diagnosis
What Raters Look For
Based on M21-1 adjudication criteria for Endocrine conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.I- •Lab values: HbA1c and fasting glucose for diabetes; TSH/T4 for thyroid conditions
- •Medication requirements: whether insulin is required vs. oral agents only
- •Regulation of the condition: whether it is well-controlled or labile
- •Complications present: neuropathy, retinopathy, nephropathy, vascular disease
- •Frequency of hypoglycemic episodes and whether they require medical assistance
- •Dietary restrictions required for management
NoteFor diabetes (DC 7913), insulin use alone qualifies for 20%. Raters look for regulation issues and complications to determine higher ratings.