- Diagnostic Code
- 7903
- CFR Section
- §4.119 — Endocrine
Rating Tiers
100%
Hypothyroidism manifesting as myxedema (cold intolerance, muscular weakness, cardiovascular involvement (including, but not limited to hypotension, bradycardia, and pericardial effusion), and mental disturbance (including, but not limited to dementia, slowing of thought and depression))
30%
Hypothyroidism without myxedema
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.