- Diagnostic Code
- 7904
- CFR Section
- §4.119 — Endocrine
Rating Tiers
100%
For six months from date of discharge following surgery
60%
Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture)
10%
Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control
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.