Endocrine

DC 7907

Cushing's syndrome

Educational use only. Not legal or medical advice. Read 38 CFR §4.119 on eCFR
Diagnostic Code
7907
CFR Section
§4.119 — Endocrine

Rating Tiers

100%

As active, progressive disease, including areas of osteoporosis, hypertension, and proximal upper and lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms

60%

Proximal upper or lower extremity muscle wasting that results in inability to rise from squatting position, climb stairs, rise from a deep chair without assistance, or raise arms

30%

With striae, obesity, moon face, glucose intolerance, and vascular fragility

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.
Diagnostic Code 7907 — Cushing's syndrome | VA Rating Criteria