30% (DC 7900, hyperthyroidism, within six months)
Highest listed pathwayHyperthyroidism (including Graves' disease), for the six months following initial diagnosis.
What separates the next level: After six months, this tier expires. The regulation's own text directs rating residuals in the appropriate body system, but names no destination code -- see the dedicated disclosure on this gap.
Review CFR criteria, examples, and evidence
- Official CFR language
- 7900 Hyperthyroidism, including but not limited to Graves' disease: For six months after initial diagnosis -- 30.
- Qualification explanation
- DC 7900's single named tier, reached automatically once the diagnosis is confirmed and the six-month window has not yet passed.
- Examples
- Records document a hyperthyroidism diagnosis confirmed 3 months ago.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ; Records establishing the initial diagnosis date
- Functional impact examples
- Recently diagnosed hyperthyroidism, still within the initial evaluation window.
- Common misconceptions
- This tier does not continue indefinitely, and there is no explicit lower tier to fall back to -- once it expires, the regulation is silent on what comes next.
- Related topics
- expiration-gap
- Source context
- 38 CFR 4.119; 7900; Current DC 7900-7919 educational pathway. RIN 2900-AQ72/AQ73/AQ82 do not touch 38 CFR 4.119 (RSCH-044).
100% (DC 7903, hypothyroidism with myxedema)
Highest listed pathwayHypothyroidism manifesting as myxedema (cold intolerance, muscular weakness, cardiovascular involvement, mental disturbance), for six months beyond crisis stabilization.
What separates the next level: Without myxedema, DC 7903's 30 percent tier applies instead, on its own separate six-month clock from initial diagnosis.
Review CFR criteria, examples, and evidence
- Official CFR language
- Hypothyroidism manifesting as myxedema... This evaluation shall continue for six months beyond the date that an examining physician has determined crisis stabilization -- 100.
- Qualification explanation
- Reached once myxedema is documented and the six-month post-stabilization window has not yet passed.
- Examples
- Records document myxedema-manifesting hypothyroidism, with crisis stabilization confirmed 2 months ago.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ; Records establishing crisis stabilization date and myxedema manifestations
- Functional impact examples
- Severe hypothyroidism with myxedema, within the post-stabilization evaluation window.
- Common misconceptions
- This tier's criteria are genuinely disputed -- see the dedicated disclosure on the acute-vs-chronic disagreement between the regulation and VA's own DBQ.
- Related topics
- 7903-acute-vs-chronic; expiration-gap
- Source context
- 38 CFR 4.119; 7903; Current DC 7903 educational pathway.
100% (DC 7904, hyperparathyroidism, post-surgery)
Highest listed pathwayHyperparathyroidism, for the six months from the date of hospital discharge following surgery.
What separates the next level: After this window, DC 7904 continues with a real, mostly-stable 60/10/0 percent ladder -- but the 60 percent hypercalcemia tier itself has a second, hidden six-month clock when treated non-surgically. See its dedicated disclosure.
Review CFR criteria, examples, and evidence
- Official CFR language
- 7904 Hyperparathyroidism: For six months from date of discharge following surgery -- 100.
- Qualification explanation
- Reached automatically for six months from the date of hospital discharge following surgery.
- Examples
- Records document hyperparathyroidism surgery, with hospital discharge 3 months ago.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ; Surgical records
- Functional impact examples
- Recent parathyroid surgery, within the post-operative evaluation window.
- Common misconceptions
- Unlike DC 7900/DC 7903, DC 7904's 10 and 0 percent tiers are genuinely stable, non-expiring findings -- only its 100 and (conditionally) 60 percent tiers are time-limited.
- Related topics
- 7904-nested-expiration
- Source context
- 38 CFR 4.119; 7904; Current DC 7904 educational pathway.
0% (DC 7904/7906, real explicit tiers)
Next: 30%/100% (varies by code and manifestation)Asymptomatic hyperparathyroidism (DC 7904), or thyroiditis with normal thyroid function (DC 7906), are both genuine, explicitly stated 0 percent outcomes.
What separates the next level: These 0 percent tiers are genuinely stable -- distinct from DC 7900/7903's expired-with-no-named-destination situation, which is NOT a 0 percent outcome, just an undefined one.
Review CFR criteria, examples, and evidence
- Official CFR language
- 7904: 'Asymptomatic -- 0.' 7906: 'With normal thyroid function -- 0.'
- Qualification explanation
- These are real, stated regulatory outcomes for a documented asymptomatic or normally-functioning presentation.
- Examples
- Records document thyroiditis with normal, unaffected thyroid function on lab testing.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ
- Functional impact examples
- Findings within the code's own explicitly stated non-compensable range.
- Common misconceptions
- A 0 percent result here means the regulation directly and explicitly states 0 percent for this finding -- it is not the same as the expired, undefined situation under DC 7900/7903.
- Related topics
- expiration-gap
- Source context
- 38 CFR 4.119; 7904/7906; Current DC 7900-7919 educational pathway.
100% (DC 7914, malignant neoplasm, any specified part of the endocrine system)
Highest listed pathwayMalignant neoplasm (cancer) of any part of the endocrine system -- not limited to thyroid or parathyroid, this code also covers pituitary, adrenal, and pancreatic-islet-cell cancers, among other endocrine sites -- rated 100 percent through active treatment.
What separates the next level: This 100 percent rating continues beyond the cessation of treatment. Six months after treatment ends, a mandatory VA examination determines the appropriate rating going forward; if there has been no local recurrence or metastasis, VA then rates on residuals under the appropriate diagnostic code(s) instead. DC 7914 is not thyroid/parathyroid-exclusive -- it covers a malignant neoplasm in any specified part of the endocrine system, including pituitary, adrenal, and pancreatic-islet-cell cancers -- it is included in this hub because VA's combined DBQ documents thyroid and parathyroid malignancies under this same code.
Review CFR criteria, examples, and evidence
- Official CFR language
- 7914 Neoplasm, malignant, any specified part of the endocrine system -- 100.
- Qualification explanation
- Reached automatically once a malignant endocrine-system neoplasm is diagnosed, and continues through active treatment (surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure).
- Examples
- Records document a malignant thyroid neoplasm currently undergoing antineoplastic chemotherapy.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ; Oncology and treatment records; Mandatory VA examination findings six months after treatment ends
- Functional impact examples
- Active treatment for a malignant endocrine-system neoplasm, or within six months of treatment ending, pending the mandatory VA reexamination.
- Common misconceptions
- This code is not exclusive to thyroid or parathyroid cancer -- it covers a malignant neoplasm in any specified part of the endocrine system. The 100 percent rating also does not end automatically at six months post-treatment; it continues until the mandatory VA examination determines there is no local recurrence or metastasis, at which point the rating shifts to residuals.
- Source context
- 38 CFR 4.119; 7914; Current DC 7914 educational pathway.
Rate as residuals (DC 7915, benign neoplasm, any specified part of the endocrine system)
Next: Varies -- determined by the diagnostic code covering the specific resulting endocrine dysfunction, if anyBenign neoplasm of any part of the endocrine system -- like DC 7914, not limited to thyroid or parathyroid -- has no independent percentage of its own; VA rates it based on whatever residual endocrine dysfunction it actually causes.
What separates the next level: Unlike DC 7914's malignant-neoplasm code, DC 7915 has no percentage tiers of its own at all -- structurally similar to DC 7901/DC 7902's pure redirects, but for benign growths anywhere in the endocrine system rather than goiter specifically. DC 7915 is not thyroid/parathyroid-exclusive -- it covers a benign neoplasm in any specified part of the endocrine system, including pituitary, adrenal, and pancreatic-islet-cell growths -- it is included in this hub because VA's combined DBQ documents thyroid and parathyroid benign neoplasms under this same code.
Review CFR criteria, examples, and evidence
- Official CFR language
- 7915 Neoplasm, benign, any specified part of the endocrine system: Rate as residuals of endocrine dysfunction.
- Qualification explanation
- Applies once a benign endocrine-system neoplasm is diagnosed. DC 7915 does not assign its own percentage -- VA instead rates whatever endocrine dysfunction the growth actually causes under the appropriate diagnostic code(s).
- Examples
- Records document a benign thyroid neoplasm with no resulting hormonal dysfunction documented.
- Medical evidence
- Thyroid and Parathyroid Conditions DBQ; Pathology records confirming benign status; Records documenting any resulting endocrine dysfunction
- Functional impact examples
- A diagnosed benign endocrine-system neoplasm, with the actual rating determined by whatever residual dysfunction, if any, it causes.
- Common misconceptions
- This code is not exclusive to thyroid or parathyroid growths -- it covers a benign neoplasm in any specified part of the endocrine system. It also carries no percentage of its own -- a 0 percent-equivalent result requires no documented resulting dysfunction, not simply a benign diagnosis.
- Source context
- 38 CFR 4.119; 7915; Current DC 7915 educational pathway.