Acquired hemolytic anemia is rated under diagnostic code 7723: 10 percent for one course of immunosuppressive therapy in a year, 30 percent for two or three courses, 60 percent for four or more, and 100 percent for bone marrow transplant or continuous intravenous or immunosuppressive therapy. Asymptomatic disease rates 0 percent.
Acquired agranulocytosis is rated under diagnostic code 7702: 10 percent for continuous medication or intermittent growth factor to hold neutrophils at 1500 or above, 30 percent for growth factors maintaining counts above 1000 or yearly infections, 60 percent for therapy holding counts between 500 and 1000 or infections every three months, and 100 percent for bone marrow transplant or infections recurring at least every six weeks.
Aplastic anemia is rated under diagnostic code 7716 at 30, 60, or 100 percent based on the treatment the condition requires: how often transfusions are needed, how often infections recur, whether continuous immunosuppressive therapy is required, and whether a stem cell transplant was performed. Hemoglobin values no longer set the percentage under the criteria in force since December 9, 2018.
Chronic pain syndrome is rated by analogy to fibromyalgia under diagnostic code 5025 at 10, 20, or 40 percent based on pain severity and treatment.
Common variable immunodeficiency has no diagnostic code of its own. VA rates it by analogy under 38 CFR 4.20 to the listed condition that best matches its dominant effects, and rates each documented complication, such as recurrent lung infections, bronchiectasis, or gastrointestinal involvement, under the body system it affects. The immunoglobulin replacement record and the infection history are the core evidence.
Folic acid deficiency is rated under diagnostic code 7721: 10 percent when continuous high dose oral supplementation is required, and 0 percent when asymptomatic or managed by diet alone.
HIV-related illness is rated under diagnostic code 6351 at 10, 30, 60, or 100 percent based on symptom severity, CD4 count, and complications.
Hemophilia has no diagnostic code of its own in the rating schedule, so VA rates it by analogy, most often under a built up code such as 7799-7705 borrowing the immune thrombocytopenia criteria, which are driven by bleeding episodes and treatment intensity. The joint damage repeated bleeds cause is rated separately, joint by joint, under the musculoskeletal codes, and that is often where most of the compensation sits.
Iron deficiency anemia is rated under diagnostic code 7720 at 0, 10, or 30 percent based on the treatment required: 30 percent for intravenous iron infusions four or more times per year, 10 percent for at least one infusion per year or continuous oral iron supplementation, and 0 percent when asymptomatic or managed by diet alone. Iron deficiency caused by blood loss is rated under the condition causing the blood loss instead.
Complete loss of the sense of smell is rated under diagnostic code 6275 at 10 percent. The rating requires an anatomical or pathological basis, such as head trauma, chronic sinus disease, or toxic exposure. Partial loss is rated 0 percent under this code.
Complete loss of the sense of taste is rated under diagnostic code 6276 at 10 percent, and requires an anatomical or pathological basis. Partial loss rates 0 percent under this code.
Chronic Lyme disease residuals are rated by analogy under diagnostic code 6319 based on the affected body system and severity.
Active malaria is rated at 100 percent under diagnostic code 6304. After active disease resolves, residuals such as liver damage or spleen damage are rated under the appropriate diagnostic code.
Avitaminosis (diagnostic code 6313), beriberi (6314), pellagra (6315), and malnutrition are presumptive for former prisoners of war. Ratings run from 0 percent for a confirmed but asymptomatic diagnosis up to 100 percent for the most severe pictures, such as beriberi heart disease with congestive failure or pellagra with marked mental changes.
Pernicious anemia and B12 deficiency anemia are rated under diagnostic code 7722: 100 percent for the initial diagnosis period when transfusion is required or there are central nervous system signs such as neuropathy requiring parenteral B12, and 10 percent when the condition requires continuous B12 treatment by injection, sublingual or high dose oral tablets, or nasal spray. Lasting neurologic damage is rated separately under the nerve codes.
Schistosomiasis residuals are rated under diagnostic code 6320 based on the affected organ system, most commonly liver, bladder, or bowel.
Sickle cell disease is rated under diagnostic code 7714 at 10, 30, 60, or 100 percent based on crisis frequency and end-organ damage.
Immune thrombocytopenia is rated under diagnostic code 7705 at 30, 70, or 100 percent based on platelet count and bleeding symptoms.