Endocrine System Conditions and Hyperthyroid Heart Disease
The endocrine system includes glands that regulate essential body functions through hormones. The VA rates these conditions based on severity, symptoms, and impact on daily activities.
VASRD Conditions and Codes
(Organized Alphabetically by Condition Name)
Acromegaly (Code 7908)
- Description: Overproduction of growth hormone by the pituitary gland, causing disfigurement or gigantism.
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Ratings:
- 100%: Skull pressure affecting vision, joint disease, glucose intolerance, and high blood pressure.
- 60%: Joint disease, glucose intolerance, and high blood pressure.
- 30%: Significant limb overgrowth and bone enlargement.
C-cell Hyperplasia of the Thyroid (Code 7919)
- Description: Abnormal growth of thyroid C-cells into cancer.
-
Ratings:
- 100%: Active cancer (rated for 6 months post-treatment).
- Residual symptoms rated based on affected functions (e.g., high blood pressure).
Cushingโs Syndrome (Code 7907)
- Description: Excess cortisol in the body, often due to pituitary gland tumors or prolonged steroid use.
-
Ratings:
- 100%: Active disease with muscle weakness, osteoporosis, and glandular swelling.
- 60%: Stable disease with muscle weakness and glandular swelling.
- 30%: Obesity, "moon face," stretch marks, and glucose intolerance.
Diabetes Insipidus (Code 7909)
- Description: Impaired water regulation from low antidiuretic hormone or kidney dysfunction.
-
Ratings:
- 100%: Continuous thirst, polyuria, and โฅ3 dehydration episodes requiring IV treatment annually.
- 60%: Continuous thirst, polyuria, and 1โ2 dehydration episodes requiring IV treatment annually.
- 40%: Continuous thirst, polyuria, and dehydration episodes not requiring IV treatment.
- 20%: Continuous thirst and polyuria without dehydration.
Diabetes Mellitus (Code 7913)
- Description: Type 1 or Type 2 diabetes caused by insulin deficiency or resistance, potentially affecting multiple organs.
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Ratings:
- 100%: Requires daily insulin, restricted diet, minimal physical activity, โฅ3 hospitalizations annually, and continuous weight loss and weakness.
- 60%: Requires daily insulin, restricted diet, minimal physical activity, and โค2 hospitalizations annually.
- 40%: Requires daily insulin, restricted diet, and minimal physical activity.
- 20%: Requires insulin or oral medication and a restricted diet.
- 10%: Managed by restricted diet alone.
Hyperparathyroidism (Code 7904)
- Description: Overactive parathyroid glands causing high calcium levels, depression, fatigue, and bone pain.
-
Ratings:
- 100%: Kidney stones, bone calcium loss, and severe gastrointestinal symptoms.
- 60%: Gastrointestinal symptoms and weakness.
- 10%: Constant medication required.
Hyperthyroidism (Code 7900)
- Description: Excessive hormone production by the thyroid, causing body functions to accelerate.
-
Ratings:
- 100%: Swollen thyroid, heart rate >100 bpm, eye problems, weakness, weight loss, and systemic symptoms.
- 60%: Unstable emotions, rapid heart rate, fatigue, and increased pulse or blood pressure.
- 30%: Rapid heart rate, tremors, and increased pulse or blood pressure.
- 10%: Occasional rapid heart rate, tremors, or constant medication required.
Hyperthyroid Heart Disease (Code 7008)
- Description: Heart disease caused by excess thyroid hormone, affecting blood pressure and heart function.
- Ratings: Rated underย 7900ย unless atrial fibrillation is present. If present, it can also be rated underย 7010ย (supraventricular arrhythmias).
Hypoparathyroidism (Code 7905)
- Description: Underactive parathyroid glands, leading to low calcium levels and symptoms like cramping and fatigue.
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Ratings:
- 100%: Severe cramping, brain swelling, cataracts, and systemic symptoms.
- 60%: Muscle cramps or paresthesia with eye or brain symptoms.
- 10%: Constant medication required.
Hypothyroidism (Code 7903)
- Description: Insufficient thyroid hormone production, causing symptoms like weight gain, fatigue, and depression.
-
Ratings:
- 100%: Cold intolerance, muscle weakness, mental health issues, slow heart rate, and systemic problems.
- 60%: Muscle weakness, mental health issues, and weight gain.
- 30%: Fatigue, constipation, and slow mental function.
- 10%: Fatigue or constant medication required.
Nontoxic Adenoma of the Thyroid (Code 7902)
- Description: A non-hormone-producing thyroid tumor causing disfigurement or organ compression.
-
Ratings:
- 20%: Disfigurement of the head or neck.
- 0%: No disfigurement.
Pluriglandular Syndrome (Code 7912)
- Description: A condition affecting multiple endocrine glands simultaneously.
-
Ratings: Based on the primary symptom or condition caused (e.g., high blood pressure).
- Example:ย 7912-7101ย (Pluriglandular syndrome rated as high blood pressure).
Toxic Adenoma of the Thyroid (Code 7901)
- Description: A hormone-producing thyroid tumor causing hyperthyroidism-like symptoms.
-
Ratings:
- 100%: Swollen thyroid, heart rate >100 bpm, eye problems, weakness, weight loss, and systemic symptoms.
- 60%: Unstable emotions, rapid heart rate, fatigue, and increased pulse or blood pressure.
- 30%: Rapid heart rate, tremors, and increased pulse or blood pressure.
- 10%: Occasional rapid heart rate, tremors, or constant medication required.
Key Notes
Hyphenated Codes
Some conditions are rated based on their primary symptoms (e.g., 7912-7101).
Residual Symptoms
Post-treatment symptoms or complications are rated separately under the most applicable system.
Secondary Conditions
For diabetes mellitus, secondary complications can be rated separately unless the primary condition is rated at 100%.
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