38 C.F.R. § 4.117 Schedule of ratings—hemic and lymphatic systems.
Title 38 - Pensions, Bonuses, and Veterans' Relief
[60 FR 49227, Sept. 22, 1995]
Title 38: Pensions, Bonuses, and Veterans' Relief
PART 4—SCHEDULE FOR RATING DISABILITIES
Subpart B—Disability Ratings
The Hemic and Lymphatic Systems
§ 4.117 Schedule of ratings—hemic and lymphatic systems.
------------------------------------------------------------------------ Rating------------------------------------------------------------------------7700 Anemia, hypochromic-microcytic and megaloblastic, such as iron-deficiency and pernicious anemia: Hemoglobin 5gm/100ml or less, with findings such as high 100 output congestive heart failure or dyspnea at rest........ Hemoglobin 7gm/100ml or less, with findings such as dyspnea 70 on mild exertion, cardiomegaly, tachycardia (100 to 120 beats per minute) or syncope (three episodes in the last six months)............................................... Hemoglobin 8gm/100ml or less, with findings such as 30 weakness, easy fatigability, headaches, lightheadedness, or shortness of breath.................................... Hemoglobin 10gm/100ml or less with findings such as 10 weakness, easy fatigability or headaches.................. Hemoglobin 10gm/100ml or less, asymptomatic................ 0Note: Evaluate complications of pernicious anemia, such as dementia or peripheral neuropathy, separately.7702 Agranulocytosis, acute: Requiring bone marrow transplant, or; requiring transfusion 100 of platelets or red cells at least once every six weeks, or; infections recurring at least once every six weeks.... Requiring transfusion of platelets or red cells at least 60 once every three months, or; infections recurring at least once every three months................................... Requiring transfusion of platelets or red cells at least 30 once per year but less than once every three months, or; infections recurring at least once per year but less than once every three months................................... Requiring continuous medication for control................ 10Note: The 100 percent rating for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue with a mandatory VA examination six months following hospital discharge. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter.7703 Leukemia: With active disease or during a treatment phase............ 100 Otherwise rate as anemia (code 7700) or aplastic anemia (code 7716), whichever would result in the greater benefit.Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no recurrence, rate on residuals.7704 Polycythemia vera: During periods of treatment with myelosuppressants and for 100 three months following cessation of myelosuppressant therapy................................................... Requiring phlebotomy....................................... 40 Stable, with or without continuous medication.............. 10Note: Rate complications such as hypertension, gout, stroke or thrombotic disease separately.7705 Thrombocytopenia, primary, idiopathic or immune: Platelet count of less than 20,000, with active bleeding, 100 requiring treatment with medication and transfusions...... Platelet count between 20,000 and 70,000, not requiring 70 treatment, without bleeding............................... Stable platelet count between 70,000 and 100,000, without 30 bleeding.................................................. Stable platelet count of 100,000 or more, without bleeding. 07706 Splenectomy............................................... 20Note: Rate complications such as systemic infections with encapsulated bacteria separately.7707 Spleen, injury of, healed. Rate for any residuals.7709 Hodgkin's disease: With active disease or during a treatment phase............ 100Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.7710 Adenitis, tuberculous, active or inactive. Rate under §§ 4.88c or 4.89 of this part, whichever is appropriate.7714 Sickle cell anemia: With repeated painful crises, occurring in skin, joints, 100 bones or any major organs caused by hemolysis and sickling of red blood cells, with anemia, thrombosis and infarction, with symptoms precluding even light manual labor..................................................... With painful crises several times a year or with symptoms 60 precluding other than light manual labor.................. Following repeated hemolytic sickling crises with 30 continuing impairment of health........................... Asymptomatic, established case in remission, but with 10 identifiable organ impairment.............................Note: Sickle cell trait alone, without a history of directly attributable pathological findings, is not a ratable disability. Cases of symptomatic sickle cell trait will be forwarded to the Director, Compensation and Pension Service, for consideration under § 3.321(b)(1) of this chapter.7715 Non-Hodgkin's lymphoma: With active disease or during a treatment phase............ 100Note: The 100 percent rating shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedures. Six months after discontinuance of such treatment, the appropriate disability rating shall be dtermined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals.7716 Aplastic anemia: Requiring bone marrow transplant, or; requiring transfusion 100 of platelets or red cells at least once every six weeks, or; infections recurring at least once every six weeks.... Requiring transfusion of platelets or red cells at least 60 once every three months, or; infections recurring at least once every three months................................... Requiring transfusion of platelets or red cells at least 30 once per year but less than once every three months, or; infections recurring at least once per year but less than once every three months................................... Requiring continuous medication for control................ 10Note: The 100 percent rating for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue with a mandatory VA examination six months following hospital discharge. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter.------------------------------------------------------------------------
