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7719
§ 4.117 Schedule of ratings—hemic and lymphatic systems.

Chronic myelogenous leukemia (CML)

A slow-growing blood cancer affecting white blood cells in the bone marrow and blood.

What the rating means

VA rates chronic myelogenous leukemia (also called chronic myeloid leukemia or chronic granulocytic leukemia) under diagnostic code 7719, with possible ratings of 100%, 60%, and 30%.

A 100% rating applies if your condition requires a peripheral blood or bone marrow stem cell transplant, or continuous myelosuppressive or immunosuppressive therapy. The 100% rating begins on the date of hospital admission for a transplant, or during the period of chemotherapy treatment including myelosuppressants. Six months after hospital discharge, or six months after completing chemotherapy, VA must conduct a mandatory examination to determine the appropriate rating going forward.

A 60% rating applies if your condition requires intermittent myelosuppressive therapy, molecularly targeted therapy with tyrosine kinase inhibitors, or interferon treatment when not in apparent remission.

A 30% rating applies if your condition is in apparent remission while you are on continuous molecularly targeted therapy with tyrosine kinase inhibitors.

If the condition undergoes leukemic transformation, VA evaluates it as leukemia under diagnostic code 7703 instead.

Evidence that helps

Medical records documenting your current treatment are central to establishing which rating level applies. For a 100% rating, records should show that a peripheral blood or bone marrow stem cell transplant has been performed or scheduled, or that you are receiving continuous myelosuppressive or immunosuppressive therapy. Hospital admission dates and discharge summaries, treatment start and end dates, and oncology notes confirming the ongoing nature of therapy all directly support this level.

For a 60% rating, records should show that you are receiving intermittent myelosuppressive therapy, molecularly targeted therapy with tyrosine kinase inhibitors, or interferon treatment, and that you are not in apparent remission. Oncology or hematology notes describing treatment schedules, prescription records, and lab results reflecting disease activity are relevant here.

For a 30% rating, records should show you are in apparent remission while maintained on continuous molecularly targeted therapy with tyrosine kinase inhibitors. Hematology notes confirming remission status and documentation of ongoing tyrosine kinase inhibitor prescriptions support this level.

Statements from you describing how treatment affects your ability to work and carry out daily activities can also help VA understand the full impact of your condition.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.