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7705
§ 4.117 Schedule of ratings—hemic and lymphatic systems.

Immune thrombocytopenia (low platelets)

A blood disorder where the immune system destroys platelets, causing easy bruising and bleeding.

What the rating means

VA rates immune thrombocytopenia under diagnostic code 7705 based on your platelet count and the treatments your condition requires. A 0 percent rating applies when your platelet count is above 50,000 and you have no symptoms, or when your immune thrombocytopenia is in remission. A 10 percent rating applies when your platelet count is higher than 30,000 but not higher than 50,000 and you do not need treatment. A 30 percent rating applies at that same platelet range when you have immune thrombocytopenia or mild mucous membrane bleeding that requires oral corticosteroids or intravenous immune globulin. A 70 percent rating applies when you need ongoing immunosuppressive therapy, or when your platelet count is in that same range and you have a history of hospitalization for severe bleeding requiring intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions. A 100 percent rating applies when your condition requires chemotherapy for chronic refractory thrombocytopenia, or your platelet count is 30,000 or below despite treatment. A 100 percent rating continues after chemotherapy ends; six months after stopping treatment, VA must conduct a mandatory examination before any reduction can be made. If you have had a splenectomy, that is rated separately under diagnostic code 7706 and combined with this rating.

Evidence that helps

Laboratory records showing your platelet counts over time are central to establishing your rating level, particularly whether your count has been at or below 30,000, between 30,001 and 50,000, or above 50,000. Treatment records matter at every level. At 30 percent, records showing prescriptions for oral corticosteroids or orders for intravenous immune globulin tie directly to that criterion. At 70 percent, hospital admission records documenting severe bleeding episodes and the administration of intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions are key, as are records showing ongoing immunosuppressive therapy. At 100 percent, records confirming chemotherapy for chronic refractory thrombocytopenia, or lab results consistently showing a platelet count of 30,000 or below despite treatment, support that level. Hematologist or specialist notes that describe your diagnosis, treatment plan, and response to treatment help connect your lab values to the required therapies. Statements from you or people who know you describing how symptoms such as bleeding episodes have affected your daily life and ability to work can help show the real-world 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.