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7703
§ 4.117 Schedule of ratings—hemic and lymphatic systems.

Leukemia (acute or other than CLL)

Cancer of blood-forming tissues (leukemia) – acute or chronic (various cell types)

What the rating means

VA rates leukemia (except chronic lymphocytic leukemia, or CLL) under diagnostic code 7703. When your leukemia is active or you are in a treatment phase — including surgical therapy, radiation, antineoplastic chemotherapy, or other therapeutic procedures — VA assigns a 100 percent rating. That 100 percent rating continues for six months after treatment ends. At the six-month mark, VA requires a mandatory examination to reassess your condition. If the leukemia has not returned, VA then rates any remaining problems as residuals under whichever diagnostic code fits those specific conditions. CLL that is asymptomatic at Rai Stage 0 is rated at 0 percent. CLL that is symptomatic and at Rai Stage I, II, III, or IV is evaluated the same way as any other leukemia under this code. Any change to your rating after the mandatory examination is subject to the protections described in 38 CFR § 3.105(e).

Evidence that helps

During the active or treatment phase, medical records confirming a leukemia diagnosis and showing ongoing disease or current treatment — such as oncology notes, pathology reports, lab results, or treatment records — directly support the 100 percent rating. After treatment ends, records that document the date treatment stopped are important because they establish when the six-month continuation period begins. At the mandatory VA examination six months after treatment ends, findings about whether the disease has recurred and whether any symptoms or complications remain will determine what happens next. If residuals are present — such as anemia, fatigue, neuropathy, or organ damage — medical records and exam findings that describe those specific conditions support rating under the appropriate diagnostic code for each residual. Your own statements, and statements from people who know you, describing how ongoing symptoms affect your work and daily activities can also help show the severity of any residuals.

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.