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7724
§ 4.117 Schedule of ratings—hemic and lymphatic systems.

Solitary plasmacytoma

A single tumor of abnormal plasma cells, typically found in bone or soft tissue.

What the rating means

VA rates solitary plasmacytoma under diagnostic code 7724. While the disease is active or you are in a treatment phase, the rating is 100%. That 100% rating continues after surgery, radiation therapy, antineoplastic chemotherapy, or other therapeutic procedures — including autologous stem cell transplantation — end. Six months after treatment stops, VA requires a mandatory examination to determine the appropriate rating going forward. Any rating reduction from that exam or a later one must follow the protective rules in 38 CFR § 3.105(e). If the plasmacytoma has not recurred by that point, VA rates any remaining residuals under whichever diagnostic codes apply to those conditions. If the solitary plasmacytoma has progressed into multiple myeloma, VA rates it as symptomatic multiple myeloma instead. Residuals of plasma cell dysplasia — such as thrombosis — and adverse effects of medical treatment — such as neuropathy — are rated separately under the diagnostic codes that fit those specific conditions.

Evidence that helps

During the active disease or treatment phase, medical records confirming the diagnosis and showing ongoing disease or a current treatment plan are central. Records documenting surgery, radiation, chemotherapy, or stem cell transplantation — and their dates — establish that a treatment phase was underway and support the 100% rating through the required continuation period. After treatment ends, a VA examination six months later will look for signs of recurrence or residual conditions. If there is no recurrence, records and exam findings that document specific residuals — for example, imaging or lab results showing thrombosis, or nerve conduction studies showing neuropathy — help establish ratings for those conditions under the codes that govern them. If the condition has progressed to multiple myeloma, records confirming that diagnosis shift the rating basis. Statements from you or treating providers describing how symptoms or treatment side effects affect your daily activities and work can support the overall picture of your condition at each stage.

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.