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7919
§ 4.119 Schedule of ratings—endocrine system.

Thyroid C-cell hyperplasia

An overgrowth of C-cells in the thyroid gland that may affect hormone production.

What the rating means

C-cell hyperplasia of the thyroid is not rated under its own formula. Instead, VA rates it under one of two other conditions depending on your treatment path. If antineoplastic therapy is required, VA rates it as a malignant neoplasm of the endocrine system under diagnostic code 7914. That rating is 100% and continues beyond the end of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. Six months after treatment ends, VA conducts a mandatory examination to set the appropriate rating going forward. If there has been no local recurrence or metastasis, VA then rates on residuals. If instead you had a prophylactic thyroidectomy based on genetic testing and antineoplastic therapy was not required, VA rates the condition as hypothyroidism under diagnostic code 7903. Hypothyroidism with myxedema — which includes cold intolerance, muscular weakness, cardiovascular involvement, and mental disturbance — is rated at 100%. Hypothyroidism without myxedema is rated at 30%. Each of those evaluations carries its own continuation period before VA rates any remaining residuals under the body system most affected.

Evidence that helps

The path your rating takes depends on which treatment you received, so records documenting your treatment history are central. If antineoplastic therapy was used, treatment records showing the type and dates of therapy support the 100% rating during and after treatment. After the mandatory six-month examination, records and exam findings showing any local recurrence, metastasis, or residual effects become relevant. If you had a prophylactic thyroidectomy based on genetic testing without antineoplastic therapy, records showing the genetic test result and the surgical report establish that path. To support a 100% hypothyroidism rating, medical records and exam findings would need to document myxedema features such as cold intolerance, muscular weakness, low blood pressure, slow heart rate, pericardial effusion, dementia, slowed thinking, or depression. For the 30% level, records confirming hypothyroidism without myxedema are relevant. Statements from you or people who know you describing how symptoms affect your daily activities and work can help show the functional impact of any residual effects rated under other body systems after the initial evaluation period ends.

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.