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Pernicious anemia and Vitamin B12 deficiency anemia
Diagnostic code 7722 · Hemic and lymphatic systems · 38 CFR 4.117
Rating criteria: the exact regulation text
Quoted from 38 CFR 4.117. The "Rating" column is the percentage VA assigns for that level.
| Criteria | Rating |
|---|---|
| 7722 Pernicious anemia and Vitamin B12 deficiency anemia: | |
| For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B12 therapy | 100 |
| Requiring continuous treatment with Vitamin B12 injections, Vitamin B12 sublingual or high-dose oral tablets, or Vitamin B12 nasal spray or gel | 10 |
| Note: A 100 percent evaluation for pernicious anemia and Vitamin B12 deficiency shall be assigned as of the date of the initial diagnosis requiring transfusion due to severe anemia or parenteral B12 therapy and shall continue with a mandatory VA examination six months following hospital discharge or cessation of parenteral B12 therapy. Any reduction in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. Thereafter, evaluate at 10 percent and separately evaluate any residual effects of pernicious anemia, such as neurologic involvement causing peripheral neuropathy, myelopathy, dementia, or related gastrointestinal residuals, under the most appropriate diagnostic code | |
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.117, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Change history for this code (38 CFR Part 4, Appendix A): Added December 9, 2018.
Read it on eCFR.govInformation, not advice
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