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Hyperparathyroidism

Diagnostic code 7904 · Endocrine system · 38 CFR 4.119

Rating criteria: the exact regulation text

Quoted from 38 CFR 4.119. The "Rating" column is the percentage VA assigns for that level.

CriteriaRating
7904 Hyperparathyroidism:
For six months from date of discharge following surgery100
Note (1): After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination.
Hypercalcemia (indicated by at least one of the following: Total Ca greater than 12 mg/dL (3-3.5 mmol/L), Ionized Ca greater than 5.6 mg/dL (2-2.5 mmol/L), creatinine clearance less than 60 mL/min, bone mineral density T-score less than 2.5 SD (below mean) at any site or previous fragility fracture)60
Note (2): Where surgical intervention is indicated, this evaluation shall continue until the day of surgery, at which time the provisions pertaining to a 100-percent evaluation shall apply.
Note (3): Where surgical intervention is not indicated, this evaluation shall continue for six months after pharmacologic treatment begins. After six months, rate on residuals under the appropriate diagnostic code(s) within the appropriate body system(s) based on a VA examination.
Symptoms such as fatigue, anorexia, nausea, or constipation that occur despite surgery; or in individuals who are not candidates for surgery but require continuous medication for control10
Asymptomatic0
Note (4): Following surgery or other treatment, evaluate chronic residuals, such as nephrolithiasis (kidney stones), decreased renal function, fractures, vision problems, and cardiovascular complications, under the appropriate diagnostic codes.

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.

All of VA's public DBQs

Rules that apply to this body system

Where this comes from

38 CFR 4.119, 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): Criterion August 13, 1981; evaluation June 9, 1996; evaluation December 10, 2017; criterion December 10, 2017; note December 10, 2017.

Read it on eCFR.gov

Information, not advice

This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.

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