Cushing's Syndrome (Hypercortisolism)
Cushing's syndrome is rated under DC 7907. This condition occurs when there is too much cortisol in the body. All ratings under this schedule are temporary, lasting for 6 months following the initial diagnosis. After the 6-month period, the veteran is rated on any residual symptoms. Ratings are based on the severity of physical manifestations, from stretch marks and weight gain up to progressive bone density loss and severe muscle wasting.
VA Rating Levels
Temporary, 6 months from initial diagnosis. Accompanied by stretch marks, obesity, significantly rounded face from weight gain, pre-diabetic state, and fragile veins or arteries.
Temporary, 6 months from initial diagnosis. Muscle wasting resulting in inability to rise from a squatting position, climb stairs, rise from a deep chair without help, or raise arms.
Temporary, 6 months from initial diagnosis. Active, progressive disease with areas of decreased bone density, high blood pressure, and severe extremity muscle wasting as described in the 60% criteria.
Exam Tips & Key Evidence
- →All Cushing's syndrome ratings are temporary. Focus on documenting every residual symptom before your 6-month re-evaluation.
- →Common secondary conditions include bone fractures, diabetes, erectile dysfunction, headaches, high blood pressure, and mental health disorders. Each can potentially be rated separately.
- →Cushing's syndrome can be caused by long-term use of corticosteroids prescribed for other service-connected conditions. If that is your situation, pursue it as a secondary claim.
- →The muscle wasting criteria for 60% and 100% are very specific. Make sure your provider documents functional limitations in detail, especially regarding rising from chairs, climbing stairs, and raising arms.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.119, Diagnostic Code 7907