Hyperparathyroidism (Overactive Parathyroid)
Hyperparathyroidism is rated under DC 7904. This condition occurs when the parathyroid glands produce too many hormones, often leading to hypercalcemia (elevated calcium in the blood). For VA rating purposes, hypercalcemia requires meeting at least one of these criteria: total calcium over 12 mg/dL, ionized calcium over 5.6 mg/dL, creatinine clearance below 60 mL/min, or bone mineral density T-score below -2.5 SD. Ratings range from 0% for asymptomatic cases to 100% for 6 months following corrective surgery.
VA Rating Levels
No symptoms present.
Symptoms such as fatigue, low body weight, nausea, or constipation that persist despite surgery, OR the veteran is not a candidate for surgery but requires continuous medication for control.
Hypercalcemia is actively present. This rating continues for 6 months after treatment begins, unless surgery is planned, in which case the rating continues until hospital discharge.
Assigned for 6 months following corrective surgery. After that, the veteran is rated on residual symptoms.
Exam Tips & Key Evidence
- →The parathyroid controls calcium and phosphate levels in the body. If your condition is causing bone loss or kidney issues, those can be pursued as secondary conditions.
- →Common secondary conditions include decreased kidney function, digestive problems, bone fractures, heart issues, kidney stones, and vision problems.
- →Lab results are critical for this claim. Make sure your calcium levels, creatinine clearance, and bone density scans are all well-documented in your records.
- →If you have surgery, the 100% rating is temporary. Use the recovery period to document any ongoing residual symptoms for your post-surgical re-evaluation.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.119, Diagnostic Code 7904