EndocrineDC 7901

Hypothyroidism

Hypothyroidism is rated under 38 CFR § 4.119, Diagnostic Code 7901. The VA evaluates the degree of metabolic impairment — from mild symptoms managed by medication to severe myxedema.

VA Rating Levels

10%

Continuous medication required to maintain thyroid hormone levels; minimal symptoms such as fatigue or cold intolerance.

30%

Fatigability, mental sluggishness, constipation, weight gain, modest enlargement of the thyroid.

60%

Muscular weakness, mental disturbance, weight changes; hypothyroid features that noticeably limit activity.

100%

Severe myxedema — anasarca (widespread swelling), mental impairment, cardiac complications, coma.

Exam Tips & Key Evidence

→Hypothyroidism is common secondary to lithium treatment (bipolar), radiation, or amiodarone (heart arrhythmia)
→TSH and free T4 lab values are key evidence
→Fatigue, depression, and cognitive symptoms from hypothyroidism may be rated independently if severe

Commonly Related Conditions

DepressionArrhythmia / Atrial Fibrillation Hypertension (High Blood Pressure)

38 CFR Reference

38 CFR § 4.119, Diagnostic Code 7901