**The Hemic and Lymphatic Systems**

4.117 Schedule of ratings---hemic and lymphatic systems 4.117-1

**§4.117 Schedule of ratings---hemic and lymphatic systems.**

Rating

7700 Anemia, hypochromic-microcytic and megaloblastic, such as

iron-deficiency and pernicious anemia:

Hemoglobin 5gm/100ml or less, with findings such as high

output congestive heart failure or dyspnea at rest 100

Hemoglobin 7gm/100ml or less, with findings such as dyspnea

on mild exertion, cardiomegaly, tachycardia (100 to 120 beats

per minute) or syncope (three episodes in the last six months) 70

Hemoglobin 8gm/100ml or less, with findings such as weakness,

easy fatigability, headaches, lightheadedness, or shortness of

breath 30

Hemoglobin 10gm/100ml or less with findings such as weakness,

easy fatigability or headaches 10

Hemoglobin 10gm/100ml or less, asymptomatic 0

Note: Evaluate complications of pernicious anemia, such as dementia or
peripheral neuropathy, separately.

7702 Agranulocytosis, acute:

Requiring bone marrow transplant, or; requiring transfusion of

platelets or red cells at least once every six weeks, or; infections

recurring at least once every six weeks 100

Requiring transfusion of platelets or red cells at least once

every three months, or; infections recurring at least once

every three months 60

Requiring transfusion of platelets or red cells at least once per year

but less than once every three months, or; infections recurring

at least once per year but less than once every three months 30

Requiring continuous medication for control 10

Note: The 100 percent rating for bone marrow transplant shall be
assigned as of the date of hospital admission and shall continue with a
mandatory VA examination six months following hospital discharge. Any
change in evaluation based upon that or any subsequent examination shall
be subject to the provisions of §3.105(e) of this chapter.

7703 Leukemia:

With active disease or during a treatment phase 100

Otherwise rate as anemia (code 7700) or aplastic anemia (code 7716),

whichever would result in the greater benefit.

Note: The 100 percent rating shall continue beyond the cessation of any
surgical, radiation, antineoplastic chemotherapy or other therapeutic
procedures. Six months after discontinuance of such treatment, the
appropriate disability rating shall be determined by mandatory VA
examination. Any change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of §3.105(e) of this
chapter. If there has been no recurrence, rate on residuals.

7704 Polycythemia vera:

During periods of treatment with myelosuppressants and for three

months following cessation of myelosuppressant therapy 100

Requiring phlebotomy 40

Stable, with or without continuous medication 10

Note: Rate complications such as hypertension, gout, stroke or
thrombotic disease separately.

7705 Thrombocytopenia, primary, idiopathic or immune:

Platelet count of less than 20,000, with active bleeding, requiring

treatment with medication and transfusions 100

Platelet count between 20,000 and 70,000, not requiring treatment,

without bleeding 70

Stable platelet count between 70,000 and 100,000, without bleeding 30

Stable platelet count of 100,000 or more, without bleeding 0

7706 Splenectomy 20

Note: Rate complications such as systemic infections with encapsulated
bacteria separately.

7707 Spleen, injury of, healed.

Rate for any residuals.

7709 Hodgkin's disease:

With active disease or during a treatment phase 100

Note: The 100 percent rating shall continue beyond the cessation of any
surgical, radiation, antineoplastic chemotherapy or other therapeutic
procedures. Six months after discontinuance of such treatment, the
appropriate disability rating shall be determined by mandatory VA
examination. Any change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of §3.105(e) of this
chapter. If there has been no local recurrence or metastasis, rate on
residuals.

7710 Adenitis, tuberculous, active or inactive.

Rate under §§4.88c or 4.89 of this part, whichever is appropriate.

7714 Sickle cell anemia:

With repeated painful crises, occurring in skin, joints, bones or

any major organs caused by hemolysis and sickling of red blood cells,

with anemia, thrombosis and infarction, with symptoms precluding

even light manual labor 100

With painful crises several times a year or with symptoms precluding

other than light manual labor 60

Following repeated hemolytic sickling crises with continuing

impairment of health 30

Asymptomatic, established case in remission, but with identifiable

organ impairment 10

Note: Sickle cell trait alone, without a history of directly
attributable pathological findings, is not a ratable disability. Cases
of symptomatic sickle cell trait will be forwarded to the Director,
Compensation and Pension Service, for consideration under §3.321(b)(1)
of this chapter.

7715 Non-Hodgkin's lymphoma:

With active disease or during a treatment phase 100

Note: The 100 percent rating shall continue beyond the cessation of any
surgical, radiation, antineoplastic chemotherapy or other therapeutic
procedures. Six months after discontinuance of such treatment, the
appropriate disability rating shall be determined by mandatory VA
examination. Any change in evaluation based upon that or any subsequent
examination shall be subject to the provisions of §3.105(e) of this
chapter. If there has been no local recurrence or metastasis, rate on
residuals.

7716 Aplastic anemia:

Requiring bone marrow transplant, or; requiring transfusion of

platelets or red cells at least once every six weeks, or; infections

recurring at least once every six weeks 100

Requiring transfusion of platelets or red cells at least once every

three months, or; infections recurring at least once every

three months 60

Requiring transfusion of platelets or red cells at least once per year

but less than once every three months, or; infections recurring

at least once per year but less than once every three months 30

Requiring continuous medication for control 10

Note: The 100 percent rating for bone marrow transplant shall be
assigned as of the date of hospital admission and shall continue with a
mandatory VA examination six months following hospital discharge. Any
change in evaluation based upon that or any subsequent examination shall
be subject to the provisions of §3.105(e) of this chapter.

(Authority: 38 U.S.C. 1155)

\[29 FR 6718, May 22, 1964, as amended at 34 FR 5063, Mar. 11, 1969; 40
FR 42540, Sept. 15, 1975; 41 FR 11301, Mar. 18, 1976; 55 FR 43124, Oct.
26, 1990; 60 FR 49227, Sept. 22, 1995\]

**Supplement *Highlights* reference**: 14(1)