What rates 40% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 40% rating for Congenital Adrenal Hyperplasia requires: Three crises during the past year, or; five or more episodes during the past year.

What rates 60% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 60% rating for Congenital Adrenal Hyperplasia requires: Four or more crises during the past year.

What happens during a C&P exam for Congenital Adrenal Hyperplasia?

Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation. Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

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Congenital Adrenal Hyperplasia

Q: What are the VA rating percentages for Congenital Adrenal Hyperplasia?

Congenital Adrenal Hyperplasia (DC 7911) is rated at 20%, 40%, 60% under 38 CFR § 4.119, DC 7911. One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

Q: What rates 20% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 20% rating for Congenital Adrenal Hyperplasia requires: One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

Q: What evidence do I need for a Congenital Adrenal Hyperplasia VA claim?

Key evidence for a Congenital Adrenal Hyperplasia claim includes: Service treatment records showing injury or complaints; Imaging (X-ray, MRI, CT); Range of motion measurements; Flare-up documentation per Sharp v. Shulkin; Buddy statements describing limitations. All evidence should document both the condition and its impact on daily functioning.

DC 7911 | 38 CFR § 4.119, DC 7911 | 

✓ VERIFIED AGAINST 38 C.F.R.§ 4.119 (Endocrine system) · reviewed 2026-05-15 · ClaimRecon Editorial Team

Congenital Adrenal Hyperplasia is rated by the U.S. Department of Veterans Affairs under DC 7911 of 38 CFR § 4.119, DC 7911 across 3 severity tiers (20% / 40% / 60%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Group of inherited disorders affecting the adrenal glands, causing abnormal production of cortisol and sex hormones. Requires lifelong hormone replacement therapy. Can cause adrenal crises if not properly managed with glucocorticoids.

RATING CRITERIA (3 LEVELS)

20%

One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

40%

Three crises during the past year, or; five or more episodes during the past year.

60%

Four or more crises during the past year.

KEY EVIDENCE TO GATHER

-Service treatment records showing injury or complaints

-Imaging (X-ray, MRI, CT)

-Range of motion measurements

-Flare-up documentation per Sharp v. Shulkin

-Buddy statements describing limitations

-Prescription history

-Physical therapy records

-Employment impact documentation

C&P EXAM TIPS (6)

1.Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2.Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3.Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4.Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5.If you use assistive devices (brace, cane), bring them.

6.Describe daily activity impact: work, sleep, household tasks.

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SOURCES & EDITORIAL

Rating criteria text quoted verbatim from 38 C.F.R. § 4.119 (Endocrine system). Source verified 2026-05-15 by ClaimRecon Editorial Team during a regulation-text comparison against the Cornell Law CFR mirror; eCFR.gov is the authoritative government source.

→ View § 4.119 on eCFR → Cornell Law mirror → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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