What rates 40% for Adrenal Insufficiency / Addison's Disease under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 40% rating for Adrenal Insufficiency / Addison's Disease requires: Three crises during the past year, or; five or more episodes during the past year.

What rates 60% for Adrenal Insufficiency / Addison's Disease under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 60% rating for Adrenal Insufficiency / Addison's Disease requires: Four or more crises during the past year.

What happens during a C&P exam for Adrenal Insufficiency / Addison's Disease?

Bring all relevant medical records and a written list of symptoms. Report your worst days, not your best. The VA rates based on overall impairment.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Adrenal Insufficiency / Addison's Disease

Q: What are the VA rating percentages for Adrenal Insufficiency / Addison's Disease?

Adrenal Insufficiency / Addison's Disease (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 Adrenal Insufficiency / Addison's Disease under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 20% rating for Adrenal Insufficiency / Addison's Disease 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 Adrenal Insufficiency / Addison's Disease VA claim?

Key evidence for a Adrenal Insufficiency / Addison's Disease claim includes: Service treatment records; Current medical diagnosis and treatment records; Buddy/lay statements; Prescription history; Employment impact documentation. 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

Adrenal Insufficiency / Addison's Disease 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

The adrenal glands do not produce enough cortisol and sometimes aldosterone. Addison's disease is the primary form. Can be life-threatening if untreated. Requires lifelong hormone replacement.

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

-Current medical diagnosis and treatment records

-Buddy/lay statements

-Prescription history

-Employment impact documentation

-Any relevant diagnostic testing

C&P EXAM TIPS (5)

1.Bring all relevant medical records and a written list of symptoms.

2.Report your worst days, not your best. The VA rates based on overall impairment.

3.Document how the condition affects daily activities, work, and relationships.

4.Mention all medications and their side effects.

5.Bring buddy statements from people who observe your symptoms.

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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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