What happens during a C&P exam for Hemophilia?

Blood-disorder ratings turn on objective measures - platelet counts, transfusion frequency, and the intensity of treatment (38 CFR 4.117). Bring your recent CBC and lab results. For immune thrombocytopenia (DC 7705), the rating is driven by your platelet count and whether you require chemotherapy or immunosuppressive therapy - document both.

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Hemophilia

Q: What are the VA rating percentages for Hemophilia?

Hemophilia (DC 7799) is rated at 0% under 38 CFR § 4.117, DC 7799. The rating schedule lists no diagnostic code for hemophilia; it is rated by analogy to the most closely related § 4.117 condition based on the documented disability picture (anemia, bleeding or clotting complications, and treatment burden).

Q: What rates 0% for Hemophilia under 38 CFR § 4.117, DC 7799?

Under 38 CFR § 4.117, DC 7799 (DC 7799), a 0% rating for Hemophilia requires: The rating schedule lists no diagnostic code for hemophilia; it is rated by analogy to the most closely related § 4.117 condition based on the documented disability picture (anemia, bleeding or clotting complications, and treatment burden).

Q: What evidence do I need for a Hemophilia VA claim?

Key evidence for a Hemophilia claim includes: Recent CBC and lab reports showing platelet count, hemoglobin, and neutrophil/ANC values; Transfusion records showing the number of platelet or red-cell transfusions per 12 months; A dated log of painful (vaso-occlusive) crises (sickle cell anemia); Hematology/oncology records documenting active disease or treatment-phase dates; Documentation of treatment intensity (continuous medication, immunosuppressive therapy, growth factors, or chemotherapy). All evidence should document both the condition and its impact on daily functioning.

DC 779938 C.F.R. § 4.117

Diagnostic Code

DC 7799

38 C.F.R. § 4.117

Rating Range

0–0%

1 severity tier

Source

Referenced

38 C.F.R. Part 4

Hemophilia is rated by the U.S. Department of Veterans Affairs under DC 7799 of 38 CFR § 4.117, DC 7799 across 1 severity tier (0%). 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.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Inherited bleeding disorder where blood does not clot properly due to deficiency of clotting factors (Factor VIII in Hemophilia A, Factor IX in Hemophilia B). Causes spontaneous bleeding into joints and muscles.

Rating Criteria

The rating schedule lists no diagnostic code for hemophilia; it is rated by analogy to the most closely related § 4.117 condition based on the documented disability picture (anemia, bleeding or clotting complications, and treatment burden).

Key Evidence

—Recent CBC and lab reports showing platelet count, hemoglobin, and neutrophil/ANC values

—Transfusion records showing the number of platelet or red-cell transfusions per 12 months

—A dated log of painful (vaso-occlusive) crises (sickle cell anemia)

—Hematology/oncology records documenting active disease or treatment-phase dates

—Documentation of treatment intensity (continuous medication, immunosuppressive therapy, growth factors, or chemotherapy)

—Bone marrow biopsy or other diagnostic reports confirming the condition

C&P Exam Tips

1Blood-disorder ratings turn on objective measures - platelet counts, transfusion frequency, and the intensity of treatment (38 CFR 4.117). Bring your recent CBC and lab results.

2For immune thrombocytopenia (DC 7705), the rating is driven by your platelet count and whether you require chemotherapy or immunosuppressive therapy - document both.

3For anemias requiring transfusion (for example, aplastic anemia, myelodysplastic syndromes), count how many transfusions of platelets or red cells you need per 12 months - that frequency sets the level.

4For sickle cell anemia (DC 7714), the rating counts painful (vaso-occlusive) crises per 12 months and the level of work you can still do - keep a dated log of every crisis.

5Active disease or an active treatment phase (chemotherapy) often supports a 100% evaluation for blood cancers - make sure your treatment dates are on the record.

6Report how fatigue, infections, or bleeding affect work and daily activity, and list all medications including any continuous or immunosuppressive therapy.

More in Hematologic

Anemia (Generic — Rated by Analogy)Iron Deficiency Anemia (Generic — Rated by Analogy)Sickle Cell Disease Leukemia Lymphoma HIV / AIDS Lupus (SLE)Thrombocytopenia All conditions →

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

Sources & Editorial

Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.

View 38 C.F.R. Part 4 on eCFR →Editorial Standards →Suggest a correction →

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