EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Hyperaldosteronism (Conn's Syndrome)
✓ VERIFIED AGAINST 38 C.F.R.§ 4.119 (Endocrine system) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Hyperaldosteronism (Conn's Syndrome) is rated by the U.S. Department of Veterans Affairs under DC 7917 of 38 CFR § 4.119, DC 7911 across 2 severity tiers (100% / 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.
OVERVIEW
Overproduction of aldosterone by the adrenal glands, leading to high blood pressure and low potassium levels. Conn's syndrome refers to the primary form caused by an adrenal adenoma.
RATING CRITERIA (2 LEVELS)
100%
When the underlying neoplasm is malignant (rare adrenocortical carcinoma producing aldosterone), DC 7914 verbatim — 100% during/after surgical, X-ray, antineoplastic chemotherapy or other therapeutic procedure; mandatory VA examination at six months; any rating change subject to § 3.105(e); if no recurrence or metastasis, rate-as residuals of endocrine dysfunction (hypertension under DC 7101, hypokalemia, cardiac sequelae).
0%
Evaluate as a malignant (DC 7914) or benign (DC 7915) endocrine neoplasm, as appropriate. Most cases — Conn's syndrome from a benign aldosterone-producing adrenal adenoma — are rated under DC 7915, with the disability rated entirely on the basis of the resulting dysfunction (hypertension under § 4.104, DC 7101; hypokalemia and its consequences; muscle weakness; cardiac sequelae). Adrenocortical carcinoma producing aldosterone follows DC 7914 (100% during/after active treatment; mandatory VA exam at 6 months; rating change subject to § 3.105(e)).
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.
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.
EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026