EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.
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Hyperparathyroidism
✓ VERIFIED AGAINST 38 C.F.R.§ 4.119 (Endocrine system) · reviewed 2026-05-15 · ClaimRecon Editorial Team
Hyperparathyroidism is rated by the U.S. Department of Veterans Affairs under DC 7904 of 38 CFR § 4.119, DC 7904 across 4 severity tiers (0% / 10% / 60% / 100%). 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
One or more parathyroid glands produce too much parathyroid hormone, causing elevated calcium levels in the blood. Leads to bone loss, kidney stones, fatigue, and neuropsychiatric symptoms.
RATING CRITERIA (4 LEVELS)
10%
Symptoms such as fatigue, anorexia, nausea, or constipation that persist despite surgery; or requiring continuous medication where the veteran is not a surgical candidate.
60%
Hypercalcemia evidenced by total calcium greater than 12 mg/dL, ionized calcium greater than 5.6 mg/dL, creatinine clearance less than 60 mL/min, bone mineral density T-score less than -2.5 SD, or previous fragility fracture.
100%
For six months following surgery; thereafter rate residuals based on VA examination.
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.
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