What happens during a C&P exam for Testosterone Deficiency Syndrome?

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.

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

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Testosterone Deficiency Syndrome

Q: What are the VA rating percentages for Testosterone Deficiency Syndrome?

Testosterone Deficiency Syndrome (DC 7999) is rated at 0% under 38 CFR § 4.119, DC 7999 (rated by analogy to hypogonadism). No dedicated diagnostic code under § 4.119. Testosterone deficiency syndrome (male hypogonadism) is rated by analogy under § 4.119 (DC 7999); the resulting symptomatic dysfunction is rated separately under the applicable code: erectile dysfunction (DC 7522), infertility, fatigue/asthenia, mood disturbance (§ 4.130), reduced bone density or pathologic fracture (§ 4.71a), or other functional consequences. Special Monthly Compensation under 38 USC § 1114(k) may apply for loss of use of a creative organ.

Q: What rates 0% for Testosterone Deficiency Syndrome under 38 CFR § 4.119, DC 7999 (rated by analogy to hypogonadism)?

Under 38 CFR § 4.119, DC 7999 (rated by analogy to hypogonadism) (DC 7999), a 0% rating for Testosterone Deficiency Syndrome requires: No dedicated diagnostic code under § 4.119. Testosterone deficiency syndrome (male hypogonadism) is rated by analogy under § 4.119 (DC 7999); the resulting symptomatic dysfunction is rated separately under the applicable code: erectile dysfunction (DC 7522), infertility, fatigue/asthenia, mood disturbance (§ 4.130), reduced bone density or pathologic fracture (§ 4.71a), or other functional consequences. Special Monthly Compensation under 38 USC § 1114(k) may apply for loss of use of a creative organ.

Q: What evidence do I need for a Testosterone Deficiency Syndrome VA claim?

Key evidence for a Testosterone Deficiency Syndrome 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 7999 | 38 CFR § 4.119, DC 7999 (rated by analogy to hypogonadism) | 

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

Testosterone Deficiency Syndrome is rated by the U.S. Department of Veterans Affairs under DC 7999 of 38 CFR § 4.119, DC 7999 (rated by analogy to hypogonadism) 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.

OVERVIEW

Clinical syndrome resulting from low testosterone levels causing symptoms such as fatigue, decreased libido, erectile dysfunction, loss of muscle mass, and mood changes. Frequently secondary to medications, TBI, or other service-connected conditions.

RATING CRITERIA (1 LEVELS)

No dedicated diagnostic code under § 4.119. Testosterone deficiency syndrome (male hypogonadism) is rated by analogy under § 4.119 (DC 7999); the resulting symptomatic dysfunction is rated separately under the applicable code: erectile dysfunction (DC 7522), infertility, fatigue/asthenia, mood disturbance (§ 4.130), reduced bone density or pathologic fracture (§ 4.71a), or other functional consequences. Special Monthly Compensation under 38 USC § 1114(k) may apply for loss of use of a creative organ.

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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