Hemic and Lymphatic Systems§ 4.117Updated
Rating criteria

VA Diagnostic Code 7723Acquired hemolytic anemia:

Rated from 0% to 100% under § 4.117. Here is what the VA requires at each level.

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What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 100%

    Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab)

  2. 60%

    Requiring immunosuppressive medication 4 or more times per 12-month period

  3. 30%

    Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period

  4. 10%

    Requiring one course of immunosuppressive therapy per 12-month period

  5. 0%

    Asymptomatic

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note (1): A 100 percent evaluation for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue for six months after hospital discharge with a mandatory VA examination six months following hospital discharge. Any reduction in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter
  • Note (2): Separately evaluate splenectomy under diagnostic code 7706 and combine with an evaluation under diagnostic code 7723

Acquired Hemolytic Anemia — VA Disability Rating Guide

Diagnostic Code 7723 · 38 CFR § 4.117 · Hemic and Lymphatic Systems

What Is Acquired Hemolytic Anemia?

Acquired hemolytic anemia is a condition affecting the hemic and lymphatic systems (the body's blood and immune-related systems). The VA rates this condition under Diagnostic Code 7723, found in 38 CFR § 4.117.

The rating you receive is based largely on the type and frequency of treatment your condition requires — from no active symptoms to ongoing therapy such as a bone marrow transplant or continuous medication.

Available Rating Levels

The VA assigns a disability rating based on the following levels:

RatingWhat It Reflects
100%Requiring a bone marrow transplant, or continuous intravenous or immunosuppressive therapy (for example, prednisone, Cytoxan, azathioprine, or rituximab).
60%Requiring immunosuppressive medication 4 or more times per 12-month period.
30%Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period.
10%Requiring one course of immunosuppressive therapy per 12-month period.
0%Asymptomatic (no active symptoms).

What the VA Looks For

When rating acquired hemolytic anemia, the VA focuses on the treatment your condition requires and, in many cases, how often that treatment is needed over a 12-month period. Key factors include:

  • Whether you require a bone marrow transplant or continuous intravenous/immunosuppressive therapy.
  • The number of courses of immunosuppressive therapy needed within a 12-month period.
  • Whether the condition is asymptomatic.

Important Notes

  • Note (1): A 100 percent evaluation for a bone marrow transplant is assigned as of the date of hospital admission and continues for six months after hospital discharge, with a mandatory VA examination six months following hospital discharge. Any reduction in evaluation based on that or any subsequent examination is subject to the provisions of § 3.105(e).
  • Note (2): A splenectomy is evaluated separately under Diagnostic Code 7706 and combined with an evaluation under Diagnostic Code 7723.

This information is drawn directly from the VA rating schedule under 38 CFR § 4.117, Diagnostic Code 7723. Individual ratings depend on your specific medical evidence and circumstances.

These criteria are a rendering of § 4.117, diagnostic code 7723. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 7723 and attach the evidence for the level you are asking for. Other Hemic and Lymphatic Systems codes may cover your secondary conditions.

Find out which rating your evidence supports.

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