Endocrine System§ 4.119Updated
Rating criteria

VA Diagnostic Code 7902Thyroid enlargement, nontoxic

Rated under § 4.119. No rating levels have been extracted for this code yet — use the official source.

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Summary

Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system.

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Notes on this code

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

  • Note (1): Evaluate symptoms due to pressure on adjacent organs (such as the trachea, larynx, or esophagus) under the appropriate diagnostic code(s) within the appropriate body system.
  • Note (2): If disfigurement of the neck is present due to thyroid disease or enlargement, separately evaluate under DC 7800 (burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck).

Thyroid Enlargement, Nontoxic (Diagnostic Code 7902)

Endocrine System — 38 CFR § 4.119

What This Condition Is

Nontoxic thyroid enlargement refers to an enlarged thyroid gland that does not overproduce thyroid hormone. The thyroid is a gland located in the neck, and when it becomes enlarged it can press against nearby structures or change the appearance of the neck.

The VA evaluates this condition under Diagnostic Code 7902 within the Endocrine System section of the rating schedule.

How the VA Rates This Condition

Diagnostic Code 7902 does not use a standalone set of percentage levels for the enlargement itself. Instead, the VA rates the effects of the thyroid enlargement based on how it impacts your body, using the following approach:

  • Pressure on adjacent organs. If the enlarged thyroid causes symptoms due to pressure on nearby organs — such as the trachea (windpipe), larynx (voice box), or esophagus (swallowing tube) — the VA evaluates those symptoms under the appropriate diagnostic code(s) within the appropriate body system. (Note 1)

  • Disfigurement of the neck. If there is disfigurement of the neck due to the thyroid disease or enlargement, the VA separately evaluates it under Diagnostic Code 7800, which covers burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neck. (Note 2)

What the VA Looks For

When reviewing a claim for nontoxic thyroid enlargement, the VA considers:

  • Symptoms from pressure on adjacent organs, such as the trachea, larynx, or esophagus — which are rated under the diagnostic code(s) that match those affected organs and body systems.
  • Neck disfigurement resulting from the thyroid disease or enlargement, which may be separately evaluated under the criteria for disfigurement of the head, face, or neck (DC 7800).

Because this condition is rated based on its specific effects, the documentation of related symptoms and any neck disfigurement plays a central role in how it is evaluated.

These criteria are a rendering of § 4.119, diagnostic code 7902. 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 7902 and attach the evidence for the level you are asking for. Other Endocrine System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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