What rates 40% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 40% rating for Congenital Adrenal Hyperplasia requires: Three crises during the past year, or; five or more episodes during the past year.

What rates 60% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 60% rating for Congenital Adrenal Hyperplasia requires: Four or more crises during the past year.

What happens during a C&P exam for Congenital Adrenal Hyperplasia?

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.

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Congenital Adrenal Hyperplasia

Q: What are the VA rating percentages for Congenital Adrenal Hyperplasia?

Congenital Adrenal Hyperplasia (DC 7911) is rated at 20%, 40%, 60% under 38 CFR § 4.119, DC 7911. One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

Q: What rates 20% for Congenital Adrenal Hyperplasia under 38 CFR § 4.119, DC 7911?

Under 38 CFR § 4.119, DC 7911 (DC 7911), a 20% rating for Congenital Adrenal Hyperplasia requires: One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

Q: What evidence do I need for a Congenital Adrenal Hyperplasia VA claim?

Key evidence for a Congenital Adrenal Hyperplasia 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 791138 C.F.R. § 4.119

Diagnostic Code

DC 7911

38 C.F.R. § 4.119

Rating Range

20–60%

3 severity tiers

Source

Verified

38 C.F.R. § 4.119

Congenital Adrenal Hyperplasia is rated by the U.S. Department of Veterans Affairs under DC 7911 of 38 CFR § 4.119, DC 7911 across 3 severity tiers (20% / 40% / 60%). 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.

Educational tool only. Not legal or medical advice. Not affiliated with the VA.

Overview

Group of inherited disorders affecting the adrenal glands, causing abnormal production of cortisol and sex hormones. Requires lifelong hormone replacement therapy. Can cause adrenal crises if not properly managed with glucocorticoids.

Rating Criteria

20%

One or two crises during the past year, or; two to four episodes during the past year, or; weakness and fatigability, or; corticosteroid therapy required for control.

40%

Three crises during the past year, or; five or more episodes during the past year.

60%

Four or more crises during the past year.

03Key Evidence

—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

04C&P Exam Tips

1Do NOT stretch, warm up, or take pain medication before your exam. The VA needs your baseline limitation.

2Report your WORST day. DeLuca v. Brown requires documentation of functional loss during flare-ups.

3Tell the examiner about flare-ups: frequency, duration, estimated ROM loss. Sharp v. Shulkin (2017) requires estimates.

4Request active, passive, weight-bearing, and non-weight-bearing ROM testing per Correia v. McDonald (2016).

5If you use assistive devices (brace, cane), bring them.

6Describe daily activity impact: work, sleep, household tasks.

Tools

Rating Calculator →Secondaries Explorer →C&P Exam Prep →PACT Act Scanner →2026 Rates →

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 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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