★ Endocrine
Hypothyroidism VA Rating
38 CFR § 4.119, Diagnostic Code 7903
Overview
VA's current rating criteria emphasize symptom burden (fatigability, cognitive impairment, weight gain) plus continuous medication requirement.
Camp Lejeune contaminated water exposure may support presumptive service connection.
How to Establish Service Connection
- Camp Lejeune contaminated water exposure (1953–1987) is a presumptive pathway for certain conditions.
- Direct service connection requires in-service onset documentation.
Rating Criteria
Paraphrased from 38 CFR § 4.119, Diagnostic Code 7903
| Rating | Criteria |
|---|---|
| 30% | Continuous medication required for control. |
| 60% | Continuous medication required for control with two or more symptoms (e.g., fatigability, constipation, mental sluggishness, weight gain). |
| 100% | Continuous medication required for control with three or more symptoms or with cognitive impairment severe enough to interfere with usual occupation. |
See what each percentage pays in 2026 and how it combines with your current rating →
Evidence Checklist
- Endocrinology records and TSH/T4 history.
- Prescription for thyroid replacement medication.
- Documentation of cognitive, fatigue, and weight symptoms.
Frequently Asked Questions
Have a Hypothyroidism claim or denial?
Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. Contingent fees apply only to awarded past-due benefits on appeals — never on initial claims.
Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.
Educational content only — not legal advice and not medical advice. Rating criteria on this page are summarized in plain English from 38 CFR Part 4; consult VA.gov or the current Code of Federal Regulations for official criteria. This page provides general education about how the VA rates this condition; it is not individualized advice, does not establish a representation relationship, and should not be used to self-diagnose, self-treat, or decide a course of action without speaking to a qualified clinician and a VA-accredited representative. Outcomes depend on each veteran's individual facts, evidence, and the adjudicator's judgment; no specific rating, effective date, or other result is guaranteed. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the US Department of Veterans Affairs.