Post-Splenectomy Immune Deficiency

DC 7706Hematologic/Lymphatic38 CFR 4.117, DC 7706

After your spleen is removed (splenectomy), your immune system is permanently weakened because the spleen helps fight certain types of bacteria. This puts you at lifelong risk for serious infections. The VA assigns a minimum 20% rating for spleen removal, with higher ratings if you have complications.

How the VA rates this condition

The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.

Diagnostic code

DC 7706

Rating range

20% – 30%

Rating levels

Rating criteria are defined in 38 CFR 4.117, DC 7706. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your spleen has been removed and you have complications such as recurrent infections, thrombocytosis (high platelet count), or other immune system problems requiring additional treatment.

What the VA looks for

Splenectomy confirmed by surgical records
Recurrent bacterial infections despite vaccination and prophylactic antibiotics
Persistent thrombocytosis requiring aspirin or hydroxyurea
Hospitalizations for post-splenectomy sepsis or serious infection
Additional immunodeficiency testing showing compromised immune function

Common Pitfalls

⚠Not knowing that splenectomy automatically qualifies for a minimum 20% rating — many veterans do not file because they feel fine after surgery, but the rating acknowledges the lifelong infection risk.
⚠Not documenting every infection after splenectomy — even infections that seem minor can support a higher rating by showing the immune system is compromised.
⚠Not filing for the condition that caused the splenectomy as a separate claim — if your spleen was removed due to trauma, a blood disorder, or another service-connected condition, that underlying condition may also be rated.
⚠Not maintaining up-to-date vaccination records — the VA wants to see that you are following recommended vaccination protocols, and gaps in vaccinations can complicate your claim.
⚠Not carrying a medical alert card or wearing a medical alert bracelet — this documentation supports the seriousness of your condition and the lifelong nature of the disability.

Related DBQ Forms

DBQ Hematologic and Lymphatic Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

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Post-Splenectomy Immune Deficiency

How the VA rates this condition

Diagnostic code

DC 7706

Rating range

20% – 30%

Rating levels

Rating Levels

Your spleen has been removed and you have complications such as recurrent infections, thrombocytosis (high platelet count), or other immune system problems requiring additional treatment.

What the VA looks for

Splenectomy confirmed by surgical records
Recurrent bacterial infections despite vaccination and prophylactic antibiotics
Persistent thrombocytosis requiring aspirin or hydroxyurea
Hospitalizations for post-splenectomy sepsis or serious infection
Additional immunodeficiency testing showing compromised immune function

Common Pitfalls

⚠Not knowing that splenectomy automatically qualifies for a minimum 20% rating — many veterans do not file because they feel fine after surgery, but the rating acknowledges the lifelong infection risk.

⚠Not documenting every infection after splenectomy — even infections that seem minor can support a higher rating by showing the immune system is compromised.

⚠Not filing for the condition that caused the splenectomy as a separate claim — if your spleen was removed due to trauma, a blood disorder, or another service-connected condition, that underlying condition may also be rated.

⚠Not maintaining up-to-date vaccination records — the VA wants to see that you are following recommended vaccination protocols, and gaps in vaccinations can complicate your claim.

⚠Not carrying a medical alert card or wearing a medical alert bracelet — this documentation supports the seriousness of your condition and the lifelong nature of the disability.