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The VA orders this exam to verify your diagnosis and measure how severe it is right now. It can shape your rating and your monthly compensation — but it does not decide your claim. A rating specialist weighs it against your full record, and if the exam does not reflect your condition, you can say so and ask the VA to correct it.
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A blood disorder where your immune system destroys your own platelets, causing easy bruising and bleeding. DC 7705 rates it on your platelet count together with the treatment that count requires, and the two work as a pair — every compensable rung sits in the band higher than 30,000 but not higher than 50,000, or below it. A platelet count above 50,000 with no symptoms, and immune thrombocytopenia in remission, is the 0 percent row the code prints itself. Note (1) to DC 7705 directs that a splenectomy be evaluated separately under DC 7706 and combined with the evaluation under this code.
The percentages this diagnostic code can be rated at. Which one applies depends on the findings — no tool here can tell you in advance.
Rated under 38 CFR 4.117, DC 7705. The examiner records findings on the DBQ; a rating specialist makes the decision.
| Rating | Rating criteria | What that means for you |
|---|---|---|
| 0% | Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia in remission | Your platelet count is above 50,000 and you have no symptoms, or your ITP is in remission. DC 7705 prints this 0 percent row itself, so it is a rung of the code rather than one § 4.31 has to supply. A 0 percent pays nothing, but it establishes service connection and fixes the effective date any later increase runs from. The lowest compensable rung on this code is 10 percent, and reaching it takes a platelet count that has fallen to 50,000 or below — a count above 50,000 does not reach it however long it has been low. |
What supports this level
| ||
| 10% | Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment | Your platelet count has fallen into the band higher than 30,000 but not higher than 50,000, and it requires no treatment. |
What supports this level
| ||
| 30% | Platelet count higher than 30,000 but not higher than 50,000, with either immune thrombocytopenia or mild mucous membrane bleeding which requires oral corticosteroid therapy or intravenous immune globulin | Your platelet count is in the same band — higher than 30,000 but not higher than 50,000 — and now it is being treated: either the immune thrombocytopenia itself or mild bleeding from the mucous membranes (gums, nose) requires oral corticosteroid therapy or intravenous immune globulin. |
What supports this level
| ||
| 70% | Requiring immunosuppressive therapy; or for a platelet count higher than 30,000 but not higher than 50,000, with history of hospitalization because of severe bleeding requiring intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions | You require immunosuppressive therapy — that prong carries 70 percent on its own, whatever your platelet count is. The alternative route is a count in the band higher than 30,000 but not higher than 50,000 together with a history of hospitalization for severe bleeding that took intravenous immune globulin, high-dose corticosteroids given by injection or infusion, and platelet transfusions. |
What supports this level
| ||
| 100% | Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment. Note (2): A 100 percent evaluation shall continue beyond the cessation of chemotherapy. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any reduction in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter | You require chemotherapy for chronic refractory thrombocytopenia, or your platelet count is 30,000 or below despite treatment. Note (2) to DC 7705 provides that this 100 percent continues beyond the end of chemotherapy, with a mandatory VA examination six months after treatment stops; any reduction that follows is subject to 38 CFR 3.105(e). |
What supports this level
| ||
The middle column is our transcription of the criteria at 38 CFR 4.117, DC 7705, condensed for reading. Read the section itself on eCFR before relying on the exact wording. The items under each level are the kinds of evidence that document it — not a VA checklist, and not a prediction of which level applies to you.
Assuming any low platelet count is compensable. Under DC 7705 a count above 50,000 with no symptoms is the code's own 0 percent row, and every compensable rung requires a count of 50,000 or below. Serial counts showing where yours actually sits are what decide the level — a single count taken on a good day can hold you at 0.
Reporting the count without the treatment, or the treatment without the count. The 10 and 30 percent rungs sit in the SAME platelet band and are separated only by whether oral corticosteroids or intravenous immune globulin are required, so a records request that returns labs but no medication history cannot reach 30.
Not filing separately for a splenectomy. Note (1) to DC 7705 directs that a splenectomy be evaluated separately under DC 7706 and combined with the evaluation under this code — it is a separate rating that combines under 38 CFR 4.25, not something folded into this one.
Not documenting all bleeding episodes including nosebleeds, bleeding gums, heavy bruising, blood in urine or stool, and heavy menstrual bleeding — mucous membrane bleeding is named in the 30 percent criteria and severe bleeding that led to a hospital admission is named in the 70.
Failing to report the side effects of chronic corticosteroid use (weight gain, diabetes, osteoporosis, mood changes) which may warrant separate secondary ratings.
Not getting serial platelet counts over time — a single normal count does not reflect the chronic nature of ITP. Request labs before your C&P exam.
Not connecting ITP to military service — autoimmune conditions can be triggered by vaccines, infections, or toxic exposures during service.
These apply to every C&P exam, whatever the condition.