EndocrineDC 7903§ 4.119Updated 2026-04

VA Disability Rating for Hypothyroidism

Rated 30/60/100%. Agent Orange presumptive.

Hypothyroidism (DC 7903) has a minimum 30% rating if diagnosed. Rating tiers reflect symptom burden — 100% requires cold intolerance, muscular weakness, cardiovascular involvement, mental disturbance, sleep disturbances, or other systemic effects. On the Agent Orange presumptive list.

Presumptive framework applies

Agent Orange presumptive (38 USC § 1116 / 38 CFR § 3.309(e)) for qualifying Vietnam-era service.

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Rating tiers + 2026 monthly compensation

RatingMonthly (2026, single vet)Criteria (summary)
30%$552.47Fatigability, constipation, and mental sluggishness.
60%$1,435.02Muscular weakness, mental disturbance, and weight gain.
100%$3,938.58Cold intolerance, muscular weakness, cardiovascular involvement, mental disturbance, bradycardia.

Dollar amounts reflect the 2.5% COLA effective 2025-12-01 for single veterans with no dependents. Add spouse + children for 30%+ ratings via the estimator.

What this means in dollars

  • At 30%: $552.47/mo · $6,630/year, tax-free
  • At 60%: $1,435.02/mo · $17,220/year, tax-free
  • At 100%: $3,938.58/mo · $47,263/year, tax-free

How to get rated for hypothyroidism

  1. Blood work (TSH, T3, T4) documenting the diagnosis.
  2. Qualifying AO service: file under presumption.
  3. Document symptom pattern — weight gain, fatigue, cognitive slowing, cold intolerance.

Common secondary conditions

  • +Depression
  • +Weight-gain-related sleep apnea

File these separately. VA rates each service-connected condition independently and combines them via § 4.25.

Nexus tips

  • AO presumption — cite the framework.
  • Hashimoto's thyroiditis is the most common cause of hypothyroidism and is rated under the same DC.
Draft a nexus letter for hypothyroidism

Frequently asked

Am I rated if my TSH is controlled with levothyroxine?

Yes. The rating is based on symptom burden, not lab values on replacement. Even well-controlled hypothyroidism is rated at minimum 30%.

Ready to act on this?

Get a full rating estimate across your conditions, or draft the nexus letter your doctor needs to sign.

Related conditions

This page summarizes public rating criteria from 38 CFR Part 4. It is not legal or medical advice. Actual VA ratings depend on C&P exam findings, records review, and rater discretion.