38 CFR Part 4 — 38 CFR § 4.117
Immune thrombocytopenia — VA Diagnostic Code 7705
Hematologic / lymphatic
Diagnostic code
7705
38 CFR § 4.117 lists Diagnostic Code 7705 as “Immune thrombocytopenia:”. The title ends with a colon. The rating cell on that title is empty. The next lines are 100, 70, 30, 10, and 0. None of those criteria cells ends with a period. Appendix B to Part 4 indexes “Immune thrombocytopenia.” with a period and without the colon.
Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was up to date as of 2026-10-01 and last amended on 2026-08-27. The § 4.117 source note prints 60 FR 49227, Sept. 22, 1995, as amended at 77 FR 6467, Feb. 8, 2012; 79 FR 2100, Jan. 13, 2014; 83 FR 54254, Oct. 29, 2018; 83 FR 54881, Nov. 1, 2018; 87 FR 61248, Oct. 11, 2022.
The rating criteria at each level
7705 Immune thrombocytopenia
Rating %: 100
Criteria (verbatim). Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment
Rating %: 70
Criteria (verbatim). 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
Rating %: 30
Criteria (verbatim). 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
Rating %: 10
Criteria (verbatim). Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment
Rating %: 0
Criteria (verbatim). Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia in remission
| Rating % | Criteria (verbatim) |
|---|---|
| 100 | Requiring chemotherapy for chronic refractory thrombocytopenia; or a platelet count 30,000 or below despite treatment |
| 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 |
| 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 |
| 10 | Platelet count higher than 30,000 but not higher than 50,000, not requiring treatment |
| 0 | Platelet count above 50,000 and asymptomatic; or for immune thrombocytopenia in remission |
Note (1): Separately evaluate splenectomy under diagnostic code 7706 and combine with an evaluation under this diagnostic code
Note (1) does not end with a period. It names diagnostic code 7706. It does not print the splenectomy percentage.
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
Note (2) does not end with a period. It names chemotherapy. It does not name immunosuppressive therapy, oral corticosteroid therapy, or intravenous immune globulin.
38 CFR § 4.7 assigns the higher rating when the disability picture more nearly approximates the criteria required for that rating. Otherwise, the lower rating will be assigned. 38 CFR § 4.6 requires each element affecting the evidence to be studied so that decisions will be equitable and just. The code prints its own 0 percent line: platelet count above 50,000 and asymptomatic, or immune thrombocytopenia in remission. The 10, 30, and 70 percent lines say “higher than 30,000 but not higher than 50,000.” The 0 percent line says “above 50,000.” Those are different words.
DC 7706 is “Splenectomy,” at 20. Its note says: “Separately rate complications such as systemic infections with encapsulated bacteria”. That note does not end with a period. Note (1) of DC 7705 says to evaluate splenectomy under diagnostic code 7706 and combine with an evaluation under DC 7705. The 20 is not a DC 7705 line. 38 CFR § 4.25 is the combined-ratings section. DC 7705 Note (1) says “combine.” It does not cite § 4.25 by number.
DC 7704 is polycythemia vera. Its 30 percent line uses platelets <200,000 in a different sentence. That less-than sign and that 200,000 are not printed on DC 7705.
Note (2) points a later reduction at § 3.105(e). The 2026-10-01 text of 38 CFR § 3.309 lists “Purpura idiopathic, hemorrhagic.” That row has no diagnostic code. The same text does not contain “thrombocytopenia,” and it does not assign DC 7705. This page does not treat those names as the same schedule line.
Source: 38 CFR § 4.117, Diagnostic Code 7705, eCFR full-text XML for 2026-10-01.
What the words mean in your records
30,000 and 50,000
The 100 percent line is a platelet count 30,000 or below despite treatment, or chemotherapy for chronic refractory thrombocytopenia. The 70, 30, and 10 percent lines use a count higher than 30,000 but not higher than 50,000. The 0 percent line uses a count above 50,000.
The 70 and 30 lines do not list the same treatment
The 70 percent hospitalization clause names intravenous immune globulin, high-dose parenteral corticosteroids, and platelet transfusions. The 30 percent line names oral corticosteroid therapy or intravenous immune globulin. Platelet transfusions are not in the 30 percent cell.
The colon is only on the rating title
The schedule title ends with a colon. Appendix B ends the same words with a period.
Evidence that speaks to each level
100
What the rater needs to see. Chemotherapy for chronic refractory thrombocytopenia, or a platelet count 30,000 or below despite treatment.
Where that usually lives. The treatment record and the platelet count.
70
What the rater needs to see. Immunosuppressive therapy, or the platelet-count band with the hospitalization and the three treatments that line names.
Where that usually lives. The hospital record for severe bleeding and the treatments listed in that cell.
30 or 10
What the rater needs to see. The same platelet-count band, with the oral corticosteroid or intravenous immune globulin finding on the 30 percent line, or without treatment on the 10 percent line.
Where that usually lives. The platelet count and the treatment record.
0
What the rater needs to see. A platelet count above 50,000 and asymptomatic disease, or immune thrombocytopenia in remission.
Where that usually lives. The same laboratory record.
Note (2)
What the rater needs to see. If the 100 percent follows chemotherapy, the six-month examination after that treatment stops, and § 3.105(e) for any reduction.
Where that usually lives. The chemotherapy stop date and the examination.
VA’s public DBQ list, checked October 5, 2026, names “Hematologic and Lymphatic Conditions, Including Leukemia” under Hematologic & Lymphatic. The file is Hematologic and Lymphatic Conditions, Including Leukemia.
The exam form
DC 7705 prints 100, 70, 30, 10, and 0. This page does not say the form replaces those lines.
Related codes and how they interact
Splenectomy is the code Note (1) names.
DC 7706 is 20. Its complication note is not a platelet line. Note (1) says to evaluate that code separately and combine it with an evaluation under DC 7705.
Secondary conditions and presumptions
Section 3.309(a) says “Purpura idiopathic, hemorrhagic.” It does not contain “thrombocytopenia,” and it does not assign DC 7705.
A separate question, when a presumption does not decide it, is a medical question on the facts under 38 CFR § 3.310. Paragraph (a) covers disability proximately due to or the result of a service-connected disease or injury. Paragraph (b) covers increase in severity and requires a medical baseline.
Short answers
How does VA rate immune thrombocytopenia?
Under 38 CFR § 4.117, Diagnostic Code 7705 is 100, 70, 30, 10, or 0 on the platelet-count and treatment lines printed there. Education only. VA decides on the evidence.
Does the chronic-disease list assign this code to idiopathic purpura?
Section 3.309(a) lists “Purpura idiopathic, hemorrhagic.” That row has no diagnostic code. The 2026-10-01 text does not contain “thrombocytopenia,” and it does not assign DC 7705.
FAQ
What are the ratings for immune thrombocytopenia under DC 7705?
100 for chemotherapy for chronic refractory thrombocytopenia, or a platelet count 30,000 or below despite treatment. 70 for immunosuppressive therapy, or for the higher-than-30,000 but not-higher-than-50,000 count with the hospitalization and treatments that line names. 30 and 10 use that same count band, with or without the treatment the 30 percent line names. 0 is a count above 50,000 and asymptomatic, or remission. Education only.
Does Note (2) cover every treatment on the 70 and 30 lines?
Note (2) continues a 100 percent evaluation beyond the cessation of chemotherapy, with a mandatory VA examination six months after discontinuance, and it subjects a reduction to § 3.105(e). It does not name immunosuppressive therapy, oral corticosteroids, or intravenous immune globulin.
Is splenectomy a DC 7705 percentage?
No. Note (1) says to evaluate splenectomy under diagnostic code 7706 and combine with an evaluation under this diagnostic code. DC 7706 prints 20. Note (1) does not end with a period.
Next steps
- Read the decision for DC 7705, the platelet count, the treatment named, and any DC 7706 combination.
- The free worksheet is a place to write the code, the findings, and the records you already have. It does not file a claim or protect a filing date. An accredited representative is at find a VSO.
- Other hemic and lymphatic codes are on the hematologic and lymphatic diagnostic-code index.
Education only. Not legal or medical advice. My Claim Packet is not a VA-accredited representative and does not file claims. VA decides every claim on its own evidence.
Other codes in this body system
Nearby catalog entries in Hematologic / lymphatic, ordered by diagnostic code number. All Hematologic / lymphatic codes
- DC 7702Agranulocytosis, acquired
- DC 7703Leukemia
- DC 7704Polycythemia vera
- DC 7706Splenectomy
- DC 7707Spleen, injury of, healed
- DC 7709Hodgkin's lymphoma
- DC 7710Adenitis, tuberculous
- DC 7712Multiple myeloma
- DC 7714Sickle cell anemia
- DC 7715Non-Hodgkin's lymphoma
- DC 7716Aplastic anemia
- DC 7717AL amyloidosis (primary amyloidosis)
- DC 7718Essential thrombocythemia and primary myelofibrosis
- DC 7719Chronic myelogenous leukemia (CML) (chronic myeloid leukemia or chronic granulocytic leukemia)
- DC 7720Iron deficiency anemia
- DC 7721Folic acid deficiency
Also: DC code lookup (tools) lists the same index in a compact layout.
Source: 38 CFR Part 4, Diagnostic Code 7705 • va.gov
⚠️ Important Disclaimer
This page provides general educational information based on public VA regulations and VA.gov resources. It is not legal or medical advice, and My Claim Packet is not a VA-accredited representative. Any worksheets or draft documents produced by the tools must be reviewed for accuracy and are not filed with VA for you. Ratings and service connection are decided case-by-case from the individual record. Consult a VA-accredited VSO, claims agent, attorney, or qualified clinician for help with your situation, and verify current rules using the linked official source.