38 CFR Part 4 — 38 CFR § 4.117

Acquired hemolytic anemia — VA Diagnostic Code 7723

Hematologic / lymphatic

Diagnostic code

7723

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38 CFR § 4.117 lists Diagnostic Code 7723 as “Acquired hemolytic anemia:”. The title ends with a colon. The lines are 100, 60, 30, 10, and 0. Two notes follow. Appendix B to Part 4 indexes “Acquired hemolytic anemia.” The catalog slug is dc-7723-acquired-hemolytic-anemia.

Reviewed 2026-10-05. Text checked against the eCFR versioner full-text XML for 2026-10-01 on 2026-10-05. Title 38 was last amended on 2026-08-27. On 2026-10-05 the titles list reports up to date as of 2026-10-02. Section 4.117 source note: 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

7723 Acquired hemolytic anemia

Rating %: 100

Criteria (verbatim). Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab)

Rating %: 60

Criteria (verbatim). Requiring immunosuppressive medication 4 or more times per 12-month period

Rating %: 30

Criteria (verbatim). Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period

Rating %: 10

Criteria (verbatim). Requiring one course of immunosuppressive therapy per 12-month period

Rating %: 0

Criteria (verbatim). Asymptomatic

Rating %	Criteria (verbatim)
100	Requiring a bone marrow transplant or continuous intravenous or immunosuppressive therapy (e.g., prednisone, Cytoxan, azathioprine, or rituximab)
60	Requiring immunosuppressive medication 4 or more times per 12-month period
30	Requiring at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period
10	Requiring one course of immunosuppressive therapy per 12-month period
0	Asymptomatic

Note (1): A 100 percent evaluation for bone marrow transplant shall be assigned as of the date of hospital admission and shall continue for six months after hospital discharge with a mandatory VA examination six months following hospital discharge. 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): Separately evaluate splenectomy under diagnostic code 7706 and combine with an evaluation under diagnostic code 7723

Neither note ends with a period. The five percentage lines do not end with a period. The 100 percent line names prednisone, Cytoxan, azathioprine, or rituximab as examples. It does not add other drugs.

The schedule title ends with a colon. Appendix B ends with a period.

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. 38 CFR § 4.14 says the evaluation of the same disability under various diagnoses is to be avoided, and that the evaluation of the same manifestation under different diagnoses is to be avoided.

Note (2) names DC 7706, splenectomy, and says to combine that evaluation with an evaluation under DC 7723. The 20 percent splenectomy cell stays on DC 7706.

The 2026-10-01 text of 38 CFR § 3.309 does not contain “hemolytic,” “7723,” or “acquired hemolytic anemia.” This page does not add DC 7723 to a presumptive row.

Source: 38 CFR § 4.117, Diagnostic Code 7723, eCFR full-text XML for 2026-10-01. The 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.

What the words mean in your records

The examples stay inside the parentheses

The 100 percent line says “e.g., prednisone, Cytoxan, azathioprine, or rituximab.” Cytoxan is the word the table prints. This page does not add a generic name the cell does not print.

Courses versus times

The 60 percent line says “immunosuppressive medication 4 or more times per 12-month period.” The 30 and 10 percent lines say “courses of immunosuppressive therapy.” The table uses those different words. This page does not treat them as synonyms the regulation did not write.

Note (1) cites § 3.105(e)

Unlike DC 7719 Note (2), this note prints “(e).” The 100 percent for bone marrow transplant runs from hospital admission and continues for six months after discharge, with the examination at that six-month point. A reduction is subject to § 3.105(e).

Evidence that speaks to each level

100, 60, 30, 10, or 0

What the rater needs to see. Bone marrow transplant or continuous intravenous or immunosuppressive therapy, or the count of immunosuppressive medication or courses in the 12-month period, or that the condition is asymptomatic.

Where that usually lives. The hematology record and the treatment dates in that 12-month period.

Note (2)

What the rater needs to see. Whether a splenectomy was also evaluated under DC 7706 and combined with DC 7723.

Where that usually lives. The surgical record and the rating that names both codes.

Level	What the rater needs to see	Where that usually lives
100, 60, 30, 10, or 0	Bone marrow transplant or continuous intravenous or immunosuppressive therapy, or the count of immunosuppressive medication or courses in the 12-month period, or that the condition is asymptomatic.	The hematology record and the treatment dates in that 12-month period.
Note (2)	Whether a splenectomy was also evaluated under DC 7706 and combined with DC 7723.	The surgical record and the rating that names both codes.

VA’s public DBQ list, checked October 5, 2026, names “Hematologic and Lymphatic Conditions, Including Leukemia” under Hematologic and Lymphatic. The file is Hematologic and Lymphatic Conditions, Including Leukemia.

The exam form

DC 7723 prints 100, 60, 30, 10, and 0. This page does not say the form replaces those lines.

Related codes and how they interact

Splenectomy stays on DC 7706

DC 7706 is 20 percent for splenectomy. Note (2) of DC 7723 says to evaluate that splenectomy separately and combine it with DC 7723. DC 7721 is folic acid deficiency, a different anemia code.

Secondary conditions and presumptions

Section 3.309 does not contain “hemolytic” or “7723.” This page does not add DC 7723 to a presumptive row.

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 acquired hemolytic anemia under DC 7723?

Under 38 CFR § 4.117, Diagnostic Code 7723 rates acquired hemolytic anemia at 100, 60, 30, 10, or 0 percent. Note (1) times a bone-marrow-transplant evaluation from hospital admission through six months after discharge. Note (2) evaluates splenectomy under DC 7706 and combines it with DC 7723. Education only. VA decides on the evidence.

Why does the 60 percent line say “times” and the 30 percent line say “courses”?

Those are the words in the cells. The 60 percent line is immunosuppressive medication 4 or more times per 12-month period. The 30 percent line is at least 2 but less than 4 courses of immunosuppressive therapy per 12-month period. Education only.

FAQ

What are the DC 7723 percentages?

100, 60, 30, 10, and 0. The 100 percent line is bone marrow transplant or continuous intravenous or immunosuppressive therapy. The examples in that line are prednisone, Cytoxan, azathioprine, or rituximab. Education only.

Does Note (1) end with a period?

No. Neither note ends with a period. Note (1) cites § 3.105(e). Note (2) names diagnostic code 7706.

Does the splenectomy percentage move onto DC 7723?

No. Note (2) says to separately evaluate splenectomy under diagnostic code 7706 and combine it with an evaluation under diagnostic code 7723. The 20 percent cell remains on DC 7706.

Next steps

Read the decision for DC 7723, the 12-month treatment count, and any separate DC 7706 evaluation.
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 codes in this section 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

Also: DC code lookup (tools) lists the same index in a compact layout.

Source: 38 CFR Part 4, Diagnostic Code 7723 • va.gov

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