Diagnostic Code 7914 · 38 CFR §4.119
DC 7914 covers malignant tumors (cancers) of any specified part of the endocrine system. This includes cancers of the thyroid, adrenal glands, pituitary gland, parathyroid glands, and other endocrine tissues. These cancers may develop from radiation exposure during service, toxic chemical exposure, or other service-related factors. The VA provides a mandatory 100% rating during active treatment.
| Rating | Criteria |
|---|---|
| 100% | Any malignant neoplasm of any specified part of the endocrine system receives a 100% rating. This rating continues beyond the cessation of any surgical, X-ray, antineoplastic chemotherapy, or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating is determined by a mandatory VA examination. If there has been no local recurrence or metastasis, the VA rates on residuals — typically hormone deficiencies from organ removal, each rated under its specific diagnostic code. |
Pathology reports confirming the malignancy and its location are essential. Treatment records for surgery, chemotherapy, and radiation are needed for the 100% rating. Post-treatment hormone function tests show resulting deficiencies. Radiation exposure documentation from service establishes the nexus for exposure-related cases. Ongoing surveillance records demonstrate continued monitoring needs.
Six months after treatment ends, the VA conducts a mandatory examination. If there is no recurrence or metastasis, the rating is based on residuals — typically hormone deficiencies from organ removal, each rated under its own code. Any rating change is subject to the procedural protections of 38 CFR 3.105(e), which requires advance notice and an opportunity to present evidence.
Certain endocrine cancers are linked to radiation exposure, which is a recognized military hazard. Agent Orange, burn pit exposure, and other toxic substances may also increase risk. Check whether your specific cancer type is listed as a presumptive condition for your exposure category.