Leukemia — VA Disability Rating Criteria (DC 7703)
Diagnostic Code 7703 · 38 CFR §4.117
What Is It?
Leukemia is a cancer of the blood-forming tissues, primarily the bone marrow, leading to overproduction of abnormal white blood cells. Types include acute lymphocytic leukemia (ALL), acute myeloid leukemia (AML), and others not covered by more specific diagnostic codes. For veterans, leukemia may be linked to Agent Orange exposure (certain leukemias are presumptive conditions), radiation exposure, benzene and other chemical exposures, or burn pit exposure under the PACT Act. The VA assigns a mandatory 100 percent rating during active disease, with reassessment after treatment based on residual effects.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Active leukemia or during treatment. The 100% rating applies during active disease and continues for six months following completion of treatment. After six months, the VA reassesses based on residual disability. The minimum rating following treatment is based on the applicable residual condition ratings. |
Evidence Needed
Pathology and bone marrow biopsy results confirming the leukemia diagnosis are critical. Treatment records including chemotherapy, radiation, stem cell transplant, and follow-up care documentation are needed. For Agent Orange presumptive claims, deployment records showing service in Vietnam, Thailand, or other qualifying locations are sufficient for nexus. For other exposures, documentation of the exposure and an oncology nexus opinion are needed.
C&P Exam Tips
During active treatment, the 100 percent rating is essentially automatic with proper documentation. After treatment, the examiner will assess residual effects: fatigue, recurrent infections, anemia, organ damage from chemotherapy, and ongoing monitoring requirements. Describe all residual symptoms and how they affect daily functioning.
How to File
File on VA Form 21-526EZ with DC 7703. Submit pathology reports and treatment records. For Agent Orange presumptive connection, submit proof of qualifying service (DD-214 showing Vietnam service, personnel records showing Thailand base assignment, etc.). For PACT Act claims, submit deployment records showing burn pit exposure. For non-presumptive claims, include an oncology nexus letter.
Common Mistakes
Not knowing about the Agent Orange or PACT Act presumptive lists leads some veterans to not file at all. After treatment, not documenting all residual effects — fatigue, immune system compromise, organ damage — results in a lower post-treatment rating. Not filing during active treatment delays the 100 percent rating.
Frequently Asked Questions
Is leukemia a presumptive condition for Agent Orange?
Certain types of leukemia, including chronic lymphocytic leukemia (CLL), are on the Agent Orange presumptive list. Other types may qualify under other presumptive categories or through direct service connection with a nexus opinion.
What about the PACT Act?
The PACT Act expanded presumptive conditions for veterans exposed to burn pits and other toxic substances. Some cancers including certain leukemias may qualify. Check the current VA presumptive list or consult a VSO for the most up-to-date coverage.