Splenectomy — VA Disability Rating Criteria (DC 7706)
Diagnostic Code 7706 · 38 CFR §4.117
What Is It?
Splenectomy is the surgical removal of the spleen. The spleen plays a key role in filtering blood and fighting certain infections, so its removal permanently increases susceptibility to specific bacterial infections, particularly pneumococcal and meningococcal bacteria. Veterans commonly undergo splenectomy due to abdominal trauma from combat injuries, vehicle accidents, or training incidents that rupture the spleen. It can also result from treatment for blood disorders such as immune thrombocytopenic purpura. The VA assigns a fixed 20 percent rating for splenectomy, recognizing the permanent immune system compromise.
Rating Criteria
| Rating | Criteria |
|---|---|
| 20% | Splenectomy. This is a fixed rating assigned for removal of the spleen regardless of current symptoms. The rating reflects the permanent increased susceptibility to infection. Complications such as recurrent infections may be rated separately. |
Evidence Needed
Surgical records documenting the splenectomy are the primary evidence. Service treatment records showing the in-service injury or condition that required the surgery establish nexus. Records of post-splenectomy vaccination requirements (pneumococcal, meningococcal) and any infections since surgery support the claim. Current medical records showing ongoing monitoring and preventive care are helpful.
C&P Exam Tips
The exam is straightforward since splenectomy is a documented surgical event. The examiner will verify the surgical history and assess any complications. Describe any infections you have experienced since the surgery, vaccinations required, and how the increased infection susceptibility affects your daily life. If you take prophylactic antibiotics, note that.
How to File
File on VA Form 21-526EZ with DC 7706. Submit the surgical records and service treatment records. This is typically a straightforward claim when the splenectomy occurred during service or resulted from a service-connected injury. Consider secondary claims for any complications or recurrent infections.
Common Mistakes
Not filing because the rating is fixed at 20 percent. While the base rating is set, establishing service connection opens the door for secondary claims for infections and complications. Not documenting post-splenectomy infections weakens any subsequent claims for secondary conditions.
Frequently Asked Questions
Is splenectomy always rated at 20%?
Yes. DC 7706 provides a fixed 20% rating for spleen removal. However, if you experience complications such as recurrent infections, those may be rated separately under the appropriate diagnostic codes.
Can I claim secondary conditions from splenectomy?
Yes. Recurrent infections, anemia, or other blood conditions that develop because of the absent spleen can be claimed as secondary to the service-connected splenectomy.