Here are the comments we submitted to the
We at www.MilitaryDisabilityMadeEasy.com
would like to submit the following comments in response to the proposed changes
to the Endocrine System on behalf of our staff and veterans.
In Code 7903 for hypothyroidism, we suggest
changing “myxedema” to “myxedema coma or crisis.” Myxedema can be present
without causing the level of symptoms necessary to warrant the 100% rating.
This is clarified in the discussion of this code, but not in the wording of the
code itself. Similarly, the 30% rating specifies “without myxedema”. In truth
the majority of cases will have myxedema symptoms, but will not be a coma or
crisis. To avoid confusion or improper ratings, a rewording of this code may be
advisable. The diagnosis alone of myxedema does NOT warrant a 100% rating by
itself. Instead, it must be a myxedema coma or crisis.
This is a minor issue. There is a typo in
the proposed changes. In the discussion of code 7911 for Addison’s disease, it
is called an “adrenocortical” insufficiency. In the schedule of ratings below,
however, it is referred to as “adrenalcortical” insufficiency. The second needs
to be changed to adrenocortical in order to be consisted with the previous
discussion of the change.
A number of our veterans have expressed
issue with the removal of many of the 10% minimums for the need for continuous
medication to control the symptoms. While it is true that the majority of
medications used for Endocrine conditions do successfully control the symptoms,
simply the fact that continuous medication must be administered requires a
significant lifestyle adjustment, especially if additional medication is
suddenly needed to avoid a life-threatening situation.