This reference uses VA rating codes. For a code from a medical record, check ICD-10-CM and the service date. A clinical code alone does not establish a VA rating or a matching VA diagnostic code.
Pernicious anemia and Vitamin B 12 deficiency anemia
Hemic and lymphatic · 38 CFR § 4.117
Diagnostic Code 7722 is the VASRD entry for Pernicious anemia and Vitamin B 12 deficiency anemia. VA applies the controlling criteria, shared formulas, and special instructions shown in 38 CFR Part 4. VMC presents this material for education and reference; it does not determine a Veteran's diagnosis, service connection, or evaluation.
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Source-verified VASRD criteria
How VA rates this diagnostic code
These percentages summarize the regulatory criteria already mapped to this diagnostic code. They do not predict a Veteran's individual evaluation or establish service connection.
For initial diagnosis requiring transfusion due to severe anemia, or if there are signs or symptoms related to central nervous system impairment, such as encephalopathy, myelopathy, or severe peripheral neuropathy, requiring parenteral B 12 therapy
Requiring continuous treatment with Vitamin B 12 injections, Vitamin B 12 sublingual or high-dose oral tablets, or Vitamin B 12 nasal spray or gel
Regulatory notes
- Note: A 100 percent evaluation for pernicious anemia and Vitamin B 12 deficiency shall be assigned as of the date of the initial diagnosis requiring transfusion due to severe anemia or parenteral B 12 therapy and shall continue with a mandatory VA examination six months following hospital discharge or cessation of parenteral B 12 therapy. Any reduction in evaluation based upon that or any subsequent examination shall be subject to the provisions of § 3.105(e) of this chapter. Thereafter, evaluate at 10 percent and separately evaluate any residual effects of pernicious anemia, such as neurologic involvement causing peripheral neuropathy, myelopathy, dementia, or related gastrointestinal residuals, under the most appropriate diagnostic code
Body system and anatomy metadata
Body system: Hemic and lymphatic
Anatomy / region tags: hematologic
These tags support discovery and body-map compatibility. They do not establish Veteran-specific laterality or entitlement.
Official VA DBQ references
DBQ catalog: va-dbq-2026.09.16 · Retrieved 2026-09-16. Official VA inventory ↗
- Hematologic and Lymphatic Conditions, Including Leukemia ↗ Related resourceCatalog category: Hematologic & Lymphatic
Related by body system only. No reviewed condition-specific form match or requirement has been established.
VA maintains some examination forms that are not available for public use. VMC does not infer a one-code-to-one-DBQ relationship.
Evidence information
When reviewing the criteria, useful evidence categories can include diagnosis and treatment records, objective testing identified by the schedule, documented frequency/duration/severity when the criteria use those concepts, and functional effects described in medical or lay evidence. The relevant evidence depends on the actual claim and medical facts.
VMC does not diagnose conditions, guarantee a percentage, or advise anyone to exaggerate symptoms.
Legal basis and source identification
38 CFR § 4.117 · Source current through 2026-08-06 · Verified 2026-08-10
Registry content release: vasrd-registry-2026.08.1