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Sickle Cell Disease

DC 7714 §4.117 Hemic and Lymphatic ICD-10: D57.1 Direct

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VA rating criteria

RatingCriteria
100%With repeated painful episodes very frequently occurring without remissions and with anemia and impairment of health
60%With painful crises several times a year or with symptoms precluding other than light manual labor
30%Following an initial attack with a finding of sickle cell disease
10%Asymptomatic, established case in remission, but with identifiable organ impairment

Filing this claim

This is typically filed as a direct service connection claim. You need a current diagnosis, evidence of in-service event or exposure, and a nexus letter linking them. Use the letter generators to draft your nexus letter and Statement in Support of Claim.

Step by step

  1. File an Intent to File (Form 21-0966) to lock your effective date.
  2. Confirm you have a current medical diagnosis in a medical record.
  3. Get a nexus letter — magic phrase: "at least as likely as not."
  4. Write a Statement in Support of Claim (21-4138).
  5. If applicable, gather buddy statements (21-10210).
  6. File the formal 21-526EZ.

Source: 38 CFR §4.117. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.

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