Thyroid removal surgery is a common procedure for individuals affected by thyroid conditions. Veterans can receive a temporary VA disability rating after surgery if the procedure is service-connected and the patient’s daily life is impacted during their recovery period. In addition, thyroid conditions can continue after surgery, with VA disability benefits provided based on primary and secondary symptoms, including depression, sleep disorders, and anxiety.
How the VA Rates Thyroid Removal
Conditions related to the thyroid are rated under VA’s schedule rating and diagnostic codes related to the endocrine system: 38 CFR §4.119. This includes Hyperthyroidism and Graves’ disease, Thyroid enlargement (toxic and nontoxic) and Hypothyroidism.
- Hyperthyroidism (including but not limited to) Graves’ disease, is rated at 30% for six months after the initial diagnosis, after which it is rated based on residuals and complications within the appropriate body system.
- Hypothyroidism manifesting as myxedema is rated at 100% for six months, after which it is rated based on residuals and complications within the appropriate body system.
- Hypothyroidism without myxedema is rated at 30%.
What Is the VA Rating After Thyroid Removal Surgery?
Veterans may be eligible for a 100% VA disability rating after surgery when the surgical procedure requires a recovery time of at least one month and results in severe issues, including:
- Unhealed surgical wounds
- Therapeutic immobilization (i.e. splints, cast)
- Home confinement
- Use of crutches or a wheelchair
Service Connection for Thyroid Removal
The thyroid conditions Hypothyroidism, Hyperthyroidism, and Thyroid Cancer are recognized by the VA for disability benefits. Hypothyroidism can also be recognized as a secondary condition linked to service.
Chronic health conditions related to thyroid conditions, including depression, sleep disorders, and anxiety may qualify for VA disability benefits if service-connection is proven with proper documentation.
Are Thyroid Conditions Presumptive?
On January 1, 2021, the VA added hypothyroidism to the list of presumptive conditions related to Agent Orange exposure as a result of the FY21 National Defense Authorization Act. See if you are eligible for the presumption→
Medical Evidence and Documentation
When applying for VA benefits for thyroid dysfunction and removal, veterans must establish a service connection with medical evidence of a current disability. This means the claims applicant must submit evidence that the thyroid condition was either caused by military service or aggravated by it.
The documentation commonly provided to prove service connection for thyroid conditions when applying for VA benefits include a current diagnosis, documented in-service event or exposure, and medical evidence linking the current condition to an in-service event or exposure.
Nexus can also be provided on a secondary basis or by aggravation. Detailed medical and service records must be collected and provided with the disability claim.
Understanding Thyroid Disorders
The thyroid gland is located in the neck and produces hormones that help regulate metabolism. The thyroid works with the pituitary gland to ensure the body has the right amount of hormones at all times. When the thyroid isn’t working correctly, it can become overactive (Hyperthyroidism) or underactive (Hypothyroidism), affecting a person’s health in different ways.
Hyperthyroidism and hypothyroidism are common conditions, which can affect the heart and body temperature, and can cause fatigue, weight gain, and the enlarging of the thyroid. Graves’ disease is an autoimmune disease that causes hyperthyroidism. The removal of all or part of the thyroid is one treatment for these conditions, and thyroid removal surgery is also a recommended treatment for thyroid cancer.
When Does the Thyroid Need to Be Removed?
Thyroid removal may be recommended by a doctor when a patient is experiencing the symptoms of an overactive thyroid, when cancer has been detected, or if the thyroid has grown, which is called a goiter. Whether the entire thyroid or part of the gland is removed during surgery depends on the disorder.
Symptoms and Complications Post-Thyroid Removal
The long-term effects of thyroid removal are well documented, with common symptoms including weight gain, fatigue, and dry skin. Hormone replacement therapy is designed to reduce these symptoms. Thyroid removal is a common and safe surgical procedure, but complications can occur. These include bleeding in the area that makes it hard to breathe, post-surgical infection, and nerve damage to the vocal cords.
Post-surgery complications can affect the veteran’s disability rating in the future, and detailed documentation of the medical conditions and ongoing treatment plan should be collected and saved.
Filing a VA Disability Claim for Thyroid Removal
To successfully prepare a VA claim for thyroid removal, you will need the following:
- Evidence – Collect the detailed medical and service records, as well as buddy statements, that document the condition, symptoms, and service connection
- Diagnosis – Get a current diagnosis from a healthcare provider, including a recent thyroid function test
- Connection – Provide a detailed analysis of how service led to the current diagnosis, including Agent Orange toxic exposure if appropriate
- Personal Statements – Show the impact of the current thyroid condition on daily life, including its effects on work and relationships
- Secondary Conditions – Provide information on secondary issues related to the thyroid condition, including heart problems or depression
- Disability Benefits Questionnaire – Ask your healthcare provider to fill out this VA form, which outlines the information required by the agency
- Assistance – Connect with a VA-accredited representative to guide you through the steps
Winning a VA Rating for Thyroid Disorders
One of the most common challenges veterans face when applying for VA benefits for thyroid conditions is proving a service connection. The VA disability rating process for thyroid conditions is conducted on an individual basis for each veteran, and it depends on the severity of the symptoms and impact on daily life.
Before applying for VA benefits, make sure you understand the VA claims system and collect all the medical evidence from service records and healthcare providers. This free guide can help you navigate the process.
Content Reviewed by
Brenda Duplantis
Brenda Duplantis is a Accredited Claims Agent with a solid background in Social Security Disability Law and Veterans Law. She has been helping clients at Hill & Ponton with disability claims since 1991. Brenda is a member of the National Organization of Veterans’ Advocates.
