The appeal for a higher rating than 30 percent for hypogammaglobulinemia is remanded to obtain an addendum opinion regarding the severity of IVIG transfusions.
The deciding factor: A medical opinion from a VA examiner is needed as the Board made an impermissible medical determination when it found the Veteran's IVIG transfusions are not analogous to requiring transfusions of platelets or red cells under the pre-2018 amended Diagnostic Code 7702 for a 100 percent rating.
- Claimed conditions
- hypogammaglobulinemia
- How they argued it
- Direct service connection
- Exposure basis
- None
- Rating assigned
- None in this decision
- Decision date
- November 24, 2025
- Citation
- A25102001
Veterans Law Judge
Decisions by this judge: 2,017 · Granted: 36% (granted or partly granted, in the vetted decisions on this site)
Judge attribution: 2025 complete; earlier years partial.
This is a plain-language summary generated by AI from a public Board of Veterans’ Appeals decision. It can contain errors — always verify against the original. Look up the original decision on VA.gov (opens in a new tab) using citation A25102001.
What this means for you
A remand is not a loss. The Board sent the case back for more development — often a new exam or missing records — before making a final decision. Many remands later end in a grant, and the decision spells out exactly what the Board wanted to see.
What you can do next
Related decisions
Other Board decisions on a similar condition or argued the same way.
- Remanded (sent back)
The Veteran's initial rating for hypogammaglobulinemia is granted at a 30 percent level. The claim for service connection of migraine headaches is remanded.
- Remanded (sent back)
The Board has decided to remand the Veteran's claim for hypogammaglobulinemia as there are insufficient records and opinions regarding the etiology of his condition. The AOJ is required to obtain relevant medical records, including those from VA Choice Program providers, and provide an addendum opinion on the issue.
- Granted
The Board has granted service connection for the Veteran's hypogammaglobulinemia, finding that it is secondary to his service-connected non-Hodgkin's lymphoma.
- Denied
The Board denied a rating higher than 30 percent for the Veteran's service-connected hypogammaglobulinemia, finding that his condition is best rated by analogy to agranulocytosis (Diagnostic Code 7702). The evidence showed effective treatment with monthly intravenous immunoglobulin (IVIG) therapy which reduced infections.
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