Diaphragm paralysis or paresis
Diaphragm paralysis or paresis is rated under 38 CFR 38 CFR § 4.97, Diagnostic Code 6840, from 0% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis. Most claims establish the 0% or 30% rating before reaching the top tier.
What are the VA rating criteria for Diaphragm paralysis or paresis?
Healed and inactive mycotic lesions, asymptomatic
Note: Via General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839):
Chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough
Note: Via General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839):
Chronic pulmonary mycosis requiring suppressive therapy with no more than minimal symptoms such as occasional minor hemoptysis or productive cough
Note: Via General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839):
Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis
Note: Via General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839):
“Chronic pulmonary mycosis requiring suppressive therapy with no more than minimal symptoms such as occasional minor hemoptysis or productive cough”
Common Questions About Diaphragm paralysis or paresis VA Ratings
What is the VA rating range for Diaphragm paralysis or paresis?
The VA rates Diaphragm paralysis or paresis under Diagnostic Code 6840 at 0%, 30%, 50%, 100%. The minimum 0% rating requires: Healed and inactive mycotic lesions, asymptomatic. The maximum 100% rating requires: Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis.
Which 38 CFR diagnostic code does the VA use for Diaphragm paralysis or paresis?
The VA rates Diaphragm paralysis or paresis under Diagnostic Code (DC) 6840, governed by 38 CFR 38 CFR § 4.97. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 0% and a 100% rating for Diaphragm paralysis or paresis?
A 0% rating requires: Healed and inactive mycotic lesions, asymptomatic. A 100% rating requires: Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Diaphragm paralysis or paresis qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Diaphragm paralysis or paresis may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Diaphragm paralysis or paresis?
Service connection for Diaphragm paralysis or paresis requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Diaphragm paralysis or paresis?
A Compensation & Pension (C&P) exam for Diaphragm paralysis or paresis uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
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