DC 6514Respiratory System38 CFR § 4.97Last verified: APR 22, 2026

Sinusitis, sphenoid, chronic.

Sinusitis, sphenoid, chronic. is rated under 38 CFR 38 CFR § 4.97, Diagnostic Code 6514, from 0% to 50% based on the frequency and functional severity of symptoms. The maximum 50% rating requires: Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries. Most claims establish the 0% or 10% rating before reaching the top tier.

Rating schedule — DC 6514 at a glance

Minimum rating
0%

Lowest schedular rating available

Maximum rating
50%

TDIU may raise effective compensation to 100%

Rating tiers
4

0%, 10%, 30%, 50%

CFR section
38 CFR § 4.97

Part 4 rating schedule

Body system
Respiratory System
Secondary conditions
0

None mapped

What are the VA rating criteria for Sinusitis, sphenoid, chronic.?

0%Disability Rating

Detected by X-ray only

10%Disability Rating

One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting

30%Disability Rating

Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting

50%Disability Rating

Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries

Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting

Common Questions About Sinusitis, sphenoid, chronic. VA Ratings

What is the VA rating range for Sinusitis, sphenoid, chronic.?

The VA rates Sinusitis, sphenoid, chronic. under Diagnostic Code 6514 at 0%, 10%, 30%, 50%. The minimum 0% rating requires: Detected by X-ray only. The maximum 50% rating requires: Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries.

Which 38 CFR diagnostic code does the VA use for Sinusitis, sphenoid, chronic.?

The VA rates Sinusitis, sphenoid, chronic. under Diagnostic Code (DC) 6514, 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 50% rating for Sinusitis, sphenoid, chronic.?

A 0% rating requires: Detected by X-ray only. A 50% rating requires: Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.

Can Sinusitis, sphenoid, chronic. qualify for TDIU (Total Disability Individual Unemployability)?

Veterans rated for Sinusitis, sphenoid, chronic. 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 Sinusitis, sphenoid, chronic.?

Service connection for Sinusitis, sphenoid, chronic. 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 Sinusitis, sphenoid, chronic.?

A Compensation & Pension (C&P) exam for Sinusitis, sphenoid, chronic. 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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