Actinomycosis — VA Rating Criteria (38 CFR DC 6822)
The VA rates Actinomycosis under 38 CFR 38 CFR § 4.97, Diagnostic Code 6822, from 0% to 50% based on the frequency and functional severity of symptoms. The maximum 50% rating requires Thereafter for four years, or in any event, to six years after date of inactivity. Related conditions in the Respiratory body system share this rating framework.
What are the VA rating criteria for Actinomycosis?
Otherwise
Following moderately advanced lesions, provided there is continued disability, emphysema, dyspnea on exertion, impairment of health, etc
Thereafter, for five years, or to eleven years after date of inactivity
Thereafter for four years, or in any event, to six years after date of inactivity
“Thereafter, for five years, or to eleven years after date of inactivity”
How does the VA rate Respiratory conditions?
Common Questions About Actinomycosis VA Ratings
What is the VA disability rating for Actinomycosis?
The VA rates Actinomycosis under Diagnostic Code 6822 at the following tiers: 0%, 20%, 30%, 50%. The minimum 0% rating requires: Otherwise. The maximum 50% rating requires: Thereafter for four years, or in any event, to six years after date of inactivity.
What is Diagnostic Code 6822?
Diagnostic Code 6822 is the VA rating identifier for Actinomycosis within 38 CFR 38 CFR § 4.97. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.
What is the highest rating for Actinomycosis?
The highest schedular rating for Actinomycosis under DC 6822 is 50%. This tier requires: Thereafter for four years, or in any event, to six years after date of inactivity. Veterans who cannot secure substantially gainful employment due to Actinomycosis alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.
What 38 CFR section governs Actinomycosis ratings?
Actinomycosis is rated under 38 CFR 38 CFR § 4.97, Diagnostic Code 6822. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.
Which conditions are commonly secondary to Actinomycosis?
Secondary conditions caused or aggravated by Actinomycosis may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.
What evidence do I need to establish service connection for Actinomycosis?
Service connection for Actinomycosis requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.
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