Respiratory System§ 4.97Updated
Rating criteria

VA Diagnostic Code 6510Sinusitis, pansinusitis, chronic.

Rated from 0% to 50% under § 4.97. Here is what the VA requires at each level.

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What each rating requires

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  1. 50%

    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

  2. 30%

    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

  3. 10%

    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

  4. 0%

    Detected by X-ray only

How it is applied

General rating formula

General Rating Formula for Sinusitis (DC's 6510 through 6514)

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.

Chronic Sinusitis (Pansinusitis) — VA Disability Rating

Diagnostic Code 6510 · 38 CFR § 4.97 · Respiratory System

What This Condition Is

Chronic sinusitis, including pansinusitis, is a long-lasting inflammation of the sinuses. The VA rates this condition under the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514).

When evaluating sinusitis, the VA considers factors such as headaches, pain and tenderness in the affected sinus, purulent discharge or crusting, and how often symptoms flare up during the year. The VA also distinguishes between incapacitating episodes and non-incapacitating episodes.

Important note: An incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician.

Available Rating Levels

The VA assigns one of the following rating levels based on the severity and frequency of symptoms:

50%

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

30%

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

10%

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

0%

Detected by X-ray only.

What the VA Looks For

When rating chronic sinusitis, the VA focuses on:

  • Frequency of episodes over the course of a year
  • Whether episodes are incapacitating (requiring bed rest and treatment by a physician) or non-incapacitating
  • Symptoms present, including headaches, pain and tenderness of the affected sinus, and purulent discharge or crusting
  • Treatment required, such as prolonged antibiotic treatment lasting four to six weeks
  • Surgical history, including radical surgery, chronic osteomyelitis, and repeated surgeries
  • X-ray findings, which alone may correspond to a 0% rating

These criteria are a rendering of § 4.97, diagnostic code 6510. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 6510 and attach the evidence for the level you are asking for. Other Respiratory System codes may cover your secondary conditions.

Find out which rating your evidence supports.

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