Respiratory System§ 4.97Updated
Rating criteria

VA Diagnostic Code 6518Laryngectomy, total.

A single 100% rating under § 4.97. Here is what the VA requires for it.

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In short

Summary

Rate the residuals of partial laryngectomy as laryngitis (DC 6516), aphonia (DC 6519), or stenosis of larynx (DC 6520).

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What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 100%

    Laryngectomy, total.

Total Laryngectomy (VA Diagnostic Code 6518)

Understanding This Condition

A total laryngectomy is the complete surgical removal of the larynx (voice box). Because this is a significant change to the respiratory system, the VA addresses it under Diagnostic Code 6518, found in 38 CFR § 4.97, which covers conditions of the Respiratory System.

Available Rating Level

Under Diagnostic Code 6518, there is a single rating level:

RatingCriteria
100%Total laryngectomy

A total laryngectomy is assigned a 100% disability rating.

What the VA Looks For

  • Total laryngectomy is rated at 100% under Diagnostic Code 6518.
  • The residuals of a partial laryngectomy are rated differently. Rather than using this code, the VA evaluates those residuals as one of the following, depending on how the condition presents:
    • Laryngitis — Diagnostic Code 6516
    • Aphonia (loss of voice) — Diagnostic Code 6519
    • Stenosis of the larynx (narrowing) — Diagnostic Code 6520

In short, the distinction the VA makes is between a total laryngectomy (rated at 100% under DC 6518) and a partial laryngectomy (rated according to its specific residuals under the codes listed above).

These criteria are a rendering of § 4.97, diagnostic code 6518. 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 6518 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.

Six reads your records against these exact criteria and tells you what the VA is still missing.

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