Respiratory System§ 4.97Updated
Rating criteria

VA Diagnostic Code 6519Aphonia, complete organic:

Rated from 60% to 100% under § 4.97. Here is what the VA requires at each level.

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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%

    Constant inability to communicate by speech

  2. 60%

    Constant inability to speak above a whisper

From the schedule

Notes on this code

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

  • Note: Evaluate incomplete aphonia as laryngitis, chronic (DC 6516).

Complete Organic Aphonia (VA Diagnostic Code 6519)

Respiratory System — 38 CFR § 4.97

What This Condition Is

Complete organic aphonia refers to the loss of the ability to produce voice due to a physical (organic) cause. In practical terms, it affects a person's capacity to speak. The VA rates this condition under Diagnostic Code 6519 as part of the respiratory system.

Available Rating Levels

The VA uses the following rating levels for complete organic aphonia:

RatingCriteria
100%Constant inability to communicate by speech
60%Constant inability to speak above a whisper

What the VA Looks For

When evaluating complete organic aphonia, the VA focuses on the extent and consistency of the impairment to speech:

  • For a 100% rating: Evidence of a constant inability to communicate by speech.
  • For a 60% rating: Evidence of a constant inability to speak above a whisper.

Important Note

  • Incomplete aphonia is not rated under this code. Instead, the VA evaluates incomplete aphonia as chronic laryngitis (Diagnostic Code 6516).

This overview is based on the VA rating schedule under 38 CFR § 4.97 for informational purposes only. It describes the rating criteria as written and does not predict any individual outcome or provide legal advice.

These criteria are a rendering of § 4.97, diagnostic code 6519. 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 6519 and attach the evidence for the level you are asking for. Other Respiratory System codes may cover your secondary conditions.

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