Respiratory System§ 4.97Updated
Rating criteria

VA Diagnostic Code 6836Blastomycosis

Rated from 0% to 100% under § 4.97. Here is what the VA requires at each level.

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The ladder

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%

    Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis

  2. 50%

    Chronic pulmonary mycosis requiring suppressive therapy with no more than minimal symptoms such as occasional minor hemoptysis or productive cough

  3. 30%

    Chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough

  4. 0%

    Healed and inactive mycotic lesions, asymptomatic

How it is applied

General rating formula

General Rating Formula for Mycotic Lung Disease (diagnostic codes 6834 through 6839)

From the schedule

Notes on this code

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

  • Note: Coccidioidomycosis has an incubation period up to 21 days, and the disseminated phase is ordinarily manifest within six months of the primary phase. However, there are instances of dissemination delayed up to many years after the initial infection which may have been unrecognized. Accordingly, when service connection is under consideration in the absence of record or other evidence of the disease in service, service in southwestern United States where the disease is endemic and absence of prolonged residence in this locality before or after service will be the deciding factor.

Blastomycosis (VA Diagnostic Code 6836)

Understanding Your VA Disability Rating for Blastomycosis

Blastomycosis is a fungal (mycotic) lung disease affecting the respiratory system. The VA rates this condition under 38 CFR § 4.97, Diagnostic Code 6836, using the General Rating Formula for Mycotic Lung Disease.


What Is Blastomycosis?

Blastomycosis is a type of pulmonary mycosis — a fungal infection that affects the lungs. Symptoms and severity can vary widely, ranging from healed, inactive lesions with no symptoms to chronic pulmonary disease with significant respiratory complications. The VA assigns a disability rating based on how active the disease is and the specific symptoms you experience.


Available Rating Levels

The VA uses the following rating levels for Blastomycosis:

100% — Most Severe

Chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis (coughing up blood).

50%

Chronic pulmonary mycosis requiring suppressive therapy, with no more than minimal symptoms such as occasional minor hemoptysis or productive cough.

30%

Chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough.

0% — Non-Compensable

Healed and inactive mycotic lesions that are asymptomatic (no symptoms present).


What the VA Looks For When Rating Blastomycosis

When evaluating Blastomycosis, the VA considers factors such as:

  • Whether the pulmonary mycosis is chronic or has healed and become inactive
  • The presence of persistent fever, weight loss, night sweats, or massive hemoptysis (which support the highest rating)
  • Whether the condition requires suppressive therapy
  • The presence of minimal symptoms such as occasional minor hemoptysis or productive cough
  • Whether lesions are healed, inactive, and asymptomatic

Important Note on Related Fungal Diseases

For reference, the rating notes include guidance on Coccidioidomycosis (a related mycotic disease):

Coccidioidomycosis has an incubation period up to 21 days, and the disseminated phase is ordinarily manifest within six months of the primary phase. However, there are instances of dissemination delayed up to many years after the initial infection which may have been unrecognized. Accordingly, when service connection is under consideration in the absence of record or other evidence of the disease in service, service in southwestern United States where the disease is endemic and absence of prolonged residence in this locality before or after service will be the deciding factor.


This information is based on the VA rating schedule under 38 CFR § 4.97, Diagnostic Code 6836. Individual ratings depend on your specific medical evidence and circumstances.

These criteria are a rendering of § 4.97, diagnostic code 6836. 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 6836 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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