Brian Reese here, VA Claims Insider, and in this guide we'll explore how to make aVA classification for rhinitis, including the top 3 ways to prove your rhinitis was due to military service.
Veterans generally meet the eligibility criteria for allergic rhinitis, in this case theVA Disability Assessments for Rhinitisit is 10 percent or 30 percent.
the highest climberVA classification of allergic rhinitisis 30%, which means you have allergic rhinitisnasal polyps.
you endVA Rhinitis Disability Classificationit depends on the frequency, severity, and duration of symptoms and any impairment or loss (eg, impact on work or life).
Guess what else?
Many veterans mistakenly believe that the maximum rating for rhinitis is 30%...
There are 3 different types of rhinitis that can be linked and evaluated by the service:
- allergic rhinitis
- Bacterial Rhinitis
- granulomatous rhinitis
For example,granulomatous rhinitisyou can score up to 100 percent (more on that below).
Additionally, veterans suffering from allergic rhinitis are at increased risk of developing obstructive sleep apnea, in which case you can file a VA claim for sleep apnea secondary to rhinitis.
Okay, let's explore this insider's guide to getting a VA disability for rhinitis, even if you've already applied or been denied.
You DESERVE a VA HIGHER rating.
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- What is allergic rhinitis in veterans?
- Do I have an allergic cold or a cold?
- Common signs and symptoms of allergic rhinitis (hay fever)
- How to Get a VA Rhinitis Deficiency Evaluation: Basic Eligibility Criteria
- VA classification of allergic rhinitis: is rhinitis a VA disability?
- How do I get a VA rhinitis classification?
- What is the reasonable doubt rule for rhinitis?
- VA Staging for Rhinitis: 3 Pathways Revealed
- DC 6522, Allergic or vasomotor rhinitis:
- DC 6523, Rinite Bacteriana:
- DC 6524, Granulomatous rhinitis:
- What are VA diseases resulting from allergic rhinitis?
- About the Author
What is allergic rhinitis in veterans?
Allergic rhinitis, also known as "hay fever," has symptoms similar to those of a cold: runny nose, itchy and watery eyes, nasal congestion, coughing and sneezing, and sinus pressure.
The main difference between a cold and allergic rhinitis is that the former is caused by a virus and the latter by allergens.
For example, allergic rhinitis is caused by an allergic reaction to indoor or outdoor allergens, such as pollen, dust mites, or feces from cats, dogs, and other furry or feathered animals known as "pet dander." .
Allergic rhinitis is no laughing matter: it can make your life miserable and negatively impact your work, life, and social functioning.
Do I have an allergic cold or a cold?
Here is a useful table to distinguish between the two conditions:
|disease||Signs and symptoms||Begin||Time frame|
|allergic rhinitis||Cold with thin flow, watery and without fever.||Immediately after contact with allergens||Usually while being exposed to allergens|
|common flu||Runny nose with watery or thick yellow/green discharge; body ache; low fever; Cough; stuffy nose, with worse symptoms at night.||One to three days after exposure to a cold virus||3 to 7 days|
Common signs and symptoms of allergic rhinitis (hay fever)
Respectivelymayo clinicSigns and symptoms of allergic rhinitis include:
- Runny nose and stuffy nose
- Watery, itchy, red eyes (allergic conjunctivitis)
- Itchy nose, palate, or throat
- swollen, bluish skin under the eyes (allergic circles under the eyes)
- after nose drops
How to Get a VA Rhinitis Deficiency Evaluation: Basic Eligibility Criteria
To be eligible for a VA rhinitis classification, a veteran must meet three (3) statutory criteria:
- #1.Medical diagnosis of rhinitis, on medical records (Service Treatment Records, VA Records, or Private Records)
- #2.Your rhinitis was caused or aggravated by your active military serviceOthrough another connected service disability for secondary service connection ("Nexus" for service connection)
- #3.Persistent and recurrent rhinitis symptoms (“symptom severity”) in terms of frequency, severity and duration, including functional implications.
If you think you have some type of rhinitis but do not have a medical diagnosis,Pick up the phone and call the nearest VA health centerto make an appointment now!
If you are trying to improve your VA rating for rhinitis, you must show the VA that your symptoms are worse and secure the higher rating criteria by law.
The best way to improve your AV score for rhinitis is to have objective medical evidence that your symptoms have worsened over time.
VA classification of allergic rhinitis: is rhinitis a VA disability?
Yes, rhinitis is an AV deficiency and can be assigned to one of three possible diagnosis codes (DC) based on your medical diagnosis:
The VA classifies allergic rhinitis into38 CFR, Part 4, VA Classification Table, DC 6522, allergic or vasomotor rhinitis, while bacterial rhinitis falls under DC 6523 and granulomatous rhinitis falls under DC 6524.
More commonly, veterans are rated 10% or 30% for allergic rhinitis.
How do I get a VA rhinitis classification?
There are three ways a veteran can receive a VA disability rating for rhinitis:
#1:Direct Care Connection for Allergic Rhinitiswith a grade of 10% or 30%. This means that a service event, injury or illness related to your military service caused you to develop rhinitis.
#2:Secondary service port for allergic rhinitiswith a grade of 10% or 30%. For example, an older person may be classified for rhinitis due to a deviated septum.
#3:“Probable” allergic rhinitis from burnswith a grade of 10% or 30%. If he served in the Gulf War region during the suspect period, the VA believes his rhinitis is related to burns. The assumed period of exposure to particulates is Afghanistan, Djibouti, Syria, and Uzbekistan during the Gulf War, from September 19, 2001 to the present.othe Southeast Asian theater of operations from August 2, 1990 to the present. To be eligible for VA benefits, you must have received one of these conditions within 10 years of your retirement from active military service.
What is the reasonable doubt rule for rhinitis?
oreasonable doubt rule, also known as the benefit of the doubt doctrine, means that the evidence presented by the veteran should only convince the decision maker that each fact is "at least as likely as it is not."
That means there is a 50/50 chance.
If, after careful review of all the evidence, there is a reasonable doubt as to the origin of the service, the degree of disability, or any other matter, that doubt will be decided in favor of the Veteran.
Courts have also likened the reasonable doubt rule to baseball's "tie for runner" principle.
When in doubt is the benefitALWAYSgiven to the veteran.
Independent providers and C&P examiners should consider and weigh the symptoms reported by veterans when completing their rhinitis DBQ.
VA Staging for Rhinitis: 3 Pathways Revealed
Depending on your medical diagnosis, there are three possible diagnosis codes (DC) and VA classifications for rhinitis.
DC 6522, Allergic or vasomotor rhinitis:
- Allergic rhinitis withpolyps,30% de tarifa.
- allergic rhinitis without polyps but with more than 50 percent bilateral nasal obstruction or unilateral complete obstruction,10% de tarifa.
DC 6523, Rinite Bacteriana:
- bacterial rhinitis withRinoescleroma,50% de tarifa.
- Bacterial rhinitis with permanentcrave hypertrophyand with more than 50 percent obstruction of the nares on both sides or complete obstruction on one side,10% de tarifa.
DC 6524, Granulomatous rhinitis:
- Granulomatous rhinitis with Wegener'sgranulomatoso, fatal midline granuloma,100% rate.
- Granulomatous rhinitis other with infection,20% de tarifa.
Pro Tip:Have you been exposed to burn pits?If you served in Afghanistan, Southwest Asia, or other regions and developed sinusitis, rhinitis, or asthma within 10 years of your retirement from active duty, these respiratory conditions are presumed to be service-connected. This is particularly important news for Afghan war veterans.
What are VA diseases resulting from allergic rhinitis?
It is possible that your allergic rhinitis is being caused or aggravated by another service-connected disability for secondary service connection.
Here is a list of common VA secondary conditions in allergic rhinitis:
- Obstructive sleep apnea
- chronic sinusitis
- Deviated nasal septum
- nasal polyps
- A weakened immune system from other illnesses or medications taken to control your work-related impairments.
What should I expect during a C&P exam for allergic rhinitis?
A C&P exam for allergic rhinitis includes a series of verbal questions, including a physical exam and diagnostic tests (x-ray, CT scan, or MRI if none were done).
The following is a list of common questions asked during a VA C&P exam for rhinitis based onDBQ para la rhinitis.
#1. Has the veteran been diagnosed with rhinitis?
If yes, select the appropriate diagnosis and describe the history and onset of the disease.
#two. Is there more than 50% obstruction of the nasal passages on both sides due to rhinitis?
Yes or no.
#3. Is there a complete obstruction on the left side due to rhinitis?
Yes or no.
#4. Is there complete obstruction on the right side due to rhinitis?
Yes or no.
#5. Is there permanent turbinate hypertrophy?
Yes or no.
#6. Are there nasal polyps?
Yes or no.
#7. Does the veteran have any of the following granulomas?
If yes, please check all that apply:
- granulomatous rhinitis
- Wegener's granulomatous
- fatal midline granuloma
- Other granulomatous infection (describe).
#8. Are there other relevant rhinitis findings?
#9. Have you had imaging studies of your sinuses or other areas?
If so, please indicate the type and results.
#10. Is there evidence of a septal deviation?
#eleven. Is a veteran's rhinitis affecting his ability to work?
If yes, describe the effect of each condition on the Veteran's sinuses, nose, throat, larynx, or pharynx and provide one or more examples.
About the Author
Founder and Manager
Brian Rees is a VA service professional and author of the #1 Amazon bestsellerYou Deserve It: The Ultimate Guide to Getting the Veterans Benefits You Deserveand founder of VA Claims Insider–"The most trusted name in educational resources for veterans."
your frustration with himVA Disability Claim Process in 8 Stepsled him to create"VA Damage Informant",providing US military veterans with tips, strategies, and lessons for successfully filing or refiling a VA disability compensation claim.
brian isalso the managerVonSimplified military disability, the world's largest free searchable database for all things DoD and VA disability claims, serving more than 4.6 million military and veterans since its inception in 2013.
You eBook, ese"9 Secret Strategies to Win Your VA Disability Claim"It has been downloaded more than 300,000 times in the last three years and is VA's #1 free guide to disability claims for veterans.
He is aformer active duty Air Force officerwith extensive experience leading hundreds of individuals and cross-functional teams in challenging international environments, including a 2011 combat tour in Afghanistan in support of Operation ENDURING FREEDOM.
Brian is a Distinguished Graduate of Business AdministrationUnited States Air Force Academy, Colorado Springs, CO, and has an MBA from Oklahoma State University Spears School of Business, Stillwater, OK, where he was a National Scholar with Honors (Top 1% of Graduate Class).
Service Connection for Allergic Rhinitis
Typically, veterans will have to provide evidence of the following three elements of service connection: A current diagnosis; An in-service event, injury, or illness; and. A medical nexus linking your diagnosed allergic rhinitis.
Three Criteria Required for VA Disability Approval
To win your VA disability compensation claim, you must demonstrate three things: a medical diagnosis, a connection to active duty military service (nexus), and. medical evidence of recurring or persistent symptoms.
Thus, in this case, in order to warrant service connection for asthma on a secondary basis, the evidence must show that it was caused or aggravated by a service-connected disease or injury.Can you get a VA rating for sinusitis and rhinitis? ›
The criteria for a 30 percent disability rating, and no more, for sinusitis with allergic rhinitis have been met. 38 U.S.C.A. §§ 1155, 5107 (West 2014); 38 C.F.R. §§ 3.321, 4.1-4.7, 4.97, DC 6522-6510 (2014).What evidence is there for allergic rhinitis? ›
The diagnosis of allergic rhinitis (AR) should be made when history and physical findings are consistent with an allergic cause (e.g., clear rhinorrhea, pale discoloration of nasal mucosa, and red and watery eyes) and one or more of the following symptoms: nasal congestion, runny nose, itchy nose, or sneezing.How do you prove sinusitis in VA? ›
- A current diagnosis by a medical professional;
- An in-service event, injury, or illness; and.
- A medical nexus linking the current diagnosis of chronic sinusitis to the in-service occurrence.
- Sustained their injury or illness during active duty, active duty training, or inactive duty training.
- Been honorably discharged from the military.
- Been given a 10 percent or more VA disability rating for the illness or injury.
- Filing for an appeal within the VA's deadlines (before one year of your rating decision)
- Filing a new claim for an increased rating.
- Filing for Total Disability based on Individual Unemployability (TDIU)
- Filing for secondary service connection.
The VA is well aware that a veteran's condition can grow worse over time, and that as you age this is more likely to happen. All you need to do to seek an increase in your VA disability rating is to request the VA review your rating and provide evidence that your condition is worsening.What is the highest VA disability rating for allergic rhinitis? ›
A 30 percent disability rating is the maximum rating permitted for allergic rhinitis under Diagnostic Code 6522. The veteran is not entitled to an increased disability rating for allergic rhinitis symptoms during any other time period relevant to the instant appeal.
Bethany: Typically, allergic rhinitis is rated under 38 CFR 4.97 diagnostic code 6522. So, that diagnostic code includes two evaluations, a 10 percent rating, and a 30 percent evaluation based on different symptomology.What is the VA rating for sleep apnea secondary to allergic rhinitis? ›
You will likely undergo a physical exam and be asked questions about your condition. You may receive a VA rating for your disability. For allergic rhinitis, this is usually either a 10% or 30% rating.Is it hard to get VA disability for sinusitis? ›
The general rating formula states: A 0% rating is awarded if sinusitis is detected by X-ray alone. A 10% rating is awarded if sinusitis is manifested in one or two incapacitating episodes annually and requires prolonged (four to six weeks) antibiotic treatment.What are the new VA claims for rhinitis? ›
In August 2021, VA announced that claims for allergic rhinitis would be processed on a presumptive basis based on presumed particulate matter exposures. However, veterans are only eligible for this presumption if they meet the following criteria: The veteran served in Southwest Asia; AND.What is the VA rating for deviated septum and rhinitis? ›
A 10 percent disability rating is warranted for a traumatic deviated septum with 50 percent obstruction of the nasal passage on both sides or a complete obstruction on one side. A 10 percent evaluation is the only disability rating available under this diagnostic code. 38 C.F.R.How do I get diagnosed for rhinitis? ›
The diagnosis is made through a comprehensive history and physical examination. Further diagnostic testing using skin-prick tests or allergen-specific IgE tests is usually required to confirm that underlying allergies cause the rhinitis.What is the most common trigger for allergic rhinitis? ›
Common allergens that cause allergic rhinitis include pollen – this type of allergic rhinitis is known as hay fever – as well as mould spores, house dust mites, and flakes of skin or droplets of urine or saliva from certain animals.What is the most accurate test for confirming allergic rhinitis? ›
The estimate of the pooled pair of sensitivity and specificity is 88.4% and 77.1%.
Signs and symptoms. Acute bacterial sinusitis in adults most often manifests with more than 7 days of nasal congestion, purulent rhinorrhea, postnasal drip, and facial pain and pressure, alone or with associated referred pain to the ears and teeth. There may be a cough, often worsening at night.What is evidence of sinus disease? ›
Common signs and symptoms of sinusitis include: Post nasal drip (mucus drips down the throat). Nasal discharge (thick yellow or green discharge from nose) or stuffy nose. Facial pressure (particularly around the nose, eyes, and forehead), headache and or pain in your teeth or ears.
Thick, discolored discharge from the nose (runny nose) Drainage down the back of the throat (postnasal drainage) Blocked or stuffy (congested) nose causing difficulty breathing through your nose. Pain, tenderness and swelling around your eyes, cheeks, nose or forehead.What does 80% VA disability entitle you to? ›
How Much Compensation Do Veterans Rated at 80 Percent Receive? As of December 1, 2022, veterans who are rated at 80 percent will receive $1,933.15 per month. However, this amount typically changes each year to reflect changes in the cost-of-living.What disabilities can the VA not prove? ›
No, there aren't any VA disability claims that cannot be proven. In fact, all VA claims must be proven on an “at least as likely as not” basis. If you have no evidence (no proof), your VA claim will get denied.What not to say at C&P exam? ›
Don't Lie or Stretch the Truth. This is a big one. Don't ever lie or stretch the truth when it comes to your VA disability claim. At your C&P exam, you should think, look, act, and speak as you would on a normal day.What is the easiest disability to claim for VA? ›
- Limitation of the knee.
- Neck and back strains (Lumbosacral or cervical strain)
- Limitation of arm motion.
- Limitation of ankle motion.
Based on the results of the exam, your disability rating may increase, decrease, or stay the same. Once you turn 55, you are typically "protected" and will no longer have to attend an exam to prove that your condition has not changed unless there is reason to suspect fraud. This is sometimes called the 55-year rule.What will 2023 VA disability rates be? ›
- $165.92 per month for 10% disability.
- $327.99 per month for 20% disability.
- $508.05 per month for 30% disability.
- $731.86 per month for 40% disability.
- $1,041.82 per month for 50% disability.
- $1,319.65 per month for 60% disability.
- $1,663.06 per month for 70% disability.
What Is the Most Approved Disability? Arthritis and other musculoskeletal system disabilities make up the most commonly approved conditions for social security disability benefits. This is because arthritis is so common. In the United States, over 58 million people suffer from arthritis.What is the most commonly awarded VA disability? ›
- Most Common VA Disability: Tinnitus. ...
- Second Most Common VA Disability: Bilateral Hearing Loss. ...
- Third Most Common VA Disability: Post-traumatic Stress Disorder (PTSD) ...
- Fourth Most Common VA Disability: Scars.
Hypertension as a VA Disability
Hypertensive vascular disease (hypertension and isolated systolic hypertension) is considered a potential VA disability under the Federal Schedule for Rating Disabilities, Code 7101 (Diseases of the Heart).
Allergic rhinitis increases the risk of developing obstructive sleep apnea by two major mechanisms: 1) increase in airway resistance due to higher nasal resistance and 2) reduction in pharyngeal diameter from mouth breathing that moves the mandible inferiorly.What is the VA rating for rhinitis burn pits? ›
Rhinitis Caused by Burn Pits
This reaction causes symptoms including runny nose, sneezing, itching, and congestion. Rhinitis has three diagnostic codes: Diagnostic code 6522 for allergic or vasomotor rhinitis. This code could lead to a disability rating between 10% and 30%
Allergic rhinitis with polyps qualifies for a 30 percent disability rating. A Veteran may get a 10 percent disability rating if their allergic rhinitis has no polyps, but comes with a higher than 50% blockage of the nasal tube on both sides or full blockage on one side.Is rhinitis a presumptive condition? ›
After a newly formed internal VA process was conducted to review scientific evidence, the proceeding recommendations were to add presumptions of service connection for some chronic respiratory conditions. Asthma, rhinitis, and sinusitis are now identified as presumptive conditions.What is the difference between rhinitis and sinusitis? ›
Allergic rhinitis, or hay fever, happens when you breathe in something to which you are allergic, and the inside of your nose becomes inflamed and swollen. Sinusitis is an inflammation of the lining inside the sinuses which can be acute or chronic.What are secondary conditions to deviated septum VA? ›
If you have a deviated septum, two similar conditions to keep in mind are: chronic sinusitis and sleep apnea. These conditions are often related to a deviated septum, and if you have either of them, you may be eligible for a combined disability rating.Is rhinitis a presumptive VA disability? ›
As of August 2021, the VA officially recognizes three new presumptive conditions for burn pit victims: asthma, sinusitis, and rhinitis.What is the VA rating for allergic rhinitis with deviated septum? ›
The criteria for an initial 30 percent disability rating for allergic rhinitis, with deviated septum have been met. 38 U.S.C.A.What are the 23 presumptive conditions? ›
- Asthma that was diagnosed after service.
- Chronic bronchitis.
- Chronic obstructive pulmonary disease (COPD).
- Chronic rhinitis.
- Chronic sinusitis.
- Constrictive bronchiolitis or obliterative bronchiolitis.
- Granulomatous disease.
Under the Diagnostic Code 6522, a 10% rating is used for vasomotor or allergic rhinitis without polyps but 50% or greater blockage of the nasal passages on both sides. It may also be used if one side is completely obstructed. If polyps (growths) are present, this rises to a 30% rating.