/ Conditions · Respiratory

Sinusitis VA Claim Guide

Chronic sinusitis rated under the General Rating Formula for Sinusitis based on frequency and severity of incapacitating and non-incapacitating episodes.

38 CFR §4.97, DC 6510–6514

Common symptoms

  • ▸Recurrent sinus pain, pressure
  • ▸Purulent discharge
  • ▸Headaches
  • ▸Fever during exacerbations

Common evidence

  • ▸ENT diagnosis
  • ▸CT scan
  • ▸Treatment notes documenting antibiotic courses
  • ▸Lay statements

Primary service connection examples

  • ▸Burn pit / environmental exposure
  • ▸In-service ENT visits
  • ▸Deployments to dusty environments

Secondary service connection examples

  • ▸Secondary to rhinitis
  • ▸Secondary to deviated septum

Rating basics

10% (1–2 incapacitating episodes/year requiring 4–6 weeks of antibiotics, or 3–6 non-incapacitating), 30% (3+ incapacitating, or more than 6 non-incapacitating), 50% (following radical surgery with chronic osteomyelitis, or near-constant sinusitis).

Common denial reasons

  • ✕No documented antibiotic courses
  • ✕Acute rather than chronic
  • ✕No nexus