/ 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