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6822
§ 4.97 Schedule of ratings—respiratory system.

Actinomycosis (bacterial lung infection)

A bacterial infection of the lungs that may cause cough, fever, and chest pain.

What the rating means

Actinomycosis is rated under the General Rating Formula for Bacterial Infections of the Lung, which also covers diagnostic codes 6823 and 6824. VA assigns a 100% rating when there is an active infection with systemic symptoms such as fever, night sweats, weight loss, or coughing up blood (hemoptysis).

Once the active infection resolves, VA does not keep the 100% rating. Instead, VA rates whatever lasting damage remains. If scarring or stiffening of the lung tissue is the main problem, VA rates it as interstitial lung disease or restrictive lung disease. If narrowing or blockage of the airways is the main problem, VA rates it as chronic bronchitis under diagnostic code 6600. The rating you receive for residuals depends entirely on how severe those remaining findings are under whichever formula applies.

Evidence that helps

During an active infection, medical records showing a confirmed actinomycosis diagnosis alongside documented systemic symptoms support the 100% level. Relevant findings include temperature logs, lab results reflecting infection, records of night sweats or significant weight loss, and notes from your treating provider describing hemoptysis.

For residual lung damage after the infection, the type of evidence depends on how the residuals are rated. If rated as interstitial or restrictive lung disease, pulmonary function test results showing reduced lung volumes or diffusion capacity are central. If rated as chronic bronchitis under diagnostic code 6600, spirometry showing airflow obstruction matters most. In either case, imaging such as chest X-rays or CT scans documenting structural changes, along with your provider's notes describing your ongoing breathing difficulties, help establish the severity. Statements from you or people who know you describing how breathing problems affect your work and daily activities also relate directly to the residual criteria.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.