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6838
§ 4.97 Schedule of ratings—respiratory system.

Aspergillosis

A fungal infection that may affect the lungs and cause cough, fever, and breathing difficulty.

What the rating means

Aspergillosis is rated under the General Rating Formula for Mycotic Lung Disease, which covers diagnostic codes 6834 through 6839. Four rating levels are possible.

A 100% rating applies when you have chronic pulmonary mycosis with persistent fever, weight loss, night sweats, or massive hemoptysis. A 50% rating applies when the condition requires suppressive therapy and you have no more than minimal symptoms, such as occasional minor hemoptysis or productive cough. A 30% rating applies when you have chronic pulmonary mycosis with minimal symptoms such as occasional minor hemoptysis or productive cough, without the need for suppressive therapy. A 0% rating applies when mycotic lesions are healed, inactive, and asymptomatic.

The key dividing lines are whether your disease is active or inactive, whether it requires ongoing suppressive therapy, and how severe your symptoms are.

Evidence that helps

To support a rating at the 100% level, medical records showing a diagnosis of chronic pulmonary aspergillosis along with documented persistent fever, significant weight loss, night sweats, or massive hemoptysis would be relevant. Hospitalization records, lab results, and physician notes recording these findings over time can all help show this level of severity.

For a 50% rating, records showing that a provider has prescribed and you are actively taking suppressive therapy are important, along with notes confirming that symptoms remain minimal, such as occasional minor hemoptysis or productive cough.

For a 30% rating, clinical notes documenting occasional minor hemoptysis or productive cough without suppressive therapy would reflect that level. For a 0% rating, imaging studies or clinical evaluations confirming that lesions are healed and you have no current symptoms would be the relevant evidence.

Statements from you describing how symptoms such as cough, fever, or fatigue affect your daily activities and work can help connect clinical findings to the correct rating level.

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.