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6523
§ 4.97 Schedule of ratings—respiratory system.

Bacterial rhinitis (nasal infection)

Bacterial infection causing inflammation of the nasal passages.

What the rating means

VA rates bacterial rhinitis under Diagnostic Code 6523. Two ratings are possible: 50% and 10%.

A 50% rating applies when the condition is diagnosed as rhinoscleroma, a specific chronic bacterial infection of the nose and upper airway caused by Klebsiella rhinoscleromatis.

A 10% rating applies when you have permanent hypertrophy of the turbinates — meaning the bony structures inside your nose have enlarged in a lasting way — along with either greater than 50-percent obstruction of the nasal passage on both sides, or complete obstruction on one side.

No rating between 10% and 50% is listed in the regulation, and no rating below 10% is provided for this condition.

Evidence that helps

For the 50% rating, medical records confirming a diagnosis of rhinoscleroma are central. This typically includes microbiology or pathology reports identifying the causative bacteria, such as a biopsy result or culture finding consistent with rhinoscleroma.

For the 10% rating, the evidence needs to show two things together: that turbinate hypertrophy is permanent, and that it causes the required degree of nasal obstruction. Records from an ear, nose, and throat specialist or primary care provider documenting enlarged turbinates would help, as would imaging or endoscopy reports. Findings from a VA or private examination that measure or describe the degree of obstruction — greater than 50 percent on both sides, or complete on one side — directly address the rating criteria. Your own statements describing chronic nasal blockage and how it affects your breathing, sleep, or daily activities can support what the clinical findings show.

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.