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6730
§ 4.97 Schedule of ratings—respiratory system.

Chronic active pulmonary tuberculosis

An ongoing bacterial infection of the lungs caused by tuberculosis that may cause cough, fever, and weight loss.

What the rating means

Under diagnostic code 6730, active pulmonary tuberculosis that is chronic and active is rated at 100%. There is only one rating level under this code. The regulation does not provide lower ratings for this condition; as long as your tuberculosis is confirmed as chronic and active, the assigned rating is 100%.

The regulation also identifies specific circumstances in which active pulmonary tuberculosis is considered permanently and totally disabling for non-service-connected pension purposes. These include cases where tuberculosis involves organ systems beyond the respiratory system, where there are severe associated symptoms or extensive cavity formation, reactivated cases generally, cases where lesions are advancing on successive exams or during treatment, and cases where six months of hospitalization has not produced material improvement or where the diagnosis has not changed from "active" after twelve months of hospitalization. Material improvement, as defined in the regulation, means lessening or absence of clinical symptoms along with X-ray findings showing a stationary or retrogressive lesion.

Evidence that helps

Because there is only one rating level — 100% — the evidence that matters most is what confirms your tuberculosis is both pulmonary and currently active. Bacteriological records such as sputum cultures or smear results that show the presence of active infection are central. Imaging studies, particularly chest X-rays taken over time, can show whether lesions are progressing, stable, or retreating, which the regulation treats as a key marker of activity and improvement.

Records from hospitalizations are relevant, especially if treatment has extended six months or longer, because the regulation specifically looks at whether lesions have improved and whether the diagnosis of "active" has changed after twelve months. If your tuberculosis has spread beyond the lungs, records documenting involvement of other organ systems strengthen the case for the permanent and total pension finding. Physician notes describing severity of symptoms — such as weight loss, fever, or respiratory decline — and any documentation of cavity formation on imaging also directly correspond to the circumstances the regulation names.

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.