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6824
§ 4.97 Schedule of ratings—respiratory system.

Chronic lung abscess

A long-lasting pocket of infection in the lung that may cause cough, fever, and chest pain.

What the rating means

Chronic lung abscess is rated under the General Rating Formula for Bacterial Infections of the Lung, which covers diagnostic codes 6822 through 6824. During an active infection, if you have systemic symptoms such as fever, night sweats, weight loss, or hemoptysis, the rating is 100%. Once the active infection has resolved, VA does not use this formula for the residual effects. Instead, VA rates whatever lasting lung damage remains under a different diagnostic code that fits those findings. If the main lasting problem is interstitial lung disease, VA rates it as such. If it is restrictive lung disease, VA rates it that way. If obstructive lung disease is the main residual, VA rates it as chronic bronchitis under diagnostic code 6600. The rating percentages at those residual levels come from the formulas used for those separate conditions.

Evidence that helps

To support a 100% rating during an active infection, medical records showing current, confirmed lung abscess activity matter most. Records documenting systemic symptoms — measured fever, documented night sweats, tracked weight loss, or clinically observed hemoptysis — directly match the criteria. Lab results, imaging such as CT scans or chest X-rays showing an active abscess, and treating physician notes describing the course of infection all help show that systemic symptoms are present. For residual ratings after the active infection, the evidence needed shifts to match the residual condition being rated. Pulmonary function test results, diffusion capacity measurements, or exercise test findings would support an interstitial or restrictive lung disease rating. Spirometry showing airflow obstruction would support rating under chronic bronchitis. Your own statements describing how breathing difficulties affect your daily activities and work can help show the functional impact of any residuals.

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.