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6835
§ 4.97 Schedule of ratings—respiratory system.

Coccidioidomycosis

A fungal infection that may affect the lungs and cause cough, fever, and chest pain.

What the rating means

Coccidioidomycosis (diagnostic code 6835) 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 disease is chronic and requires suppressive therapy but produces no more than minimal symptoms, such as occasional minor hemoptysis or productive cough. A 30% rating applies when the disease is chronic with minimal symptoms such as occasional minor hemoptysis or productive cough, but suppressive therapy is not required. A 0% rating applies when mycotic lesions have healed and are inactive and you have no symptoms. Each level turns on the presence or absence of specific symptoms and whether ongoing suppressive therapy is needed.

Evidence that helps

Medical records that document your current symptoms are central to showing which rating level applies. For a 100% rating, records showing persistent fever, documented weight loss, recurring night sweats, or episodes of massive hemoptysis directly support that level. For a 50% rating, treatment records showing that a provider has prescribed suppressive antifungal therapy on an ongoing basis, combined with notes reflecting only minimal symptoms such as occasional minor hemoptysis or productive cough, speak to that criteria. For a 30% rating, clinical notes recording occasional minor hemoptysis or productive cough without a suppressive therapy regimen are relevant. For any active rating level, imaging such as chest X-rays or CT scans showing pulmonary lesions, laboratory or culture results confirming active infection, and your own statements describing how symptoms affect your daily activities and work all help establish the picture. A 0% rating reflects records documenting that lesions are healed, inactive, and that you report no symptoms.

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.