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6524
§ 4.97 Schedule of ratings—respiratory system.

Granulomatous rhinitis

Inflammation of the nasal passages with granuloma formation, often from autoimmune or infectious causes.

What the rating means

VA rates granulomatous rhinitis under diagnostic code 6524. Two ratings are possible under this code: 100% and 20%.

A 100% rating applies if you have Wegener's granulomatosis or lethal midline granuloma. These are serious, destructive forms of the condition that VA treats as the most severe category.

A 20% rating applies to all other types of granulomatous infection of the nose. If your diagnosis does not fall under Wegener's granulomatosis or lethal midline granuloma, this is the rating the regulation provides. There are no intermediate levels between 20% and 100% under this code — the distinction turns entirely on which type of granulomatous condition you have been diagnosed with.

Evidence that helps

Because the rating under this code depends on the specific type of granulomatous condition, the most important evidence is medical records that clearly state your diagnosis. A pathology or biopsy report that confirms Wegener's granulomatosis or lethal midline granuloma would support the 100% level. Imaging studies, lab work, and specialist notes from a rheumatologist, pulmonologist, or ear-nose-and-throat physician can all help document the nature and extent of the condition.

For the 20% level, medical records confirming a granulomatous infection of the nose that does not meet the criteria above would be the key evidence. Records showing how the condition affects your breathing, daily activities, or ability to work may also be relevant to your overall claim, though the rating at this level does not vary by severity within that category.

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.