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6831
§ 4.97 Schedule of ratings—respiratory system.

Hypersensitivity pneumonitis

An allergic lung reaction to inhaled substances that causes inflammation and may lead to breathing difficulty.

What the rating means

Hypersensitivity pneumonitis (extrinsic allergic alveolitis) is rated under the General Rating Formula for Interstitial Lung Disease, which covers diagnostic codes 6825 through 6833. The possible ratings are 10%, 30%, 60%, and 100%.

A 100% rating applies when your Forced Vital Capacity (FVC) is less than 50% of the predicted value, your Diffusion Capacity (DLCO (SB)) is less than 40% predicted, your maximum exercise capacity is less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, or you have cor pulmonale, pulmonary hypertension, or require outpatient oxygen therapy. A 60% rating applies when FVC is 50 to 64% predicted, DLCO (SB) is 40 to 55% predicted, or maximum exercise capacity is 15 to 20 ml/kg/min with cardiorespiratory limitation. A 30% rating applies when FVC is 65 to 74% predicted or DLCO (SB) is 56 to 65% predicted. A 10% rating applies when FVC is 75 to 80% predicted or DLCO (SB) is 66 to 80% predicted.

Evidence that helps

Because the ratings turn almost entirely on pulmonary function test results, the most directly useful records are spirometry reports showing your FVC as a percentage of the predicted value, and DLCO (SB) test reports showing your diffusion capacity as a percentage of predicted. These numbers place you within a specific rating level, so accurate and current test results matter.

For a 100% rating, records showing cor pulmonale or pulmonary hypertension—such as echocardiogram or right-heart catheterization reports—are relevant, as are prescriptions or treatment notes documenting outpatient oxygen therapy. Cardiopulmonary exercise test results showing maximum oxygen consumption below 15 ml/kg/min with cardiorespiratory limitation also support this level.

Statements from you or people who know you describing how breathing difficulty affects your ability to work, walk, climb stairs, or carry out daily tasks can help show the functional impact of your measured lung impairment. Physician notes, hospital records, and pulmonologist reports that document the progression or current severity of your condition round out the picture alongside the objective test findings.

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.