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6819
§ 4.97 Schedule of ratings—respiratory system.

Laryngeal cancer

Malignant neoplasm of larynx (unspecified)

What the rating means

Laryngeal cancer is rated under Diagnostic Code 6819, which covers malignant neoplasms of any specified part of the respiratory system, excluding skin growths. VA rates this condition at 100% while the cancer is active and during any treatment — including surgery, X-ray, antineoplastic chemotherapy, or other therapeutic procedures.

The 100% rating does not stop the moment treatment ends. It continues beyond the end of treatment. Six months after treatment ends, VA requires a mandatory examination to decide the appropriate rating going forward. Any change to your rating after that exam is subject to the protections described in 38 CFR § 3.105(e).

If the examination shows no local recurrence and no metastasis, VA will then rate you based on whatever residual conditions remain from the cancer or its treatment, rather than on the cancer itself.

Rating levels

  • 100% — Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths

VA doesn't add ratings together. It combines them using the table in 38 CFR § 4.25, so two ratings usually total less than their sum.

Evidence that helps

While the cancer is active or treatment is ongoing, medical records confirming the diagnosis and documenting your treatment history are the core evidence. Records from oncologists, surgeons, or radiation providers that show the type of cancer, the affected site, and the course of treatment directly support the 100% rating.

At the six-month mandatory examination following the end of treatment, the focus shifts. Records showing whether there has been any local recurrence or spread of the cancer become critical. Imaging studies, pathology reports, and oncology notes that confirm no recurrence or metastasis are relevant at that stage, because a finding of no recurrence or metastasis moves the rating to a residuals basis.

If your rating is then based on residuals, evidence of those specific remaining conditions — such as breathing difficulties, voice changes, or other lasting effects — will matter. Statements from you or people who know you describing how those residuals affect your daily life and work can also support that evaluation.

Presumptive conditions

If your service meets the rules below, VA presumes this condition is connected to it.

  • Mustard gas — 38 CFR § 3.316
  • Chronic disease — 38 CFR § 3.309(a)
  • PACT Act — 38 U.S.C. § 1120
  • Agent Orange — 38 U.S.C. § 1116; 38 CFR § 3.309(e)

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.