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6819
§ 4.97 Schedule of ratings—respiratory system.

Lung, bronchus, or trachea cancer

Malignant tumors of the respiratory tract (e.g., lung, larynx, trachea, bronchus)

What the rating means

VA rates malignant neoplasms of the respiratory system — including the lung, bronchus, and trachea — at 100 percent under diagnostic code 6819. That 100 percent rating stays in place while you are actively being treated and continues beyond the end of any surgical, X-ray, chemotherapy, or other therapeutic procedure.

Six months after treatment ends, VA requires a mandatory examination to reassess your condition. Based on that exam, your rating may change, and any reduction would follow the protective rules in 38 CFR § 3.105(e). If there has been no local recurrence and no metastasis at that point, VA rates you on whatever residual effects remain from the cancer or its treatment. There is no lower rating assigned during active disease or active treatment — 100 percent is the only rating this diagnostic code provides during that period.

Evidence that helps

During active disease and treatment, the diagnosis itself drives the 100 percent rating, so pathology reports, biopsy results, imaging studies such as CT or PET scans, and oncology records confirming the malignancy are the core evidence.

Once treatment ends, VA will conduct a mandatory examination around the six-month mark. Records showing whether the cancer has recurred or spread — follow-up imaging, oncology notes, and lab results — are central at that stage. If no recurrence or metastasis is found, your rating shifts to residuals, so pulmonary function test results, pulmonologist notes, and radiology reports documenting lasting damage to lung tissue become relevant.

Statements from you or people who know you describing how breathing problems, fatigue, or other lasting effects limit your work and daily activities can help show the severity of any residuals at that examination.

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.