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6317
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Nasal cavity and paranasal sinus cancer

Malignant neoplasm of nasal cavity and paranasal sinuses (unspecified)

What the rating means

Rickettsial, ehrlichia, and anaplasma infections are rated under the General Rating Formula for Infectious Diseases. This group includes, but is not limited to, scrub typhus, Rickettsial pox, African tick-borne fever, Rocky Mountain spotted fever, ehrlichiosis, and anaplasmosis.

While the disease is still active, VA rates it at 100%. Once the active disease has resolved, VA rates the infection itself at 0%. However, any lasting disability the infection caused in another part of your body — such as bone marrow, spleen, central nervous system, or skin — is rated separately under the rating formula for that body system. So your overall combined rating after recovery depends on what residual conditions remain and how severe they are.

Evidence that helps

For the 100% active-disease rating, medical records documenting an ongoing diagnosis of a rickettsial, ehrlichial, or anaplasma infection — such as lab results confirming the organism, hospitalization records, or treating-physician notes describing active symptoms — would reflect that criterion.

Once the disease resolves, the evidence that matters most is documentation of any lasting damage to specific body systems. Records showing effects on the bone marrow, spleen, central nervous system, or skin — such as lab panels, imaging, neurological exam findings, or specialist evaluations — help establish those residual conditions. Statements from you or people who know you describing how lingering symptoms affect your work or daily life can support the severity of those residuals. Each residual condition is then rated under the rules for its own body system.

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.