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6823
§ 4.97 Schedule of ratings—respiratory system.

Nocardiosis

A bacterial infection that may affect the lungs and cause cough, fever, and breathing difficulty.

What the rating means

Nocardiosis (diagnostic code 6823) is rated under the General Rating Formula for Bacterial Infections of the Lung, which covers diagnostic codes 6822 through 6824. During an active infection with systemic symptoms — such as fever, night sweats, weight loss, or coughing up blood (hemoptysis) — the rating is 100%. Once the active infection resolves, VA rates whatever lung damage remains as a residual condition. Depending on what the medical evidence shows, those residuals are rated as interstitial lung disease, restrictive lung disease, or, when obstructive lung disease is the main lasting problem, as chronic bronchitis under diagnostic code 6600. In other words, your rating after the active phase depends entirely on the type and severity of the lung damage left behind, measured against the criteria for whichever residual condition applies.

Evidence that helps

During the active infection phase, medical records documenting systemic symptoms — lab or clinical confirmation of fever, documented night sweats, measured weight loss, or records of hemoptysis — directly support the 100% rating. Hospitalization records, infectious disease notes, and imaging taken during that period are particularly relevant. For residual ratings, the type of evidence that helps depends on which residual condition applies. If the residuals are rated as interstitial or restrictive lung disease, pulmonary function test results showing reduced lung volumes or diffusion capacity are central. If obstructive disease is the main residual and your condition is rated as chronic bronchitis, spirometry results showing airflow obstruction matter most. In all cases, records from pulmonologists or treating physicians that describe your current lung function, and your own statements explaining how breathing problems affect your work and daily activities, help show the degree of remaining impairment.

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.