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6312
§ 4.88b Schedule of ratings—infectious diseases, immune disorders and nutritional deficiencies.

Nontuberculous mycobacterium infection

An infection caused by mycobacteria other than those causing tuberculosis or leprosy.

What the rating means

Nontuberculous mycobacterium infection is rated under Diagnostic Code 6312 in the VA schedule for infectious diseases, immune disorders, and nutritional deficiencies. While the infection is active, it is rated at 100%. VA continues that 100% rating for the entire course of treatment, then requires a mandatory VA exam once treatment ends. If the infection has not relapsed at that exam, VA stops rating the active disease and instead rates any remaining residual disabilities. Any change to your evaluation after that exam is subject to the protections in 38 CFR 3.105(e). If the infection comes back, the recurrence must be confirmed by culture, histopathology, or other diagnostic laboratory testing. Residual disabilities — such as conditions affecting the skin, respiratory system, central nervous system, musculoskeletal system, eyes, gastrointestinal system, or genitourinary system — are rated separately under the appropriate body system, not under this code.

Evidence that helps

While you are in active treatment, medical records documenting the diagnosis and ongoing treatment are the core evidence for the 100% rating. When treatment ends, a VA examination is required, and that exam report becomes central to what happens next. If VA considers reducing your rating, the rules in 38 CFR 3.105(e) apply, so records showing your current condition at the time of any proposed change matter. If the infection recurs, laboratory evidence — such as culture results, histopathology reports, or other diagnostic test results — is required by the regulation to confirm that recurrence. For residual disabilities after the active infection resolves, the evidence that helps depends on which body system is affected. For example, pulmonary residuals would be supported by imaging and breathing test results, while skin residuals would be supported by dermatology records and exam findings. Statements from you about how residual symptoms affect your work and daily life can also support rating those residuals under their respective body system codes.

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.