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6521
§ 4.97 Schedule of ratings—respiratory system.

Pharynx injuries

Damage to the pharynx (throat) from injury or trauma.

What the rating means

VA rates injuries to the pharynx under Diagnostic Code 6521 in the respiratory system schedule. There is one rating level: 50%. You receive that rating if you have a stricture or obstruction of the pharynx or nasopharynx, or the soft palate is absent because of trauma, a chemical burn, or a granulomatous disease, or you have paralysis of the soft palate that causes both swallowing difficulty (with nasal regurgitation) and speech impairment. The regulation does not list any other percentage levels for this condition, so the rating is either 50% or not applicable depending on whether your documented findings match one of those three described conditions.

Evidence that helps

To support a 50% rating, your records need to show one of the three sets of findings the regulation describes. For a stricture or obstruction, imaging studies, endoscopy reports, or clinical exam notes that document narrowing or blockage of the pharynx or nasopharynx are directly relevant. For absence of the soft palate, operative reports, pathology records, or exam findings that confirm the palate was lost due to trauma, a chemical burn, or a granulomatous disease would reflect that criterion. For soft palate paralysis, clinical findings documenting both swallowing difficulty with nasal regurgitation and measurable speech impairment are needed; speech pathology evaluations, swallowing studies, and notes from treating physicians can show both elements together. Statements from you or people who know you describing how these symptoms affect eating, drinking, and communication in daily life can also help connect the clinical findings to the severity the regulation describes.

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.