TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
6825
§ 4.97 Schedule of ratings—respiratory system.

Pulmonary fibrosis (lung scarring)

Scarring and thickening of lung tissue leading to chronic breathing difficulties

What the rating means

Pulmonary fibrosis (lung scarring) is rated under Diagnostic Code 6825, which uses the General Rating Formula for Interstitial Lung Disease. Four ratings are possible: 10%, 30%, 60%, and 100%.

The 10% rating applies when your Forced Vital Capacity (FVC) is 75% to 80% of the predicted value, or your Diffusion Capacity (DLCO SB) is 66% to 80% of predicted. The 30% rating applies when FVC is 65% to 74% of predicted, or DLCO SB is 56% to 65% of predicted. The 60% rating applies when FVC is 50% to 64% of predicted, DLCO SB is 40% to 55% of predicted, or your maximum exercise capacity is 15 to 20 ml/kg/min oxygen consumption with cardiorespiratory limitation.

The 100% rating applies when FVC falls below 50% of predicted, DLCO SB falls below 40% of predicted, maximum exercise capacity is less than 15 ml/kg/min oxygen consumption with cardiorespiratory limitation, you have cor pulmonale or pulmonary hypertension, or you require outpatient oxygen therapy. Each level is met when any one of the listed criteria is present.

Evidence that helps

The most directly useful evidence for this condition is pulmonary function testing. An FVC test measures how much air you can forcibly exhale and how that compares to a predicted value for someone your age, height, and sex. A DLCO SB test measures how efficiently your lungs transfer gas into the blood. Both tests produce percentage-of-predicted values that correspond directly to the rating criteria, so having current, complete pulmonary function test results is central to establishing which level applies to you.

For the 60% level, records of cardiopulmonary exercise testing showing your maximum oxygen consumption would support that criteria. For the 100% level, records showing a diagnosis of cor pulmonale or pulmonary hypertension, such as echocardiogram or right heart catheterization results, or a physician's prescription and records confirming outpatient oxygen use, would reflect those specific criteria.

Statements from you or people who know you describing how breathing difficulties affect your ability to work, walk, climb stairs, or carry out daily activities can help show the real-world impact of your lung function findings.

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.