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6724
§ 4.97 Schedule of ratings—respiratory system.

Pulmonary tuberculosis, inactive

A past lung infection with tuberculosis bacteria that is no longer active, with unspecified scarring extent.

What the rating means

Inactive pulmonary tuberculosis is rated under the General Rating Formula for Inactive Pulmonary Tuberculosis. The ratings are tied to how much time has passed since the disease became inactive, and to how advanced the lesions were when the disease was active.

For the first two years after the date of inactivity, following active tuberculosis that was clinically identified during service or afterward, the rating is 100%. From two years to six years after inactivity, the rating is 50%. From six years to eleven years after inactivity, the rating is 30%. These time-based ratings are separate from two permanent minimums: if the disease was far advanced at any point while active, the minimum rating is 30%; if lesions were moderately advanced and you have continued disability, emphysema, shortness of breath on exertion, or other impairment of health, the rating is 20%. Otherwise the rating is 0%.

Two important rules apply. First, the 100% rating can be reduced to 50% if you fail to submit to examination or follow prescribed treatment. Second, the 50%, 30%, and 20% ratings under this formula cannot be combined with ratings for other respiratory disabilities.

Evidence that helps

Because ratings depend on the date of inactivity, the most important records are those that establish when active tuberculosis was clinically identified and when it became inactive. Service treatment records, hospital records, and physician notes that document diagnosis, treatment, and the declaration of inactivity are central to each rating level.

For the time-based ratings of 100%, 50%, and 30%, records that clearly show the date active disease was identified and the date inactivity was confirmed are key. For the permanent 30% minimum, medical records or imaging reports from any point during the active phase that describe the lesions as far advanced support that level. For the 20% rating, records showing moderately advanced lesions during the active phase combined with current clinical findings such as emphysema, shortness of breath on exertion, or other ongoing health impairment are relevant. Your own statements describing how symptoms such as breathing difficulty affect your daily activities and work can help show continued disability. Records of any prescribed treatment and your compliance with examination requirements are also relevant given the reduction rule for noncompliance.

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.