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6723
§ 4.97 Schedule of ratings—respiratory system.

Pulmonary tuberculosis, inactive, minimal

A past lung infection with tuberculosis bacteria that is no longer active and caused minimal scarring.

What the rating means

VA rates inactive pulmonary tuberculosis, minimal (diagnostic code 6723) under the General Rating Formula for Inactive Pulmonary Tuberculosis. The rating is based largely on how much time has passed since the disease became inactive, as well as the severity of the original lesions and any continuing disability.

For the first two years after the date of inactivity, following active tuberculosis that was clinically identified during or after service, the rating is 100%. For the next four years — through six years after the date of inactivity — the rating drops to 50%. From there through eleven years after the date of inactivity, the rating is 30%.

Outside those time periods, a permanent 30% rating applies if the disease ever involved far advanced lesions while active. A permanent 20% rating applies following moderately advanced lesions if continued disability, emphysema, dyspnea on exertion, or impairment of health is present. Otherwise the rating is 0%. These graduated and permanent ratings cannot be combined with ratings for other respiratory disabilities.

Evidence that helps

To support a rating at any level, records need to establish when the active tuberculosis was clinically identified and when it became inactive. Service treatment records, hospital records, and post-service medical records that document the diagnosis, treatment, and the date VA or a treating provider determined the disease was no longer active are central to this.

For the 30% or 20% permanent ratings, records showing the extent of the original lesions matter. Radiology reports, chest X-rays, and CT scans that describe the lesions as far advanced or moderately advanced while the disease was active directly address those criteria. For the 20% level, evidence of continued disability is also required — pulmonary function test results, physician notes documenting emphysema or dyspnea on exertion, and your own statements describing how breathing problems affect your daily activities and work can all support that finding.

If you are on the 100% rating, be aware that failure to submit to examination or follow prescribed treatment can result in a reduction to 50%, as noted in the regulation.

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.