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6722
§ 4.97 Schedule of ratings—respiratory system.

Pulmonary tuberculosis, inactive, moderately advanced

Inactive tuberculosis infection of the lungs with evidence of prior moderate disease.

What the rating means

This condition is rated under the General Rating Formula for Inactive Pulmonary Tuberculosis, which applies to tuberculosis that was clinically identified during service or afterward and has since become inactive. The formula works in time-based stages. For the first two years after the date of inactivity, the rating is 100%. For the following four years — meaning up to six years after inactivity — the rating is 50%. For the five years after that, up to eleven years from the date of inactivity, the rating is 30%.

Beyond those time stages, two longer-term ratings are possible. If your active disease involved far advanced lesions at any point, a minimum rating of 30% applies. If your active disease involved moderately advanced lesions and you continue to have disability, emphysema, shortness of breath on exertion, or impairment of health, the rating is 20%. Without continued disability of that kind, the rating is 0%.

One important rule: the 50%, 30%, and 20% ratings for inactive pulmonary tuberculosis cannot be combined with ratings for other respiratory disabilities. Also, the 100% rating may be reduced to 50% if you fail to submit to examination or follow prescribed treatment.

Evidence that helps

For the time-based ratings — 100%, 50%, and 30% — the key evidence is a clear, documented date of inactivity and records confirming the disease was clinically identified during or after service. Treatment records, lab results, and imaging from the period of active disease help establish when inactivity began, which determines which time stage applies.

For the permanent 20% rating, you would need evidence of continued disability after the time stages have passed. Medical records showing emphysema, measured breathing difficulty, or documented dyspnea on exertion would support this level. Pulmonary function test results, imaging such as chest X-rays or CT scans, and notes from treating providers describing your respiratory status are all relevant. Statements from you describing how shortness of breath or reduced stamina affects your work and daily activities can help show that impairment of health continues.

For the permanent 30% minimum, records from when the disease was active would need to show that the lesions were classified as far advanced at that time. Radiology reports or clinical notes from the active phase are the most direct evidence for that finding.

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.