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6846
§ 4.97 Schedule of ratings—respiratory system.

Sarcoidosis

A condition causing inflammatory nodules in the lungs and other organs that may affect breathing.

What the rating means

VA rates sarcoidosis under Diagnostic Code 6846. Four percentage levels are possible based on how severely the disease affects your lungs and heart. A 100% rating applies if you have cor pulmonale, cardiac involvement with congestive heart failure, or progressive pulmonary disease with fever, night sweats, and weight loss that persists despite treatment. A 60% rating applies when pulmonary involvement requires systemic high-dose, therapeutic corticosteroids to keep the disease under control. A 30% rating applies when pulmonary involvement produces persistent symptoms that require chronic low-dose or intermittent corticosteroids for maintenance. A 0% rating applies when there is only chronic hilar adenopathy or stable lung infiltrates with no symptoms and no physiologic impairment. VA may also rate active disease or residuals as chronic bronchitis under Diagnostic Code 6600, and any extra-pulmonary involvement is rated separately under the body system affected.

Evidence that helps

For the 100% level, medical records documenting cor pulmonale, congestive heart failure with cardiac involvement, or progressive pulmonary disease are central. Records showing persistent fever, night sweats, and weight loss despite ongoing treatment strengthen this rating. For the 60% level, treatment records showing that your doctor prescribed systemic high-dose corticosteroids specifically to control pulmonary sarcoidosis are key. Pharmacy records, prescriptions, and physician notes explaining the therapeutic purpose of the medication support this tier. For the 30% level, records showing persistent respiratory symptoms and a prescription for chronic low-dose or intermittent corticosteroids for maintenance are most relevant. Your own statements and those of people who know you describing how ongoing symptoms affect daily activities and work can also support this level. For the 0% level, imaging such as chest X-rays or CT scans showing stable infiltrates or hilar adenopathy, combined with notes confirming the absence of symptoms or measurable physiologic impairment, document this 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.