🫁 RespiratoryUpper AirwayDC 6522

Allergic Rhinitis

Chronic inflammation of the nasal passages causing congestion, runny nose, sneezing, and postnasal drip — often triggered by allergens or irritants encountered during service.

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VA Rating Tiers

30%
With nasal polyps
10%
With greater than 50% bilateral obstruction or complete unilateral obstruction
0%
Symptomatic but below threshold for 10% — still ratable, service connection still matters

Rating Notes

  • 30%: Rhinitis with confirmed nasal polyps. DC 6522.
  • 10%: Greater than 50% bilateral nasal obstruction — or complete unilateral obstruction. DC 6522.
  • 0%: Symptomatic rhinitis but below obstruction threshold — service connected but non-compensable.
  • DC 6522 covers both allergic and vasomotor rhinitis.
  • PACT Act presumptive eligibility may apply for veterans deployed to covered locations.
  • Rhinitis can establish secondary service connection for sinusitis, asthma, and sleep apnea.

Eligibility Basics

Current symptoms
In-service event
Diagnosis or lay evidence
  • PACT Act expanded eligibility for veterans exposed to burn pits, open air burn areas, and particulate matter — rhinitis is a presumptive condition for eligible veterans.
  • Deployment to Southwest Asia, Djibouti, or other PACT Act covered locations may qualify without proving direct nexus.
  • Lay evidence describing ongoing nasal symptoms since service can support a claim even without in-service medical records.

Evidence to Gather

Service Records

  • deployment records showing service in Southwest Asia or PACT Act covered locations
  • sick call or sick bay visits for nasal or sinus complaints
  • MOS or duty records showing burn pit or environmental exposure
  • PACT Act burn pit registry enrollment

Medical Evidence

  • primary care or ENT records diagnosing allergic or vasomotor rhinitis
  • allergy testing results
  • records documenting nasal polyps if present
  • records documenting nasal passage obstruction

Lay Evidence (Buddy Statements)

  • personal statement describing onset of nasal symptoms during or shortly after service
  • buddy statement confirming exposure or symptoms observed during service
  • statement describing how symptoms have continued and worsened since service

Diagnostic Tests

  • nasal endoscopy
  • allergy skin or blood testing (IgE panel)
  • nasal airflow testing
  • CT scan of sinuses

C&P Exam Preparation

Exam type: Ear, Nose, and Throat (ENT) / Sinusitis and Rhinitis DBQ

Be ready to describe

  • when nasal symptoms first started — during or after service
  • specific exposures during deployment (burn pits, dust, smoke)
  • how often symptoms occur and how severe they are
  • whether you have been diagnosed with polyps
  • how breathing is affected — especially during exercise or sleep
  • any treatments tried and whether they helped

Prep notes

  • Do not use nasal sprays right before your exam — go in with your baseline symptoms.
  • Be specific about PACT Act deployment locations and dates if applicable.
  • Mention if your symptoms are worse in certain environments (outdoors, dry air, smoky areas).
  • If you have polyps, make sure your diagnosis is in your records — this is the difference between 0% and 30%.
  • Describe the worst your symptoms get, not just your average day.

Quick Facts

Diagnostic Code
DC 6522
Category
Respiratory
Subcategory
Upper Airway
Typical Claim Type
direct
Rating Range
0% – 30%

Also Known As

allergic rhinitisvasomotor rhinitisnasal allergieshay feverchronic runny nosenasal congestion

Related Conditions

Secondary to

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