CLAIM RECON INTEL

DC 6522 | 38 C.F.R. § 4.97 | M21-1, Part IV.ii.7

OVERVIEW

Allergic rhinitis is chronic inflammation of the nasal passages causing congestion, runny nose, sneezing, and post-nasal drip. Extremely common in veterans exposed to dust, sand, mold, diesel exhaust, and burn pit smoke. Rated under DC 6522 based on the presence of polyps and degree of obstruction. Often claimed alongside sinusitis and as a secondary condition to burn pit or toxic exposure.

RATING CRITERIA (3 LEVELS)

KEY EVIDENCE TO GATHER

-Allergy testing (skin prick or IgE blood tests) confirming allergic sensitization

-CT scan or nasal endoscopy showing polyps, mucosal thickening, or obstruction

-Service records showing environmental exposure (burn pits, dust, sand, chemical agents)

-Treatment records showing antihistamines, nasal steroids, allergy shots, or surgery

-Documentation of impact on breathing, sleep, and daily activities

SECONDARY CONDITIONS (2 MAPPED)

C&P EXAM TIPS (4)

1.The jump from 10% to 30% requires documented polyps. Get a nasal endoscopy or CT scan.

2.Do NOT use nasal spray or decongestants before your exam. The examiner needs to see your baseline obstruction.

3.If you served in Southwest Asia or were exposed to burn pits, register in the VA Burn Pit Registry.

4.Rhinitis is often claimed alongside sinusitis. They are rated under different diagnostic codes and can be combined.

DOLLAR IMPACT

Rhinitis at 30% (with polyps) pays $552.47/mo. More importantly, rhinitis often supports secondary claims for sleep apnea (50%), which is one of the highest-value individual conditions.