Sinusitis, maxillary, chronic (DC 6513)

Body system: Respiratory SystemRegulation: 38 CFR § 4.97

Chronic maxillary sinusitis is long-term inflammation of the maxillary sinuses (the largest of the paranasal air cavities, located in the cheekbones under the eyes). The VA rates this condition under the General Rating Formula for Sinusitis (38 CFR § 4.97) from 0% to 50%, based on episode frequency, treatment intensity (especially prolonged antibiotic courses lasting 4-6 weeks), and post-surgical complications such as chronic osteomyelitis.

Rating levels

  • 50% — You qualify for 50% if you have chronic maxillary sinusitis that either led to chronic osteomyelitis (bone infection) following radical surgery, OR causes near-constant symptoms after repeated surgeries with headaches, pain and tenderness over the maxillary sinus area (cheekbones, under the eyes), plus purulent discharge or crusting. This is the maximum rating under the General Rating Formula for Sinusitis.
  • 30% — You qualify for 30% if your chronic maxillary sinusitis causes EITHER: three or more incapacitating episodes per year, each requiring prolonged antibiotic treatment lasting four to six weeks; OR more than six non-incapacitating episodes per year with headaches, pain over the maxillary sinus area (cheekbones, under the eyes), and purulent discharge or crusting.
  • 10% — You qualify for 10% if your chronic maxillary sinusitis causes EITHER: one or two incapacitating episodes per year, each requiring prolonged antibiotic treatment lasting four to six weeks; OR three to six non-incapacitating episodes per year with headaches, pain over the maxillary sinus area (cheekbones, under the eyes), and purulent discharge or crusting.
  • 0% — You qualify for the 0% rating if your chronic maxillary sinusitis can only be detected on X-ray or other imaging without producing noticeable clinical symptoms. The 0% rating confirms service connection but does not pay compensation by itself; it can still matter if symptoms develop later.

Disclaimer: This tool is for informational purposes only and is not legal or medical advice. Always consult with your VSO representative or a qualified veterans benefits attorney for guidance on your specific claim.