Laryngitis, tuberculous, active or inactive (DC 6515)

Rating levels

• 100% — You qualify for 100% during active tuberculous laryngitis (active tuberculosis infection of the larynx, the voice box). The 100% rating continues during the active phase of disease. Once the disease becomes INACTIVE, the rating shifts to the graduated post-inactivity schedule under either 38 CFR § 4.88c or § 4.89, see the Notes below for which applies and the timing.
• -1% — If your initial entitlement to TB compensation began AFTER Aug 19, 1968: you receive 100% for ONE YEAR after the date your tuberculous laryngitis is determined to be inactive. After that one-year window, the 100% ends and any lasting damage (residuals) is rated SEPARATELY under whichever body-system code best matches the deficit, coded with the TB code prefix (e.g., a chronic laryngeal residual coded as 5001-6516 or similar). If you have BOTH pulmonary and nonpulmonary TB residuals, the 1-year total cannot apply to both simultaneously, the VA uses the total for one and combines it with the residuals of the other to give you the best overall benefit during that year.
• -1% — If you were already receiving (or entitled to receive) TB compensation ON Aug 19, 1968, you fall under the older graduated schedule protected by Pub. L. 90-493. After tuberculous laryngitis is determined to be inactive, the schedule runs: 100% for the first 2 years, 50% for the next 4 years (years 3 through 6), 30% for the next 5 years (years 7 through 11), and 0% afterward unless you have a separately compensable permanent residual. The graduated rating is NOT combined with residuals of nonpulmonary TB unless the residual covers a different functional loss (for example, a graduated rating for tuberculous laryngitis combined with residuals of TB of the spine would be allowed because they affect different functional areas). All ending dates are controlled by the date of attainment of inactivity. The rating decision must specifically mention the Pub. L. 90-493 protection.