C&P Exam for Allergic or vasomotor rhinitis (DC 6522)

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Diagnostic code: 6522Condition: Allergic or vasomotor rhinitisRegulation: 38 CFR § 4.97DBQ: DBQ ENT Sinusitis, Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx

Which form the examiner uses

For allergic or vasomotor rhinitis (DC 6522), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):

DBQs are Department of Veterans Affairs Form 21-0960 series documents. Public DBQs are hosted on benefits.va.gov. A handful are examiner-only and are not posted publicly.

What to expect at your C&P exam

A nose and sinus exam is a brief physical exam plus questions about how often you have symptoms or sinus infections. The rating depends on blockage and the number of infections per year, under 38 CFR 4.97.

1Initial interview (history)

  • Nasal congestion, runny nose, sneezing, post-nasal drip, or loss of smell.
  • For sinusitis: how many sinus infections per year, how long they last, and whether they need antibiotics.
  • Headaches and facial pain or pressure.
  • Treatments (sprays, antibiotics, surgery) and effect on daily life.

2Physical examination

  • Looking inside the nose for blockage, swelling, and polyps.
  • Estimating how much each nasal passage is blocked.
  • Checking the sinuses for tenderness.

3Diagnostic tests the examiner may rely on

Used when the diagnosis or cause needs confirming.

CT scan of the sinuses what's this?
Imaging that shows sinus inflammation or blockage.
Allergy testing what's this?
Identifies the triggers behind allergic rhinitis.

4Functional assessment

  • For rhinitis, how much the nasal passages are blocked and whether there are polyps.
  • For sinusitis, the number of incapacitating and non-incapacitating infections per year, which sets the rating.
  • Findings map to the tiers in 38 CFR 4.97 (allergic rhinitis DC 6522; chronic sinusitis DC 6513).

Test explainers open MedlinePlus (NIH National Library of Medicine), or Wikipedia where MedlinePlus has no matching page. This describes what happens and what is measured, not how to influence a result.

What the examiner records (full DBQ form)

The fields below are reproduced from the DBQ form the examiner completes for this diagnostic code. This is the structural map of the form, showing what the examiner is asked to measure, observe, and record. It is a factual reproduction of the public DBQ, not advice on how to answer.

This DBQ evaluates sinusitis, rhinitis, and other conditions of the nose, throat, larynx, and pharynx, including deviated septum and laryngeal/pharyngeal disorders.

How DC 6522 maps to this DBQ: for this diagnostic code specifically, the examiner typically completes sections I-III, V, and IX-XII of this form. Section V is the condition-specific section for this code. Sections IV and VI-VIII cover unrelated conditions on this DBQ and are skipped.

8 of 12 sections apply to DC 6522 on this DBQ
DIAGNOSIS (Section I) MEDICAL HISTORY (Section II) NOSE, THROAT, LARYNX OR PHARYNX CONDITIONS (Section III) RHINITIS (Section V) OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS, SYMPTOMS, AND SCARS (Section IX) DIAGNOSTIC TESTING (Section X) FUNCTIONAL IMPACT (Section XI) REMARKS (Section XII)
DIAGNOSIS (Section I)
  • 1A. List the claimed condition(s) that pertain to this questionnaire: Note: These are the diagnoses determined during this current evaluation of the claimed condition(s) listed above. If there is no diagnosis, if the diagnosis is different from a previous diagnosis for this condition, or if there is a diagnosis of a complication due to the claimed condition(s), explain your findings and reasons…
  • 1B. Select diagnoses associated with the claimed condition(s) (check all that apply): The Veteran does not have a current diagnosis associated with any claimed condition(s) listed above. (Explain your findings and reasons in the Remarks section) Chronic sinusitis ICD code: Date of diagnosis: Allergic rhinitis ICD code: Date of diagnosis: Non-allergic rhinitis ICD code: Date of diagnosis:…
  • 1C. If there are additional diagnoses that pertain to the sinuses, nose, throat, larynx or pharynx condition(s), list using above format:
MEDICAL HISTORY (Section II)
  • 2A. Describe the history (including onset and course) of the Veteran's sinus, nose, throat, larynx, or pharynx condition: Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx
NOSE, THROAT, LARYNX OR PHARYNX CONDITIONS (Section III)
  • 3A. Does the Veteran have any of the following nose, throat, larynx or pharynx conditions? Yes No If no, proceed to Section 4: If yes, check all that apply: Sinusitis (If checked, complete Section 4 below) Rhinitis (If checked, complete Section 5 below) Larynx or pharynx condition (If checked, complete Section 6 below)
SINUSITIS (Section IV)
  • 4A. Indicate the sinuses/type of sinusitis currently affected by the Veteran's chronic sinusitis. Check all that apply: None Maxillary Frontal Ethmoid Sphenoid Pansinusitis
  • 4B. Has the Veteran had a sinus-related surgical procedure? Yes No If yes, check all that apply: Repeated sinus-related surgeries (of any type) Radical (open sinus) surgery If the Veteran has had radical sinus surgery, did chronic osteomyelitis follow the surgery? Yes No
  • 4C. Describe any findings, signs or symptoms attributable to chronic sinusitis: Check all that apply: Chronic sinusitis detected only by imaging studies (See Diagnostic Testing Section) Headaches Pain of affected sinus Tenderness of affected sinus Purulent discharge
  • 4D. Does the Veteran have near constant sinusitis? Yes No
  • 4E. Has the Veteran had non-incapacitating episodes of sinusitis characterized by headaches, pain and purulent discharge or crusting in the past 12 months? Yes No If yes, provide the total number of non-incapacitating episodes over the past 12 months: 1 2 3 4 5 6 7 or more
  • 4F. Has the Veteran had incapacitating episodes of sinusitis requiring prolonged (4 to 6 weeks) of antibiotics treatment in the past 12 months? NOTE - For VA purposes, an incapacitating episode of sinusitis means one that requires bed rest and treatment prescribed by a physician. Yes No If yes, provide the total number of incapacitating episodes of sinusitis requiring prolonged (4 to 6 weeks) of…
RHINITIS (Section V)
  • 5A. Is there greater than 50% obstruction of the nasal passage on both sides due to rhinitis? Yes No
  • 5B. Is there complete obstruction on the left side due to rhinitis? Yes No
  • 5C. Is there complete obstruction on the right side due to rhinitis? Yes No
  • 5D. Is there permanent hypertrophy of the nasal turbinates? Yes No
  • 5E. Are there nasal polyps? Yes No
  • 5F. Does the Veteran have any of the following granulomatous conditions? Yes No If yes, check all that apply: Granulomatous rhinitis Rhinoscleroma Wegener's granulomatosis Lethal midline granuloma Other granulomatous infection Describe:
LARYNX AND PHARYNX CONDITIONS (Section VI)
  • 6A. Does the Veteran have chronic laryngitis? Yes No If yes, does the Veteran have any of the following symptoms due to chronic laryngitis? Yes No If yes, check all that apply: Hoarseness If checked, describe frequency: Inflammation of vocal cords
  • 6B. Has the Veteran had a laryngectomy? Yes No If yes, specify: Total laryngectomy Partial laryngectomy If checked, does the Veteran have any residuals of the partial laryngectomy? Yes No
  • 6C. Does the Veteran have laryngeal stenosis, including residuals of laryngeal trauma (unilateral or bilateral)? Yes No If yes, assess for upper airway obstruction with pulmonary function testing to include the Flow-Volume Loop, and provide results in the Diagnostic Testing Section.
  • 6D. Does the Veteran have complete organic aphonia? Yes No If yes, check all that apply: Constant inability to speak above a whisper Constant inability to communicate by speech Other Describe:
  • 6E. Does the Veteran have incomplete organic aphonia? Yes No If yes, check all that apply: Hoarseness If checked, describe frequency: Inflammation of vocal cords Inflammation of mucous membrane Thickening of vocal cords
  • 6F. Has the Veteran had a permanent tracheostomy? Yes No If yes, describe reason for tracheostomy and potential for decannulation:
  • 6G. Has the Veteran had an injury to the pharynx? Yes No If yes, check all findings, signs and symptoms that apply: Obstruction of the pharynx Obstruction of the nasopharynx Stricture of the pharynx Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx
  • 6H. Does the Veteran have vocal cord paralysis or any other pharyngeal or laryngeal conditions? Yes No If yes, describe:
DEVIATED NASAL SEPTUM (Section VII)
  • 7A. Is there at least 50% obstruction of the nasal passage on both sides due to traumatic septal deviation? Yes No
  • 7B. Is there complete obstruction on left side due to traumatic septal deviation? Yes No
  • 7C. Is there complete obstruction on right side due to traumatic septal deviation? Yes No
TUMORS AND NEOPLASMS (Section VIII)
  • 8A. Does the Veteran currently have, or has had, a benign or malignant neoplasm or metastases related to any condition in the diagnosis section? Yes No If yes, complete the following section.
  • 8B. Is the neoplasm: Benign Malignant If malignant complete the following: Active In remission Primary Secondary (metastatic) (If secondary, indicate the primary site, if known):
  • 8C. Has the Veteran completed treatment or is the Veteran currently undergoing treatment for a benign or malignant neoplasm or metastases? Yes No; watchful waiting If yes, indicate type of treatment the Veteran is currently undergoing or has completed (check all that apply): Treatment completed Surgery If checked, describe: Date(s) of surgery:
  • 8D. Does the Veteran currently have any residuals or complications due to the neoplasm (including metastases) or its treatment, other than those already documented in the report above? Yes No If yes, list residuals or complications (brief summary), and also complete the appropriate questionnaire:
  • 8E. If there are additional benign or malignant neoplasms or metastases related to any of the diagnoses in the diagnosis section, describe using the above format:
OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS, SYMPTOMS, AND SCARS (Section IX)
  • 9A. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms related to the conditions listed in the diagnosis section above? Yes No If yes, describe (brief summary):
  • 9B. Does the Veteran have loss of part of the nose or other scars of the nose exposing both nasal passages? Yes No
  • 9C. Does the Veteran have loss of part of the nose or other scars causing loss of part of one ala? Yes No
  • 9D. Does the Veteran have loss of part of the nose or other scars causing any other disfigurement? Yes No Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx and Pharynx
  • 9E. Does the Veteran have any scars (surgical or otherwise) related to any conditions or to the treatment of any conditions listed in the diagnosis section above? Yes No If yes, also complete the appropriate dermatological questionnaire.
  • 9F. Comments, if any:
DIAGNOSTIC TESTING (Section X)
  • 10A. Have clinically relevant imaging studies of the sinuses or other areas been performed or reviewed in conjunction with this examination? Yes No If yes, check all that apply: Magnetic resonance imaging (MRI) Date: Results: Computed tomography (CT) Date: Results: X-rays: Date: Results: Other: Date: Results:
  • 10B. Has endoscopy been performed? Yes No If yes, check all that apply: Nasal endoscopy Date: Results: Laryngeal endoscopy Date: Results: Bronchoscopy Date: Results: Other endoscopy Date: Results:
  • 10C. Has the Veteran had a biopsy of the larynx or pharynx? Yes No If yes, complete the following: Site of biopsy: Date: Results: Benign Pre-malignant Malignant Describe results:
  • 10D. Has the Veteran had pulmonary function testing to assess for upper airway obstruction due to laryngeal stenosis? Yes No If yes, indicate results: FEV-1 of 71 to 80% predicted FEV-1 of 56 to 70% predicted FEV-1 of 40 to 55% predicted FEV-1 less than 40% predicted
  • 10E. Are there any other significant diagnostic test findings and/or results? Yes No If yes, provide type of test or procedure, date and results (brief summary):
FUNCTIONAL IMPACT (Section XI)
  • 11A. Regardless of the Veteran's current employment status, do the conditions listed in the diagnosis section impact his/her ability to perform any type of occupational task (such as standing, walking, lifting, sitting, etc.)? Yes No If yes, describe the functional impact of each condition, providing one or more examples:
REMARKS (Section XII)
  • 12A. Remarks (if any – please identify the section to which the remark pertains when appropriate).

Rating Levels for DC 6522

The following tiers are reproduced from 38 CFR Part 4, the VA Schedule for Rating Disabilities. Toggle between the official VA criteria and a Plain English explanation.

Plain-English summaries are AI-generated to explain the official criteria. The official 38 CFR language is the binding legal standard. When in doubt, ask a VSO.

Evidence cited in published BVA decisions for DC 6522

The counts below are aggregated from published Board of Veterans Appeals decisions for this diagnostic code, among issues the Board granted or denied (remanded issues are not included). Each row reports how often a given evidence type was discussed in the decision text, broken down by outcome. This is a factual aggregate of the public record, not a prediction or recommendation about any specific claim.

  • VA examination: appeared in 80 granted decisions (201 denied; 281 decided total)
  • Service treatment records: appeared in 70 granted decisions (168 denied; 238 decided total)
  • Buddy / lay statements: appeared in 51 granted decisions (100 denied; 151 decided total)
  • Private medical opinion: appeared in 29 granted decisions (70 denied; 99 decided total)
  • Nexus letter: appeared in 13 granted decisions (22 denied; 35 decided total)
  • Medical literature: appeared in 2 granted decisions (8 denied; 10 decided total)

What the Board discussed in granted decisions for DC 6522

The themes below were extracted by clustering 500 grant-factor sentences from published Board of Veterans Appeals decisions for this diagnostic code. Frequencies indicate how often each theme appeared in the sample. This is a factual aggregate of the public record, not advice or strategy for any specific claim.

  1. 27% Benefit of the doubt doctrine legal standard cited
    The Board or decision cited the statutory and regulatory standard requiring that when positive and negative evidence is in approximate balance, the benefit of the doubt must be resolved in the claimant's favor.
    134 of 500 sample sentences
  2. 18% Benefit of the doubt found inapplicable due to preponderance against claim
    The Board determined that the preponderance of evidence weighed persuasively against the claim, rendering the benefit of the doubt doctrine inapplicable and requiring denial.
    88 of 500 sample sentences
  3. 17% Benefit of the doubt applied to grant or increase rating
    The Board applied the benefit of the doubt doctrine and found the evidence at least in equipoise, resulting in a grant of service connection or an increased disability rating for rhinitis or a related condition.
    87 of 500 sample sentences
  4. 16% VA or private examiner nexus opinion noted as at least as likely as not
    A VA or private medical examiner opined that the veteran's disability was at least as likely as not caused by, related to, or a result of active military service or a service-connected condition.
    79 of 500 sample sentences
  5. 6% Evidence found in equipoise on rhinitis rating criteria
    The Board found the medical and lay evidence at least in relative equipoise as to whether the veteran's rhinitis or sinusitis symptoms met the criteria for a specific disability rating percentage.
    28 of 500 sample sentences
  6. 4% Rhinitis or sinusitis documented as related to service or service-connected condition
    The record contained medical opinions or findings documenting that allergic rhinitis, vasomotor rhinitis, or chronic sinusitis was caused by or related to the veteran's active duty service or a service-connected disability.
    22 of 500 sample sentences
  7. 3% Obstruction of nasal passages documented to support rating
    The Board noted findings of greater than 50-percent obstruction of the nasal passage on both sides, nasal polyps, or turbinate hypertrophy as supporting a specific disability rating under DC 6522 or related codes.
    14 of 500 sample sentences
  8. 2% Examiner request for nexus opinion on rhinitis or related condition noted
    The decision recorded a remand instruction or examiner request asking whether a respiratory or nasal condition was at least as likely as not related to service or a service-connected disability.
    12 of 500 sample sentences
  9. 2% Frequency of sinusitis episodes documented to support rating level
    The Board noted findings regarding the number of incapacitating or non-incapacitating sinusitis episodes per year as the basis for assigning or denying a specific disability rating percentage.
    11 of 500 sample sentences
  10. 2% Secondary service connection for condition linked to rhinitis documented
    The record documented medical findings or opinions linking a secondary condition, such as headaches, sinusitis, sleep apnea, or tinnitus, to the veteran's service-connected allergic rhinitis.
    11 of 500 sample sentences
  11. 2% Absence of probative evidence or current diagnosis noted against claim
    The Board noted the absence of competent or probative medical evidence of a current chronic sinusitis or rhinitis diagnosis or a relationship to service, supporting denial of the claim.
    9 of 500 sample sentences
  12. 1% Ameliorative effects of medication considered in rhinitis rating
    The Board noted that the rating evaluation for rhinitis required consideration of symptoms with the ameliorative effects of medication disregarded, affecting the assigned disability percentage.
    5 of 500 sample sentences
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Disclaimer: This page reproduces public Department of Veterans Affairs forms (DBQs) and verbatim text from 38 CFR Part 4 (the VA Schedule for Rating Disabilities). It is informational only and is not legal or medical advice. For guidance on a specific claim, contact a VA-accredited representative.