C&P Exam for Tuberculosis, pulmonary, chronic, inactive (DC 6731)
Which form the examiner uses
For tuberculosis, pulmonary, chronic, inactive (DC 6731), the C&P examiner completes the following Disability Benefits Questionnaire (DBQ):
- DBQ INFECT Tuberculosis (examiner-only DBQ. Link opens VA Find-A-Form search)
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 the examiner records
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 tuberculosis conditions including pulmonary and non-pulmonary TB.
How DC 6731 maps to this DBQ: for this diagnostic code specifically, the examiner typically completes sections I-III and V-VIII of this form. Section III is the condition-specific section for this code. Section IV covers an unrelated condition on this DBQ and is skipped.
DIAGNOSIS (Section I)
- 1A. Does the Veteran now have or has he or she ever been diagnosed with active or latent tuberculosis (TB)? Yes No
- 1B. If no, has the Veteran had a positive skin test for TB without active disease? Yes No
- 1C. If no, has the Veteran had a positive QuantiFERON-TB gold test without active disease? Yes No Tuberculosis
- 1D. If yes to either question A, B or C above, provide only diagnoses that pertain to TB conditions: Diagnosis # 1 - ICD code - Date of diagnosis - Diagnosis # 2 - ICD code - Date of diagnosis - Diagnosis # 3 - ICD code - Date of diagnosis -
- 1E. If there are additional diagnoses that pertain to TB, list using above format:
MEDICAL HISTORY (Section II)
- 2A. Describe the history (including onset and course) of the Veteran's current TB condition (Brief summary):
- 2B. Is the Veteran undergoing treatment or has he or she completed treatment for a TB condition, including active TB, positive skin test or laboratory evidence of TB (positive QuantiFERON-TB gold test) without active disease? Yes No If yes, complete the following: Date treatment began: If completed, date of completion: If not completed, anticipated date of completion:
- 2C. List medications currently or previously used for treatment of TB condition:
PULMONARY TB (Section III)
- 3A. Does the Veteran now have or has he or she ever been diagnosed with pulmonary tuberculosis? Yes No If yes, is the condition: Active Inactive If inactive, date condition became inactive: Tuberculosis
- 3B. Does the Veteran have any residual findings, signs and/or symptoms due to pulmonary TB? Yes No If yes, indicate residuals: Emphysema Dyspnea on exertion Requires oxygen therapy Episodes of acute respiratory failure
- 3C. Has the Veteran had thoracoplasty due to TB? Yes No Date of procedure: If yes, has the Veteran had resection of any ribs incident to thoracoplasty? Yes No If yes, indicate number of ribs involved: 1 2 3 or 4 5 or 6 More than 6
NON-PULMONARY TB (Section IV)
- 4A. Does the Veteran now have or has he or she ever been diagnosed with non-pulmonary tuberculosis? Yes No If yes, check all non-pulmonary TB conditions that apply: Tuberculous pleurisy Tuberculous peritonitis Tuberculosis meningitis Laryngitis, tuberculous
- 4B. For all checked conditions, indicate whether the condition is active or inactive; if inactive, provide date condition became inactive: Tuberculosis
- 4C. Does the Veteran have any residuals from any of the non-pulmonary TB conditions? Yes No If yes, describe: Also complete appropriate questionnaires for the specific residual conditions.
OTHER PERTINENT PHYSICAL FINDINGS, COMPLICATIONS, CONDITIONS, SIGNS AND/OR SYMPTOMS (Section V)
- 5A. Does the Veteran have any other pertinent physical findings, complications, conditions, signs or symptoms? Yes No If yes, describe (brief summary):
- 5B. 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? Yes No If "Yes," are any of these scars painful and/or unstable; have a total area equal to or greater than 39 square cm (6 square inches); or are located on the head, face, or neck? (An "unstable scar" is one where, for any reason, there is…
- 5C. Comments, if any: Tuberculosis
DIAGNOSTIC TESTING (Section VI)
- 6A. Have imaging studies or procedures been performed? Yes No If yes, check all that apply: Chest x-ray Date: Results: Magnetic resonance imaging (MRI) Date: Results: Computerized axial tomography (CT) Date: Results: High resolution computed tomography to evaluate interstitial lung disease such as asbestosis (HRCT)
- 6B. Has pulmonary function testing (PFT) been performed? Yes No If yes, do PFT results reported below reflect the Veteran's current pulmonary function? Yes No
- 6C. Pulmonary function testing is not required in all instances. If PFTs have not been completed, provide reason: Veteran requires outpatient oxygen therapy Veteran has had 1 or more episodes of acute respiratory failure Veteran has been diagnosed with cor pulmonale, right ventricular hypertrophy or pulmonary hypertension Veteran has had exercise capacity testing and results are 20 ml/kg/min or…
- 6D. PFT results Date: Pre-bronchodilator: Post-bronchodilator, if indicated: FEV-1: % predicted FEV-1: % predicted FVC : % predicted FVC : % predicted FEV-1/FVC: % FEV-1/FVC: % DLCO: % predicted
- 6E. Which test result most accurately reflects the Veteran's current pulmonary function? FEV-1 FEV-1/FVC FVC DLCO
- 6F. If post-bronchodilator testing has not been completed, provide reason: Pre-bronchodilator results are normal Post-bronchodilator testing not indicated for Veteran's condition Post-bronchodilator testing not indicated in Veteran's particular case If checked, provide reason: Other, describe: Tuberculosis
- 6G. If diffusion capacity of the lung for carbon monoxide by the single breath method (DLCO) testing has not been completed, provide reason: Not indicated for Veteran's condition Not indicated in Veteran's particular case Not valid for Veteran's particular case Other, describe:
- 6H. Does the Veteran have multiple respiratory conditions? Yes No If yes, list conditions and indicate which condition is predominantly responsible for the limitation in pulmonary function, if any limitation is present:
- 6I. Has exercise capacity testing been performed? Yes No If yes, complete the following: Maximum exercise capacity less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory limitation) Maximum oxygen consumption of 15-20 ml/kg/min (with cardiac or respiratory limit)
- 6J. 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 VII)
- 7A. Does the Veteran's tuberculosis condition impact his or her ability to work? Yes No If yes, describe impact of each of the Veteran's tuberculosis conditions, providing one or more examples: Tuberculosis
REMARKS (Section VIII)
- 8A. Remarks (if any - please identify the section to which the remark pertains when appropriate).
Rating Levels for DC 6731
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 6731
The counts below are aggregated from published Board of Veterans Appeals decisions for this diagnostic code. 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.
- Buddy / lay statements: appeared in 1 granted decision (1 denied, 1 remanded; 3 total)
- VA examination: appeared in 0 granted decisions (3 denied, 10 remanded; 13 total)
- Nexus letter: appeared in 0 granted decisions (1 denied, 7 remanded; 8 total)
- Service treatment records: appeared in 0 granted decisions (2 denied, 0 remanded; 2 total)
- Private medical opinion: appeared in 0 granted decisions (0 denied, 1 remanded; 1 total)
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.