This guide covers how the VA actually rates sinus / breathing under diagnostic code 6522 — the criteria the rater applies, the evidence that carries weight, and the related conditions veterans most often leave unclaimed. It's the same playbook our own case managers work from.
How the VA rates it
10% / 30% depending on polyps and nasal obstruction.
Honest ceiling: 30% with nasal polyps.
The evidence that wins
Service connection: In-service exposure (burn pits, dust, deployment).
Medical opinion (nexus): PACT Act may make it presumptive — CHECK before buying a nexus.
Secondary conditions veterans miss
Conditions that commonly develop because of this one can be service-connected on top of it:
- Sleep apnea secondary to rhinitis — Alternative OSA anchor when there is no MH condition
Filing it right the first time
Most denials on sinus / breathing claims trace to the same failures: the evidence never addressed the actual rating criteria, the connection to service was asserted instead of supported, or the C&P exam went sideways because nobody prepared for it. A complete file — records, statements written to the criteria above, and honest exam preparation — is the difference.
Think you're underrated? Find out in 2 minutes.
Flat fee. You keep 100% of your back pay. Money-back guarantee — in writing, before you pay a dollar.
See If You Qualify →