Sinusitis, pansinusitis, chronic (DC 6510) | VA Rating Tool

Diagnostic Code6510
CategoryThe Respiratory System
SubcategoryNose and Throat
Also Known AsPansinusitis, sinus infection, sinusitis, chronic sinusitis, sinus problems, sinus pressure, congestion, upper respiratory infection, URI, sinus infection, cold
CFR Section38 CFR ยง 4.97
๐Ÿ“Š What Veterans Actually Get
10%
Most Common Rating
50.0%
of Vets Get This
70.0%
Approval Rate
#24
Most Claimed

Chronic sinusitis is most commonly rated at 10% (one or two incapacitating episodes per year requiring prolonged antibiotic treatment, or three to six non-incapacitating episodes per year). The 30% requires three+ incapacitating episodes or six+ non-incapacitating.

Pro Tip: Track every sinus infection, antibiotic course, and missed work day. The VA counts 'incapacitating episodes' specifically โ€” episodes that require doctor-prescribed bed rest and antibiotic treatment.
Rating Criteria
Rating Criteria
50% Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries
30% Three or more incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; more than six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting
10% One or two incapacitating episodes per year of sinusitis requiring prolonged (lasting four to six weeks) antibiotic treatment, or; three to six non-incapacitating episodes per year of sinusitis characterized by headaches, pain, and purulent discharge or crusting
0% Detected by X-ray only

Conditions Secondary to This

4 links
Sleep Apnea Syndromes
6847
Strong

Chronic nasal congestion and inflammation obstruct airways during sleep

Asthma, bronchial
6602
Moderate

Upper airway inflammation worsens lower airway conditions

Major depressive disorder
9434
Moderate

Chronic sinus pain and fatigue contribute to depression

Migraine
8100
Moderate

Sinus pressure and inflammation trigger headaches and migraines

This May Be Secondary To

3 links
Allergic or vasomotor rhinitis
DC 6522
Strong

Chronic rhinitis frequently leads to sinusitis

Septum, nasal, deviation
DC 6502
Strong

Deviated septum impairs sinus drainage, causing chronic sinusitis

Asthma, bronchial
DC 6602
Moderate

Chronic inflammation affects entire respiratory tract

Disclaimer: Secondary connections shown are based on commonly established medical links. Individual claims require medical evidence. Consult a VSO or VA-accredited attorney.