Actinomycosis — VA Disability Rating Criteria (DC 6822)
Diagnostic Code 6822 · 38 CFR §4.97
What Is It?
Actinomycosis is a rare bacterial infection caused by Actinomyces species that can affect the lungs (thoracic actinomycosis). It often mimics lung cancer or tuberculosis on imaging. The infection can cause chronic lung damage, abscesses, and fibrosis. Veterans may develop this condition from dental infections spreading to the lungs or from aspiration events during service.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Active disseminated disease or severe chronic pulmonary destruction causing respiratory failure. |
| 50% | Significant residual lung damage with moderate PFT deficits. May have chronic draining sinuses or require prolonged antibiotic courses. |
| 30% | Resolved infection with mild residual scarring and modest PFT impairment. Minor chronic symptoms. |
| 0% | Infection fully treated with no residual pulmonary damage on imaging or PFTs. |
Evidence Needed
Biopsy or culture results confirming actinomycosis. Imaging showing pulmonary involvement. Treatment records (typically prolonged antibiotic courses). Current PFTs showing any residual impairment.
C&P Exam Tips
This is a rare condition—bring educational materials for your examiner if needed. Ensure imaging and PFTs are current. Document the full course of treatment and any residual symptoms.
How to File
File for pulmonary actinomycosis with evidence of diagnosis during or related to service. Include treatment records showing the prolonged antibiotic course and any residual lung damage.
Common Mistakes
Condition being misdiagnosed as cancer or TB, delaying proper documentation. Not getting current PFTs after treatment completion. Failing to document the full duration of treatment.
Frequently Asked Questions
How is actinomycosis different from a fungal infection?
Despite sometimes being grouped with mycotic diseases, actinomycosis is actually caused by bacteria (Actinomyces). It requires prolonged antibiotic treatment rather than antifungal medications. The VA rates it separately under DC 6822.
Is actinomycosis service-connectable?
Yes, if you can show the infection developed during service or as a result of service-related conditions such as dental problems, aspiration events, or immunosuppression from service-connected conditions.