VA Disability Rating for Bacterial Rhinitis (DC 6523)
Diagnostic Code 6523 · 38 CFR §4.97
What Is It?
Bacterial rhinitis is chronic inflammation of the nasal passages caused by persistent bacterial infection. Unlike allergic rhinitis which is triggered by allergens, bacterial rhinitis involves ongoing bacterial colonization that causes thick nasal discharge, crusting, foul odor, and nasal congestion. Chronic bacterial rhinitis can lead to a condition called ozena (atrophic rhinitis) where the nasal passages widen and become crusted. Veterans may develop this from nasal injuries, environmental exposures, or complications of other nasal conditions during service.
Rating Criteria
| Rating | Criteria |
|---|---|
| 50% | Rhinoscleroma — a specific chronic granulomatous bacterial infection of the nasal passages. |
| 10% | Permanent hypertrophy of turbinates with 50 percent obstruction on both sides, or complete obstruction on one side. |
Evidence Needed
- ENT examination documenting the bacterial rhinitis and turbinate findings
- Nasal cultures identifying the bacterial cause
- CT scan showing nasal passage changes
- Treatment records showing antibiotic courses
- Service medical records linking nasal problems to military service
C&P Exam Tips
- Do not use nasal decongestants before the exam
- Make sure the examiner measures the degree of nasal obstruction from turbinate hypertrophy
- Bring nasal culture results if available
- Describe the chronic symptoms: discharge, crusting, odor, congestion
How to File
File on VA Form 21-526EZ with ENT examination results documenting turbinate hypertrophy and obstruction percentages, culture results, and service connection evidence.
Common Mistakes
Not getting obstruction measurements The rating requires documented 50 percent obstruction on both sides or complete obstruction on one side. Make sure the examiner measures this. Confusing with allergic rhinitis Bacterial and allergic rhinitis are different conditions rated under different codes. Make sure your diagnosis is specific.
Frequently Asked Questions
What is the difference between bacterial and allergic rhinitis?
Allergic rhinitis (DC 6522) is caused by allergen reactions, while bacterial rhinitis (DC 6523) is caused by chronic bacterial infection. They are rated under separate codes with different criteria.
What is rhinoscleroma?
Rhinoscleroma is a rare but serious chronic bacterial infection of the nasal passages caused by a specific bacterium. It qualifies for the higher 50 percent rating.