VA Disability Rating for Complete Organic Aphonia (DC 6519)
Diagnostic Code 6519 · 38 CFR §4.97
What Is It?
Complete organic aphonia is the total loss of voice due to a physical (organic) cause affecting the larynx or vocal cords. Unlike functional aphonia caused by psychological factors, organic aphonia results from structural damage such as vocal cord paralysis, severe scarring, nerve damage, or loss of the vocal cords themselves. Veterans may develop this condition from laryngeal injuries, surgical complications, intubation damage, blast injuries to the neck, or nerve damage from service-related causes.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Constant inability to speak above a whisper. |
| 60% | Constant inability to communicate by speech. |
Evidence Needed
- Laryngoscopy documenting the structural cause of voice loss
- ENT evaluation confirming organic (physical) aphonia versus functional (psychological)
- Speech pathology assessment documenting the degree of voice loss
- Records of the causative injury, surgery, or condition
- Service medical records linking the damage to military service
C&P Exam Tips
- The examiner needs to confirm that the voice loss is organic (physical) not functional (psychological)
- Bring laryngoscopy results showing the structural cause — paralyzed cords, scarring, or missing tissue
- A speech pathology evaluation documenting your inability to produce voice is helpful
- If you use an electrolarynx or other device, explain this at the exam
- Describe how the voice loss affects your daily life, employment, and social interaction
How to File
File on VA Form 21-526EZ with laryngoscopy results, speech pathology evaluation, and evidence of the service-connected cause. Also apply for SMC for loss of a creative organ.
Common Mistakes
Not getting the organic cause documented The VA distinguishes between organic and functional aphonia. Make sure a laryngoscopy confirms a physical cause for your voice loss. Not claiming Special Monthly Compensation Complete loss of voice qualifies for SMC for loss of a creative organ, providing extra monthly compensation.
Frequently Asked Questions
What is the difference between organic and functional aphonia?
Organic aphonia is caused by physical damage to the larynx or vocal cords. Functional aphonia is caused by psychological factors. The VA rates them differently, and DC 6519 specifically covers organic causes.
What if I can whisper but not speak normally?
The ability to whisper is actually distinguished in the rating criteria. Constant inability to speak above a whisper is rated at 100 percent.