VA Disability Rating for Lyme Disease (DC 6319)
Diagnostic Code 6319 · 38 CFR §4.88b
What Is It?
Lyme disease is a tick-borne infection caused by Borrelia burgdorferi. The VA uses the General Rating Formula. Residuals including arthritis, Bell's palsy, radiculopathy, ocular conditions, and cognitive dysfunction are rated under appropriate body system codes.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Active Lyme disease with confirmed testing and symptoms during treatment. |
| 0% | Treated. Residuals including arthritis, Bell's palsy, radiculopathy, ocular conditions, and cognitive dysfunction are rated under relevant body system codes. |
Evidence Needed
Positive Lyme testing (ELISA confirmed by Western blot or newer tests). Medical records of symptom progression. Service records showing outdoor activity in tick-endemic regions. Treatment records. Evaluations of residual damage.
C&P Exam Tips
Document the timeline from tick bite to diagnosis. Describe bull's-eye rash if applicable. Report all affected body systems. Have current evaluations. Mention stationing location.
How to File
File under DC 6319 for active disease. File separate claims for each affected body system — joints, nerves, heart, cognition.
Common Mistakes
Common mistakes include only filing under the Lyme code, not evaluating for neurological complications, failing to document outdoor military training, and not testing early.
Frequently Asked Questions
What areas are highest risk for Lyme?
Northeast, upper Midwest, and Pacific coast.
What if I have ongoing symptoms after treatment?
Post-treatment Lyme disease syndrome symptoms can be evaluated under appropriate diagnostic codes for each affected body system.
Can I get service-connected years later?
Yes, especially if late-stage symptoms are now appearing. Document tick exposure during service and symptom progression.