VA Disability Rating for Miliary Tuberculosis (DC 6311)
Diagnostic Code 6311 · 38 CFR §4.88b
What Is It?
Miliary tuberculosis is the most severe disseminated form of TB, where bacteria spread throughout the body via the bloodstream affecting multiple organs simultaneously. The VA rates active miliary TB at 100 percent. After the disease becomes inactive, the graduated rating schedule in sections 4.88c and 4.89 applies. Recurrence must be confirmed by culture, histopathology, or other diagnostic testing. Residual damage to lungs, skin, respiratory system, central nervous system, musculoskeletal system, eyes, GI system, and genitourinary system is rated separately.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Active miliary tuberculosis confirmed by imaging and lab work during treatment. Recurrence must be confirmed by culture, histopathology, or other diagnostic testing. |
| 0% | Inactive TB after the graduated rating schedule concludes. Residual organ damage is rated separately under each affected body system and the residuals listed in section 4.88c. |
Evidence Needed
Chest imaging showing miliary pattern. Lab confirmation of Mycobacterium tuberculosis. Records of organs affected. Treatment records. Post-treatment assessments of each organ system.
C&P Exam Tips
Document every affected organ. Bring post-treatment function tests. Describe ongoing symptoms across body systems. Have complete treatment timeline. Request evaluations for each involved organ system.
How to File
File under DC 6311 for active disease. Once resolved, the graduated schedule from 4.88c/4.89 applies. File separate claims for residual organ damage.
Common Mistakes
Common mistakes include not claiming damage to every affected organ system, filing only under TB code, not getting post-treatment evaluations for all involved systems, and overlooking adrenal gland damage.
Frequently Asked Questions
How is miliary TB different from regular pulmonary TB?
Regular pulmonary TB is confined to the lungs. Miliary TB has spread via the bloodstream to multiple organs throughout the body.
Can I get rated for each organ affected?
Yes. Each organ system with lasting damage should be evaluated and rated separately, often resulting in significantly higher combined ratings.