Granulomatous disease refers to the inflammation and formation of granulomas in various parts of the body, often affecting the respiratory system. It can result from toxic exposure, particularly burn pits, which were used by the military to dispose of waste, releasing hazardous smoke. This condition has become a significant health issue for veterans exposed to these harmful toxins.
The PACT Act (2022) established granulomatous disease as a presumptive condition, meaning veterans who were exposed to these toxins during service are presumed to have contracted the disease as a result of their military duty. However, while presumptive conditions make it easier to file a claim, veterans still need to provide adequate evidence.
In this guide, we’ll explain how the VA rates granulomatous disease, the presumptive conditions for veterans, and how you can file your claim for VA disability.
“Granulomatous disease is a common condition among veterans who were exposed to burn pits. The PACT Act has made it easier to connect these diseases to military service, but proper documentation and understanding the VA rating system are essential for getting the benefits you deserve,” says Brian Reese, a VA disability expert.
Granulomatous Disease in Veterans
Granulomatous disease is a condition that causes inflammation in various organs, particularly the lungs and respiratory system. It can be caused by toxic exposure during military service, especially from burn pits.
The PACT Act and Presumptive Conditions
Under the PACT Act, granulomatous disease is considered a presumptive condition for veterans exposed to toxins during military service. This means the VA assumes that your military service caused the disease, as long as you meet the service requirements.
“Veterans exposed to toxic chemicals and burn pits have a clear path to disability benefits for granulomatous disease thanks to the PACT Act. The VA presumes the condition is service-connected if you served in certain locations during specific periods,” explains Sara Mitchell, a VA claims officer.
Locations of Exposure
Veterans who served in the following areas are eligible for presumptive service connection for granulomatous disease:
- Post-9/11 Era (September 11, 2001, and onward): Afghanistan, Iraq, Djibouti, Egypt, Yemen, and other locations in the Middle East.
- Gulf War Era (August 2, 1990, and onward): Saudi Arabia, Kuwait, Qatar, Bahrain, and other Gulf War locations.
Granulomatous Disease VA Ratings
The VA rates granulomatous disease based on the severity of the condition and the areas it affects. The disability rating can range from 10% to 100%, with the rating depending on how much the condition impacts your health and daily life.
Granulomatous Disease VA Rating Chart
The table below shows how the VA may rate granulomatous disease based on the affected area of the body:
| Area Affected | Diagnostic Code (DC) | VA Rating |
|---|---|---|
| Throat (Pharynx) | DC 6521 (Pharynx Injuries) | 50% – Stricture or obstruction of the pharynx; swallowing difficulty, nasal regurgitation, speech impairment |
| Nose (Granulomatous Rhinitis) | DC 6524 (Granulomatous Rhinitis) | 100% – Wegener’s granulomatosis, lethal midline granuloma; 20% for other types of infection |
| Lungs (Eosinophilic Granuloma) | DC 6828 (Eosinophilic Granuloma of Lung) | 100% – FVC <50% predicted, requires oxygen therapy or pulmonary hypertension |
| 60% – FVC of 50-64% predicted, cardiorespiratory limitations | ||
| 30% – FVC of 65-74% predicted | ||
| 10% – FVC of 75-80% predicted |
“The VA’s rating system for granulomatous disease focuses on how the condition affects your daily life. For severe conditions, such as those impacting the lungs, the rating can go as high as 100%, ensuring veterans get the compensation they deserve,” says Dr. James Clark, a veteran health advisor.
Granulomatous Disease as a Presumptive Condition
If you served in specific locations during certain time periods, the VA will presume that your granulomatous disease is connected to your military service. This simplifies the claims process, as you don’t need to prove causality just proof that you served in a qualifying location during the correct time.
Eligible Locations and Time Periods
Veterans who served in the following areas are eligible for presumptive service connection:
- Post-9/11 Era (September 11, 2001, and onward): Afghanistan, Iraq, Djibouti, Egypt, Yemen, and other regions in the Middle East.
- Gulf War Era (August 2, 1990, and onward): Saudi Arabia, Kuwait, Qatar, Bahrain, and other Gulf War locations.
“Serving in these regions after specific dates triggers presumptive service connection for conditions like granulomatous disease. Veterans only need to provide proof of service in these areas,” explains Mark Collins, a VA disability attorney.
Granulomatous Disease Service Connection
To qualify for VA disability benefits for granulomatous disease, you must service-connect the condition, meaning you need to prove the following:
- A current diagnosis of granulomatous disease.
- Evidence of in-service exposure (e.g., burn pits).
- A nexus between the diagnosis and your military service.
For presumptive conditions, the PACT Act automatically satisfies the service connection requirement.
“If you served in a qualifying location, the VA presumes your granulomatous disease is service-connected, making it easier for veterans to get the benefits they need,” says Lauren Johnson, a VA claims representative.
How to File a Granulomatous Disease VA Claim?
Filing a VA disability claim for granulomatous disease is straightforward. You can submit your claim online, by mail, or in person at your local VA office.
Where to Submit Your VA Claim:
- Online: Use the eBenefits portal for quick submissions.
- By Mail:
- Department of Veterans Affairs
- Claims Intake Center
- PO Box 4444
- Janesville, WI 53547-4444
- Fax:
- Domestic: 844-531-7818
- International: 248-524-4260
- In-person: Submit your claim at your local VA regional office.
“It’s essential to have all supporting evidence ready when submitting your claim. While presumptive conditions help streamline the process, the right documents make a significant difference,” advises Brian Reese, a VA disability consultant.
Final Thought
Granulomatous disease can be a debilitating condition for veterans exposed to toxic environments during military service. The PACT Act has made it easier for veterans to file claims for this presumptive condition, but it’s still important to understand the VA rating system and the requirements for filing your claim.
“The VA’s presumptive service connection makes it easier for veterans to get the benefits they deserve. However, proper documentation and evidence are critical to securing the correct disability rating,” says Brian Reese, VA disability expert.
FAQs
What is granulomatous disease?
Granulomatous disease is an inflammatory condition where granulomas form in the tissues, often affecting the lungs, throat, or nose. It is commonly linked to toxic exposure, such as burn pits used during military service.
How does the VA rate granulomatous disease?
The VA rates granulomatous disease based on the severity and location of the condition, with ratings ranging from 10% to 100%, depending on how it impacts daily life and health.
Can I claim VA disability for granulomatous disease if I served in the Gulf War?
Yes, veterans who served in Gulf War regions (like Iraq, Saudi Arabia, and Kuwait) after August 2, 1990 and are diagnosed with granulomatous disease may qualify for a presumptive claim under the PACT Act.
How do I file a VA disability claim for granulomatous disease?
You can file your claim online, by mail, or in person at your local VA office. Be sure to submit supporting documents like medical records and service records.
What if my granulomatous disease claim is denied?
If your claim is denied, you can appeal the decision by filing a Notice of Disagreement (NOD) or submitting new evidence through a Supplemental Claim.
