★ Respiratory / PACT Act
Granulomatous Disease VA Rating
PACT Act presumptive; rated analogously under 38 CFR § 4.97
Overview
Distinct from sarcoidosis, this category captures other granulomatous responses tied to airborne hazard exposure.
Pulmonary granulomas are documented on imaging or biopsy and may impair gas exchange.
How to Establish Service Connection
- Presumptive (PACT Act).
- Direct: documented exposure or biopsy in service.
Rating Criteria
Paraphrased from PACT Act presumptive; rated analogously under 38 CFR § 4.97
| Rating | Criteria |
|---|---|
| Variable | PFT-based (FEV-1, DLCO) and organ-specific residuals. |
See what each percentage pays in 2026 and how it combines with your current rating →
Evidence Checklist
- Biopsy.
- HRCT chest.
- PFTs.
- Burn pit registry.
Frequently Asked Questions
Have a Granulomatous Disease claim or denial?
Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. Contingent fees apply only to awarded past-due benefits on appeals — never on initial claims.
Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.
Educational content only — not legal advice and not medical advice. Rating criteria on this page are summarized in plain English from 38 CFR Part 4; consult VA.gov or the current Code of Federal Regulations for official criteria. This page provides general education about how the VA rates this condition; it is not individualized advice, does not establish a representation relationship, and should not be used to self-diagnose, self-treat, or decide a course of action without speaking to a qualified clinician and a VA-accredited representative. Outcomes depend on each veteran's individual facts, evidence, and the adjudicator's judgment; no specific rating, effective date, or other result is guaranteed. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the US Department of Veterans Affairs.