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    Respiratory / PACT Act

    Sarcoidosis VA Rating

    38 CFR § 4.97, Diagnostic Code 6846

    Last updated: April 2026
    General education only. This page summarizes how VA generally rates this condition under 38 CFR Part 4. It is not legal advice or medical advice and is not a recommendation about any individual claim. Every veteran's facts and evidence are different — for guidance on a specific situation, speak with a VA-accredited representative or your treating clinician.

    Overview

    Sarcoidosis can affect lungs, heart, eyes, skin, and other organs.

    Rating is built around steroid dependence and pulmonary involvement; extra-pulmonary residuals can be rated separately.

    How to Establish Service Connection

    • Presumptive (PACT Act).
    • Direct: documented exposure or in-service diagnosis.

    Rating Criteria

    Paraphrased from 38 CFR § 4.97, Diagnostic Code 6846

    RatingCriteria
    0%Chronic hilar adenopathy or stable lung infiltrates without symptoms or pulmonary impairment.
    30%Pulmonary involvement with persistent symptoms requiring chronic low-dose corticosteroids or other treatment.
    60%Pulmonary involvement requiring systemic high-dose corticosteroids for control.
    100%Cor pulmonale, cardiac involvement with congestive heart failure, or progressive pulmonary disease with fever, night sweats, weight loss despite treatment.

    See what each percentage pays in 2026 and how it combines with your current rating →

    Evidence Checklist

    • Tissue biopsy showing non-caseating granulomas.
    • Chest imaging.
    • PFTs.
    • Steroid prescription records.

    Common Secondary Conditions

    Conditions frequently service-connected as secondary to Sarcoidosis:

    Uveitis
    Skin lesions
    Cardiac sarcoid

    Frequently Asked Questions

    Have a Sarcoidosis 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.

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