- Diagnostic Code
- 6354
- CFR Section
- §4.88b — Infectious Diseases, Immune Disorders & Nutritional Deficiencies
Rating Tiers
Which are nearly constant and so severe as to restrict routine daily activities almost completely and which may occasionally preclude self-care
Which are nearly constant and restrict routine daily activities to less than 50 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least six weeks total duration per year
Which are nearly constant and restrict routine daily activities from 50 to 75 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least four but less than six weeks total duration per year
Which are nearly constant and restrict routine daily activities by less than 25 percent of the pre-illness level; or which wax and wane, resulting in periods of incapacitation of at least two but less than four weeks total duration per year
Which wax and wane but result in periods of incapacitation of at least one but less than two weeks total duration per year; or symptoms controlled by continuous medication
Rated Under Formula
This condition is rated using the §4.88b general rating formula.
What Raters Look For
Based on M21-1 adjudication criteria for Infectious Diseases, Immune Disorders & Nutritional Deficiencies conditions. These are the factors a VA rater evaluates when assigning a rating percentage.
M21-1 III.iv.4.O- •Documented diagnosis of the infectious, immune, or nutritional condition
- •Lab values confirming the condition: CD4 count for HIV, antibody titers, nutritional panels
- •Frequency and severity of infections or exacerbations requiring medical treatment
- •Constitutional symptoms: fatigue, weight loss, fever, night sweats
- •Medication requirements and treatment complexity
- •Impact on immune function and susceptibility to secondary infections
- •Functional impact on daily activities and occupational function