Secondary Condition Claim · VASRD 6510
A condition caused or aggravated by an already service-connected disability can be granted its own service connection as a secondary condition under 38 CFR § 3.310. Here's how that works for Sinusitis, chronic pansinusitis when it develops after Bronchiectasis.
Drainage issues in airways affect upper respiratory tract
Primary condition · VASRD 6601
Bronchiectasis
A condition where airways in the lungs become permanently widened, leading to mucus buildup and infections.
Secondary condition · VASRD 6510
Sinusitis, chronic pansinusitis
Chronic pansinusitis is inflammation affecting all of the sinus cavities at once, causing recurring congestion, facial pressure, and infections that often require repeated antibiotic treatment. It's presumptively linked to Gulf War-era burn pit exposure for veterans who served in the Southwest Asia theater.
The VA rates Sinusitis, chronic pansinusitis the same way whether it's claimed directly or as secondary to Bronchiectasis — severity of Sinusitis, chronic pansinusitis itself determines the percentage.
Example combined rating
30% Bronchiectasis + 20% Sinusitis, chronic pansinusitis = 44%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 30% and 20% combine to 44%, not 50%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Bronchiectasis guide
Secondary condition
Full Sinusitis, chronic pansinusitis guide
See how Bronchiectasis and Sinusitis, chronic pansinusitis combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
Open the calculator