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 Deviated nasal septum.
Primary condition · VASRD 6209
Deviated nasal septum
A deviated septum is a physical displacement of the wall between the nostrils, which can partially or fully block airflow through one or both sides of the nose and make breathing, especially through the nose, difficult. The rating depends specifically on how much nasal airflow is obstructed, not just whether a deviation is visible on exam.
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 Deviated nasal septum — severity of Sinusitis, chronic pansinusitis itself determines the percentage.
Example combined rating
10% Deviated nasal septum + 20% Sinusitis, chronic pansinusitis = 28%
The VA combines ratings with Table I of 38 CFR 4.25, not simple addition — 10% and 20% combine to 28%, not 30%. These figures are illustrative; your actual rating for each condition depends on your own evaluation.
Primary condition
Full Deviated nasal septum guide
Secondary condition
Full Sinusitis, chronic pansinusitis guide
See how Deviated nasal septum and Sinusitis, chronic pansinusitis combine with the rest of your service-connected conditions using the official VA combined-ratings formula.
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