Respiratory Conditions (Other Than Tuberculosis And Sleep Apnea) DBQ: Official VA Form

The public Respiratory Conditions (other than tuberculosis and sleep apnea) Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

33 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 6600: Bronchitis, chronic
• DC 6601: Bronchiectasis
• DC 6602: Asthma, bronchial
• DC 6603: Emphysema, pulmonary
• DC 6604: Chronic obstructive pulmonary disease
• DC 6817: Pulmonary Vascular Disease
• DC 6819: Neoplasms, malignant, any specified part of respiratory system exclusive of skin growths
• DC 6820: Neoplasms, benign, any specified part of respiratory system. Evaluate using an appropriate respiratory analogy
• DC 6822: Actinomycosis
• DC 6823: Nocardiosis
• DC 6824: Chronic lung abscess
• DC 6825: Diffuse interstitial fibrosis (interstitial pneumonitis, fibrosing alveolitis)
• DC 6826: Desquamative interstitial pneumonitis
• DC 6827: Pulmonary alveolar proteinosis
• DC 6828: Eosinophilic granuloma of lung
• DC 6829: Drug-induced pulmonary pneumonitis and fibrosis
• DC 6830: Radiation-induced pulmonary pneumonitis and fibrosis
• DC 6831: Hypersensitivity pneumonitis (extrinsic allergic alveolitis)
• DC 6832: Pneumoconiosis (silicosis, anthracosis, etc.)
• DC 6833: Asbestosis
• DC 6834: Histoplasmosis of lung
• DC 6835: Coccidioidomycosis
• DC 6836: Blastomycosis
• DC 6837: Cryptococcosis
• DC 6838: Aspergillosis
• DC 6839: Mucormycosis
• DC 6840: Diaphragm paralysis or paresis
• DC 6841: Spinal cord injury with respiratory insufficiency
• DC 6842: Kyphoscoliosis, pectus excavatum, pectus carinatum
• DC 6843: Traumatic chest wall defect, pneumothorax, hernia, etc
• DC 6844: Post-surgical residual (lobectomy, pneumonectomy, etc.)
• DC 6845: Chronic pleural effusion or fibrosis
• DC 6846: Sarcoidosis

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

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