Reference: 38 CFR 4.97, DC 6604

What is the VA rating for Chronic Obstructive Pulmonary Disease (COPD)?

COPD and Chronic Bronchitis are evaluated under 38 CFR § 4.97, Diagnostic Codes 6604 and others. The rating schedule primarily uses pulmonary function tests (FEV-1, FEV-1/FVC, DLCO) and the requirement for oxygen therapy. It is a presumptive condition under the PACT Act.

Condition Overview & Clinical Scope

VA evaluates Chronic Obstructive Pulmonary Disease based on 38 CFR 4.97, DC 6604.

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Overview

About this condition

VA evaluates Chronic Obstructive Pulmonary Disease based on 38 CFR 4.97, DC 6604.

Regulatory authority: 38 CFR 4.97, DC 6604

Educational only. RatingScope does not diagnose, determine service connection, or predict a VA decision.

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Variable

Highest listed pathway

Based on regulatory criteria.

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Official CFR language
Evaluated based on FEV-1, FVC, or DLCO test results.
Qualification explanation
Rated according to the schedule.

Evidence

Evidence that may clarify the published criteria

Official VA Forms & DBQs

Downloadable DBQs & Supporting Claim Forms

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Terminology

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Common Questions

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Secondary conditions

Conditions commonly connected to Chronic Obstructive Pulmonary Disease (COPD)

No commonly documented secondary connections are tracked for Chronic Obstructive Pulmonary Disease (COPD) yet.

Educational Guides & Evidence Resources

In-depth analysis of DBQ forms, medical evidence thresholds, and rating schedules for Chronic Obstructive Pulmonary Disease (COPD).

VA Respiratory Non-Combination Rules: 38 CFR 4.96 Explained

Learn why the VA does not combine respiratory conditions under 38 CFR 4.96(a), and how predominant ratings and rating elevations work.

How VA Rates COPD: DC 6604 Pulmonary Function Criteria

Learn how the VA evaluates Chronic Obstructive Pulmonary Disease under 38 CFR 4.97 (DC 6604) using FEV-1, DLCO, and oxygen therapy requirements.

Asthma vs. COPD in VA Disability Claims: Ratings, PFTs, and Pyramiding

Compare how the VA evaluates asthma (DC 6602) versus COPD (DC 6604), anti-pyramiding rules under 38 CFR 4.14, and medication versus spirometry criteria.

Pulmonary Function Tests in VA Disability Claims: PFT and Spirometry Guide

Learn how the VA interprets Pulmonary Function Tests (FEV-1, FVC, and DLCO) to assign disability ratings from 10% to 100% under 38 CFR 4.97.

VA Respiratory C&P Exam and DBQ Guide: Spirometry, Inhalers, and Evidence

Prepare for your VA respiratory C&P exam. Learn what examiners test on the Respiratory DBQ, mandatory spirometry procedures, and essential medical evidence.

Restrictive Lung Disease VA Rating: FVC Tiers & 38 CFR 4.97

Learn how the VA evaluates restrictive lung disease, chest wall deformities, and diaphragmatic paralysis under 38 CFR 4.97 based on Forced Vital Capacity.

Pulmonary Fibrosis & Interstitial Lung Disease: VA Rating Guide

Learn how the VA evaluates pulmonary fibrosis, asbestosis, silicosis, and interstitial lung disease under Diagnostic Code 6838, DLCO metrics, and PACT Act presumptions.

Respiratory Cancers & Neoplasms: How VA Rates Lung & Airway Tumors

Understand how the VA evaluates lung cancer, bronchial tumors, and respiratory neoplasms under Diagnostic Code 6819, temporary 100% rules, and PACT Act presumptions.

How VA Rates Asthma: DC 6602 Inhaler and PFT Criteria

Learn how the VA evaluates bronchial asthma under 38 CFR 4.97 (DC 6602) using spirometric pulmonary function tests (FEV-1) and required inhaler therapies.

PACT Act Respiratory Presumptive Conditions: Burn Pits and Airborne Hazards

Explore the complete list of respiratory conditions presumptively service-connected under the PACT Act (38 CFR 3.320) from burn pit and particulate exposure.

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VA Math & Combined Ratings

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Evidence Center

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