Respiratory Cancer (Lung, Larynx, Bronchus)
DC 6819 §4.97 Respiratory ICD-10: C34.90 DirectPresumptive PACT Act + Agent Orange
Presumptive for both PACT Act and Agent Orange cohorts. 100% during active treatment.
VA rating criteria
| Rating | Criteria |
|---|---|
| 100% | Active malignancy; 100% rating continues 6 months after treatment ends, then rated on residuals |
Filing this claim
If you have qualifying service for the PACT Act + Agent Orange presumption, you don't need a nexus letter — file as a primary claim with proof of qualifying service and your current diagnosis. Use the letter generators to draft your nexus letter and Statement in Support of Claim.
Step by step
- File an Intent to File (Form 21-0966) to lock your effective date.
- Confirm you have a current medical diagnosis in a medical record.
- Gather proof of qualifying service (DD-214, deployment records, etc.) — no nexus letter needed.
- Write a Statement in Support of Claim (21-4138).
- If applicable, gather buddy statements (21-10210).
- File the formal 21-526EZ.
Source: 38 CFR §4.97. For exact regulatory language, consult eCFR Title 38. This is general education — for your specific case, consult a VA-accredited representative.