Sarcoidosis
DC 6846 §4.97 Respiratory ICD-10: D86.9 DirectPresumptive PACT Act (post-9/11, Gulf War)
PACT Act presumptive. Multisystem granulomatous disease.
VA rating criteria
| Rating | Criteria |
|---|---|
| 100% | Cor pulmonale, or; cardiac involvement with congestive heart failure, or; progressive pulmonary disease with fever, night sweats, and weight loss despite treatment |
| 60% | Pulmonary involvement requiring systemic high dose (therapeutic) corticosteroids for control |
| 30% | Pulmonary involvement with persistent symptoms requiring chronic low dose (maintenance) or intermittent corticosteroids |
| 0% | Chronic hilar adenopathy or stable lung infiltrates without symptoms or physiologic impairment |
Filing this claim
If you have qualifying service for the PACT Act (post-9/11, Gulf War) 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.