Va rating sinusitis

Antibiotics used to treat sinusitis include amoxicillin, doxycycline or the combination of trimethoprim and sulfamethoxazole, according to Mayo Clinic. Antibiotics are only necessa...

• Chronic sinusitis • Neck cancer • Chronic obstructive pulmonary disease (COPD) • Constrictive bronchiolitis or obliterative bronchiolitis • Pancreatic cancer ... To get a VA disability rating, your disability must connect to your military service. For many health conditions, you need to prove that your service caused your condition. ...I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental).Rating Criteria for Respective Evaluations. 50 Percent: Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries. 30 Percent: Three or more incapacitating episodes per year of sinusitis ...We would like to show you a description here but the site won’t allow us.Aug 5, 2021 ... Veterans Affairs (VA) ... You may be eligible for disability compensation ... sinusitis, or rhinitis, to include rhinosinusitis, on the Disability ...DC 5257, Knee Pain: VA Rating: Recurrent subluxation or instability: Unrepaired or failed repair of complete ligament tear causing persistent instability, and a medical provider prescribes both an assistive device (e.g., cane(s), crutch(es), walker) and bracing for ambulation30%

38 CFR § 4.16a (“Schedular”): This is the most common route. For this, a veteran should have: A single disability, like asthma, rated at a minimum of 60%, OR. Multiple disabilities that collectively reach a 70% rating, with at least one condition rated at 40%. 38 CFR § 4.16b (“Extraschedular”): This pathway caters to unique cases ...Is Your Sinusitis Causing other Disabilities? 4 VA Secondary Conditions to Sinusitis. July 29, 2022. VA secondary conditions to sinusitis can be severe and debilitating. If you're a veteran who suffers from sinusitis, you must understand the different conditions that can be caused by this illness... continue reading. on VAClaimsInsider.com.VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows: 50% – following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness or affected sinus, and purulent ... These ratings can also be factored in with other conditions to result in a higher total combined VA disability rating. What is Chronic Rhinitis? Chronic rhinitis is defined as inflammation of the mucous membrane in the nose for more than four consecutive weeks. Yes, sleep apnea can be connected secondary to sinusitis. In fact, it’s one of the 10 most common sleep apnea secondary conditions. Sleep apnea has VA ratings from 0 percent to 100 percent, with breaks at 30 percent and 50 percent. The most common VA rating for sleep apnea is 50 percent. It’s important to consider obtaining a nexus letter ...

On Aug. 2, 2021, VA began processing disability claims for asthma, rhinitis, and sinusitis based on presumed exposure to particulate matter. This applies to Veterans who served in the Southwest Asia theater of operations beginning August 2, 1990, to the present, or Afghanistan, Uzbekistan, Syria, or Djibouti beginning September 19, 2001, to the present, and whose conditions came about within ... What is the VA rating for sleep apnea? The VA rates sleep apnea under diagnostic code 6847. This code is designated to cover all sleep apnea syndromes, including those associated with the obstructive, central, and mixed forms of the condition. Depending on the severity of your condition, the VA can assign a rating of 0%, 30%, …How VA Disability Ratings Work - Sinusitis How VA Disability Ratings Work - Tinnitus How VA Disability Ratings Work - Rhinitis How VA Disability Ratings Work - Asthma How VA Disability Ratings Work - Balance Disorders How VA Disability Ratings Work - Loss of Taste & Smell How VA DisabilityWe base eligibility for VA disability compensation benefits, in part, on whether you served in a location that exposed you to Agent Orange. We call this having a presumption of exposure. You have a presumption of exposure if you meet at least one of these service requirements. Between January 9, 1962, and May 7, 1975, you must have served for ... Citation Nr: 1502846 Decision Date: 01/21/15 Archive Date: 01/27/15 DOCKET NO. 12-29 670 ) DATE ) ) On appeal from the Department of Veterans Affairs Regional Office in St. Louis, Missouri THE ISSUE Entitlement to a compensable initial rating for sinusitis with allergic rhinitis.

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Learn how to get VA disability benefits for sinusitis, a condition that affects the sinuses and causes inflammation, infection, and pain. Find out the symptoms, …6514 Sinusitis, sphenoid, chronic. General Rating Formula for Sinusitis (DC’s 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after re-Aug 29, 2023 · For VA purposes, there are actually THREE types of Rhinitis. Each has its own diagnostic code (DC): Allergic Rhinitis (DC 6522) With polyps: rated at 30%. Without polyps, but greater than 50% obstruction of both nasal passages or total obstruction on one side: rated at 10%. Bacterial Rhinitis (DC 6523) If you are a veteran with a service-connected disability, you can view your disability rating on the VA website. Your disability rating is a percentage that reflects the severity of your condition and how it affects your ability to work. Your rating also determines how much disability compensation you can receive from VA. Learn how to view your rating, how it is calculated, and how to request ...Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows:Introduction. Sinusitis can be classified into the following categories: Acute: Symptoms lasting less than six weeks. Usually caused by bacterial infection. If lasting between six …

Under the VA Ratings Schedule, a veteran with sleep apnea may be entitled to 0%, 30%, 50% or 100% benefits for sleep apnea, as follows: 0% Rating: Diagnosis without significant symptoms or required treatment. 30% Rating: Daytime sleepiness impacting daily activities. 50% Rating: Prescription of a CPAP or other breathing …These ratings can also be factored in with other conditions to result in a higher total combined VA disability rating. What is Chronic Rhinitis? Chronic rhinitis is defined as inflammation of the mucous membrane in the nose for more than four consecutive weeks.The VA will give you a separate rating for each VA secondary condition to sinusitis. The ratings range from 0% to 100%, based on the condition and the severity of symptoms. For example, if you have infrequent headaches due to your sinusitis, you may be rated at 0%, while if you have frequent severe migraines, you may be rated at 50%.The Department of Veterans Affairs will begin processing disability claims Aug. 2 for asthma, rhinitis and sinusitis on a presumptive basis based on presumed particulate matter exposures during military service in Southwest Asia and certain other areas — if these conditions manifested within 10 years of a qualifying period of military service. I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental). We’ve added more than 20 burn pit and other toxic exposure presumptive conditions based on the PACT Act. The full name of the law is the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act of 2022. This change expands benefits for Gulf War era and post-9/11 Veterans.Looked up my nose. I also gave the examiner a log of my sinus infections for 30 days. I claimed sinusitis based on repeated sinus infections. They did some imaging (CT) and a 5 minute C&P and rated me 10% for the sinusitis and …VA Claims Insider is the #1 most trusted name in VA disability claims. 25,000+ disabled veterans served in our membership programs since 2016. 30% average VA rating increase for veterans who complete our #1 rated Elite program. Employs 215 teammates; comprised of 74 veterans and 16 military spouses.VA.gov/PACT has had 10M+ unique views since August 2, 2022 with 12.9M+ total pageviews. This generated 487K+ ... Rating Claims Completed </=125 Days (06//17/2023) Percentage of Claims Submitted PACT Related vs. ... Maxillary Sinusitis 32,570 32,845 55% 45% Bronchial Asthma 30,106 30,610 51% 49% Malignant Growths of On Aug. 2, 2021, VA began processing disability claims for asthma, rhinitis, and sinusitis based on presumed exposure to particulate matter. This applies to Veterans who served in the Southwest Asia theater of operations beginning August 2, 1990, to the present, or Afghanistan, Uzbekistan, Syria, or Djibouti beginning September 19, 2001, to the present, and whose conditions came about within ... Learn how the VA evaluates sinusitis claims based on symptoms, surgery, and service connection. Find out the ratings, benefits, and evidence you need to get monthly compensation for sinusitis.

We’ve added more than 20 burn pit and other toxic exposure presumptive conditions based on the PACT Act. The full name of the law is the Sergeant First Class Heath Robinson Honoring our Promise to Address Comprehensive Toxics (PACT) Act of 2022. This change expands benefits for Gulf War era and post-9/11 Veterans.

Jul 13, 2019 · A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), AND When deciding which charity to support, it is essential to evaluate their impact and ensure that your donations are making a difference. One popular charity that supports veterans ...Hey, CivDiv fam! Looking to boost your sinusitis rating? Join us as we dissect the 38 CFR step by step and show you how to go from 0% to 30%! 📝Understand th...3 Best Ways to Get a Sinusitis VA Rating. March 3, 2022. In this Insider's Guide, we'll explore how to get a Sinusitis VA Rating even if you’ve already filed or been denied benefits in the past. VA Disability for Sinusitis ranges from 0% to 50%, with... continue reading. on VAClaimsInsider.com.Mar 14, 2022 · Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows: Lone Tree Office: 9980 Park Meadows Drive, Suite 200 Lone Tree, CO 80124 720-897-7160If you have a pending VA claim, you may be wondering about its status. Fortunately, you don’t have to be left in the dark regarding this information. By using the following guideli...In this episode of theSITREP, we cover VA's new presumptive conditions for Veterans who are diagnosed with asthma, rhinitis & sinusitis, who were deployed to...In some cases, you may need surgery on the nose, sinuses, or both. This can improve sinus drainage or remove nasal blockages. Chronic sinusitis is a long-term swelling or infection of the sinuses. If sinusitis lasts more than 12 weeks (90 days), it is called chronic.

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The migraines VA rating scale consists of four rating possibilities: 0%, 10%, 30%, and 50%. The symptoms become markedly more severe between the 30% and 50% rating levels, as evidenced by the rating criteria below: 8100, migraine headaches: Rating. Migraines with very frequent completely prostrating and prolonged attacks productive of …The VA is proposing multiple changes to the sinusitis ratings, including updating the terminology to current standards and clearly clarifying what kinds of rhinosinusitis can qualify for ratings. They are also getting rid of the vague “incapacitating episodes” requirements and basing the ratings on measurable periods of time where ... I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental). VA Claims Insider is the #1 most trusted name in VA disability claims. 25,000+ disabled veterans served in our membership programs since 2016. 30% average VA rating increase for veterans who complete our #1 rated Elite program. Employs 215 teammates; comprised of 74 veterans and 16 military spouses.Asthma, sinusitis and rhinitis are now recognized by the VA as presumptive service connected issues, from burn pit exposure. (833) 421-0343. HOME. Contact Us. Blog (833) 421-0343. HOME. Contact Us. Blog. About ABC. ... We help you navigate the complexities of the VA rating and benefit process. Many veterans are underrated and not receiving …Mar 14, 2022 · Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows: Learn how to get VA disability benefits for sinusitis, a condition that affects the sinuses and causes inflammation, infection, and pain. Find out the symptoms, causes, treatments, and VA ratings for sinusitis.Public Disability Benefits Questionnaires (DBQs) DBQs help collect necessary medical information to process your disability claims. You can use these forms to submit medical evidence from your health care providers. This information helps to support your claims for disability benefits. Please have your health care provider fill out and …VA Disability for Sinusitis. Sinusitis is most commonly the bacterial or viral infection of the sinus cavities in the head and face. When your sinuses become infected, they can swell up and cause difficulty breathing, headaches, and fevers. ... Your VA disability rating for particulate matter exposure will depend on the resulting symptoms and ...Aug 5, 2021 ... Veterans Affairs (VA) ... You may be eligible for disability compensation ... sinusitis, or rhinitis, to include rhinosinusitis, on the Disability ...Sinusitis Rhinitis DBQ with Watermark. SINUSITIS/RHINITIS AND OTHER CONDITIONS OF THE NOSE, THROAT, LARYNX AND PHARYNX DISABILITY BENEFITS QUESTIONNAIRE. IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE ANY EXPENSES OR COST …Veteran’s Day is an important observance in the United States, set aside for honoring and remembering men and women who have served in the armed forces. Speeches for Veteran’s Day ... ….

What are the GERD VA Disability Ratings? Historically, the VA rated GERD analogous to Hiatal Hernia, DC 7346, with ratings of 10%, 30%, or 60%. But with the new digestive systems VA rating changes, GERD now has it’s own DC under 7206, with VA ratings of either 0%, 10%, 30%, 50%, or 80%. Note: GERD and Acid Reflux are both …What are “Presumptive Conditions”? If you are diagnosed with a chronic disease within one year of active-duty release, you should apply for disability compensation. Examples of chronic disease include: arthritis, diabetes or hypertension. Or, if you served continuously for at least 90 days and are diagnosed with amyotrophic lateral ...Since chronic rhinosinusitis is also a disease that affects the nasal cavity and paranasal sinuses similar to chronic sinusitis and rhinitis, VA will adjudicate claims for chronic rhinosinusitis under the Diagnostic Code (DC) for sinusitis in 38 CFR 4.97, Schedule of ratings-respiratory system under DCs 6510–6514 as appropriate.Current Veterans disability compensation rates. Review 2024 Veterans disability compensation rates. Use our compensation benefits rate tables to find your …Since chronic rhinosinusitis is also a disease that affects the nasal cavity and paranasal sinuses similar to chronic sinusitis and rhinitis, VA will adjudicate claims for chronic rhinosinusitis under the Diagnostic Code (DC) for sinusitis in 38 CFR 4.97, Schedule of ratings-respiratory system under DCs 6510–6514 as appropriate.Durham, N.C. – The Department of Veterans Affairs will begin processing disability claims Aug. 2 for asthma, rhinitis and sinusitis on a presumptive basis based on presumed particulate matter exposures during military service in Southwest Asia and certain other areas — if these conditions manifested within 10 years of a qualifying period of …There are 3 primary ways a veteran can get a VA disability rating for Rhinitis: #1: Direct Service Connection for Allergic Rhinitis with a rating of 10% or 30%. This means an in-service event, injury, or disease related to your military service caused you to develop Rhinitis. #2: Secondary Service Connection for Allergic Rhinitis with a rating ...VA will place this renamed rating formula immediately before the redesignated DC 6222. To modernize the rating schedule in regard to chronic sinusitis, VA will first introduce current medical terminology and definitions. Rhinosinusitis is defined as symptomatic inflammation of the paranasal sinuses and nasal cavity. Va rating sinusitis, Veteran housing benefits can serve as a solid form of assistance for veterans who struggle with maintaining a stable place to live. Keep reading to learn about the best veteran hou..., Veteran’s Day is an important observance in the United States, set aside for honoring and remembering men and women who have served in the armed forces. Speeches for Veteran’s Day ..., Sinusitis is a respiratory issue and is therefore rated under 38 CFR § 4.97, Schedule of Ratings – respiratory system. Diagnostic codes 6510-6514 are dedicated to different variations of sinusitis. The rating criteria are as follows: 0% — If the sinusitis is only detected by X-ray and there are no noticeable symptoms. , What Respiratory Problems Does the VA Rate? The VA evaluates respiratory illnesses using the Schedule of Ratings Disabilities, Section 4.97, diagnostic codes 6502 to 6847. Diseases listed in the schedule for which you can receive compensation include: sinusitis; deviated septum; laryngitis; aphonia (difficulty speaking above a whisper or ..., Under Diagnostic Code 6514, a 10 percent rating is assigned when a veteran has either one or two incapacitating episodes per year of sinusitis (an incapacitating episode of sinusitis means one that requires bed rest and treatment by a physician) requiring prolonged (lasting four to six weeks) antibiotic treatment, or has three to six non-incapacitating episodes per …, Sinusitis Rhinitis DBQ with Watermark. SINUSITIS/RHINITIS AND OTHER CONDITIONS OF THE NOSE, THROAT, LARYNX AND PHARYNX DISABILITY BENEFITS QUESTIONNAIRE. IMPORTANT - THE DEPARTMENT OF VETERANS AFFAIRS (VA) WILL NOT PAY OR REIMBURSE ANY EXPENSES OR COST INCURRED IN THE PROCESS OF COMPLETING AND/OR SUBMITTING THIS FORM., The ratings can extend from 0% to 100%, with intervals of 10%. For sinusitis, VA’s ratings are 0%, 10%, 30%, and 50%. They will only consider your medical reports and the result of their C&P examination. They usually base the rating on the number of incapacitating or non-incapacitating episodes the patient had in a year., Jan 7, 2018 ... ... sinusitis) and assigned a noncompensable disability rating. In an April 2015 decision, the Appeals Management Center (AMC) granted an ..., If sinusitis significantly affects a veteran’s hearing, it may impact their overall disability rating from the VA, including compensation and benefits. Va disability for sinusitis can be evaluated based on the severity of symptoms and its impact on daily life and hearing abilities. Final Note. VA disability rating for Tinnitus is 0% or 10%., If sinusitis significantly affects a veteran’s hearing, it may impact their overall disability rating from the VA, including compensation and benefits. Va disability for sinusitis can be evaluated based on the severity of symptoms and its impact on daily life and hearing abilities. Final Note. VA disability rating for Tinnitus is 0% or 10%., Yes, sinusitis qualifies as a VA disability, and based on how severe your symptoms are, it may be given a rating of 0%, 10%, 30%, or 50%. To qualify for the VA disability benefits claim, your disorder must be deemed "Chronic." Under CFR 38, Part 4, Diagnostic code 6510, VA Schedule of Ratings, Sinusitis, Pansinusitis, Chronic, the VA …, When you’re looking for locations of VA hospitals, there are a few ways to find the one that’s closest to you. You can search on the US Department of Veteran’s Affairs website in a..., Speak to your VSO first. They will have the most information to determine if a rating may be incorrect. You have a limited amount of time to appeal your decision and preserve the …, Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows:, Nov 28, 2022 · The VA rates Sinusitis under CFR 38, Part 4, VA Schedule of Ratings, Diagnostic Code 6510, Sinusitis, pansinusitis, chronic. VA Ratings for Sinusitis range from 0% to 50% with breaks at 10% and 30%. The highest scheduler rating for Sinusitis is 50 percent. , How VA Rates Ear Conditions. VA rates ear conditions according to 38 CFR § 4.87, Schedule of Ratings – Ear. The various ear conditions listed above are rated differently depending on the rating criteria. For example, Meniere’s disease …, A September 1991 sinus x-ray showed chronic sinusitis in the right maxillary sinus, and the Veteran was treated for sinusitis and allergic rhinitis on multiple occasions during service. Post-service treatment records reflect a consistent pattern of treatment for nasal congestion and other symptoms of chronic sinusitis and allergic rhinitis., The VA provides guidelines for disability ratings for respiratory cancers under the Diagnostic Code in 38 CFR § 4.97, titled Schedule of Ratings – Respiratory System. For active or malignant respiratory cancers, the VA automatically assigns a 100% disability rating during the illness and for six months post successful treatment., A disability rating for sinusitis related to service injury generally is limited to ten percent (10%), thirty percent (30%), and fifty percent (50%) disability. The VA considers: Medical evidence of chronic sinusitis. Evidence showing how it is a direct result of your service. Evidence of multiple episodes of incapacitation annually due to it., Sep 30, 2019 · 10% VA rating for chronic sinusitis $171.23 per month: 3 or more incapacitating* episodes a year, again with 4-6 weeks of antibiotics each or more than 6 of the episodes that allow you to still function with headache, runny nose, etc. 30% VA rating for chronic sinusitis $524.31 per month , Mar 14, 2022 · Although considered non-compensable, the veteran may still qualify for other benefits, such as VA health care. VA Ratings for Sinusitis. VA rates chronic sinusitis under 38 CFR § 4.97 according to the General Rating Formula for Sinusitis (Diagnostic Codes 6510 through 6514). The criteria are as follows: , Instead, VA will assign a disability rating under the closest diagnostic code to the condition. GERD is typically rated analogous to a hiatal hernia under 38 CFR § 4.114, Schedule of Ratings – Digestive …, Apr 10, 2024 · The VA categorizes allergic rhinitis under 38 CFR section 4.97, offering ratings from 10% to 30%, based on the severity and presence of polyps. A 10% rating is assigned for partial greater than 50% obstruction of the nasal passages on both sides, or complete on one side, while a 30% rating is given for rhinitis with polyps. , In the video Leah explains the process of a Compensation and Pension (C&P) exam for allergic rhinitis for veterans. She emphasizes that while the VA provides..., A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), AND, Jan 7, 2018 ... ... sinusitis) and assigned a noncompensable disability rating. In an April 2015 decision, the Appeals Management Center (AMC) granted an ..., VA Rating for Sinusitis Secondary to Allergic Rhinitis Veterans who suffer from sinusitis secondary to allergic rhinitis may be eligible for a disability rating from the VA. The VA rates sinusitis at either 0%, 10%, 30% or 50%, depending on the frequency and severity of the symptoms., May 3, 2024 · About disability ratings. We assign you a disability rating based on the severity of your service-connected condition. We use your disability rating to determine how much disability compensation you’ll receive each month, as well as your eligibility for other VA benefits. If you have multiple disability ratings, we use them to calculate your ... , Sinusitis is more common than you think. Having it classified as "chronic" is harder. You can get up to 50% VA disability rating for it.In this episode, we..., discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examina- ... General Rating Formula for Sinusitis (DC's ..., The VA Schedule for Rating Disabilities categorizes breathing conditions like asthma, COPD, bronchitis and sleep apnea under diagnostic codes 6600-6847. It further details symptoms for each disease that might require VA disability compensation, such as reduced airflow measurements or necessary expensive therapies. , How Does the VA Evaluate and Rate Service-Connected Sinusitis? Under VA regulations, confirmed diagnoses of acute or chronic sinusitis tie to fixed rating criteria under 38 CFR § 4.97, Diagnostic Codes 6510-6514. Exact ratings hinge on symptoms like: Read more. Infection episode frequency; Antibiotic treatment duration; Breathing difficulties, The VA workgroup reviewed the most claimed chronic conditions related to airborne hazards for disability compensation benefits and found that asthma, sinusitis, and rhinitis were the most claimed and granted (on the basis of direct service connection) respiratory conditions, and these conditions also most closely represented the symptomatology ...