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Asthma

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tyson123

Question

if a perons fvc is 40.3 pred. and 38.3 fev 1 pred. should not this veteran be given at least a 60% rating? Veteran on several inhalers asmanex, foradil,combivent, nebulizer 3x a day predisone once? What say you?

But you never know with the VA!!!!

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According to code 6602 I would think so. My FEV-1 is 52% on average and I have been rated 60% for it. Best of luck.

6602 Asthma, bronchial:

FEV-1 less than 40-percent predicted, or; FEV-1/FVC less than

40 percent, or; more than one attack per week with episodes of

respiratory failure, or; requires daily use of systemic (oral or

parenteral) high dose corticosteroids or immuno-suppressive

medications 100

FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55

percent, or; at least monthly visits to a physician for required

care of exacerbations, or; intermittent (at least three per year)

courses of systemic (oral or parenteral) corticosteroids 60

FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70

percent, or; daily inhalational or oral bronchodilator therapy,

or; inhalational anti-inflammatory medication 30

FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80

percent, or; intermittent inhalational or oral bronchodilator therapy 10

Note: In the absence of clinical findings of asthma at time of examination, a verified history of asthmatic attacks must be of record.

6603 Emphysema, pulmonary:

FEV-1 less than 40 percent of predicted value, or; the ratio of Forced

Expiratory Volume in one second to Forced Vital Capacity

(FEV-1/FVC) less than 40 percent, or; Diffusion Capacity of the

Lung for Carbon Monoxide by the Single Breath Method (DLCO

(SB)) less than 40-percent predicted, or; maximum exercise capacity

less than 15 ml/kg/min oxygen consumption (with cardiac or respiratory

limitation), or; cor pulmonale (right heart failure), or; right

ventricular hypertrophy, or; pulmonary hypertension (shown by

Echo or cardiac catheterization), or; episode(s) of acute respiratory

failure, or; requires outpatient oxygen therapy. 100

FEV-1 of 40- to 55-percent predicted, or; FEV-1/FVC of 40 to 55

percent, or; DLCO (SB) of 40- to 55-percent predicted, or;

maximum oxygen consumption of 15 to 20 ml/kg/min (with

cardiorespiratory limit) 60

FEV-1 of 56- to 70-percent predicted, or; FEV-1/FVC of 56 to 70

percent, or; DLCO (SB) 56- to 65-percent predicted 30

FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80

percent, or; DLCO (SB) 66- to 80-percent predicted 10

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