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Obstructive Lung Disease, PACT ACT

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grayling12

Question

For Asthma, which one of the following readings would be used for your rating?

FEV-1 of 71- to 80-percent predicted, or; FEV-1/FVC of 71 to 80 percent, or; intermittent inhalational or oral bronchodilator therapy

If your post bronchodilator reading puts you above the first two group of numbers then would they base it on your use of intermittent inhalational or oral bronchodilator therapy?

Thanks for any info!

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The cfr says

The criteria for assigning an asthma VA rating is as follows:

  • 10% — For this rating, a veteran must show a predicted FEV-1 of 71-80%; an FEV-1/FVC ratio of 71-80%; or a need for intermittent inhalational or oral bronchodilator therapy
  • 30% — For this rating, a veteran must show a predicted FEV-1 of 56-70%; an FEV-1/FVC ratio of 56-70%; a need for daily inhalational or oral bronchodilator therapy; or a need for inhalational anti-inflammatory medication
  • 60% — For this rating, a veteran must show a predicted FEV-1 of 40-55%; an FEV-1/FVC ratio of 40-55%; physician visits at least once a month for required care of symptom exacerbations; or intermittent (at least three per year) courses of systemic (oral or parenteral) corticosteroids
  • 100% — For this rating, a veteran must show a predicted FEV-1 of less than 40%; an FEV-1/FVC ratio less than 40%; more than one asthma attack per week with episodes of respiratory failure; or daily use of systemic (oral or parenteral) high dose corticosteroids or immunosuppressive medications
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