Nexus letter
Chronic sinusitis and rhinitis
Often tied to burn pit exposure, deployment dust, or persistent in-service upper respiratory complaints.
$895 for this condition · $149 to start
What this claim turns on
Chronic sinusitis and allergic rhinitis are among the conditions most clearly associated with deployment-era airborne hazard exposure, and the PACT Act expanded presumptive coverage for many veterans. Presumption does not cover everyone, though, and where it does not apply the claim needs a direct opinion. The strongest cases pair documented deployment to an area with known particulate exposure against a pattern of upper respiratory complaints in your service treatment records and a current confirmed diagnosis. Our physicians look for that chain and state where it holds.
Commonly claimed as secondary to
If one of these is already service connected, this condition may be claimable as secondary to it. Your intake asks which pathway applies.
Conditions often secondary to this one
If sinusitis is already service connected for you, these conditions are frequently claimed as flowing from it. Each needs its own opinion.
Records to have ready
Your physician needs these to form an opinion. Gathering them before you start is the single biggest thing you can do to move your case quickly.
- DD-214 or other separation document
- Service treatment records covering your time in service
- Current VA or private treatment records showing a diagnosis
- Any VA rating decision or denial letter you have received
- CT imaging of the sinuses, if you have had one
- ENT or allergy specialist records
- Deployment records showing locations and dates
Missing something? Start anyway and tell us in the intake. Sometimes a gap changes the approach rather than stopping the claim. How to request your records.