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Sarcoidosis

Sarcoidosis is an inflammatory disease in which clusters of cells form in organs — most often the lungs and lymph nodes. It can range from mild to disabling.

How the VA looks at Sarcoidosis

VA rating schedule, diagnostic code 6846

Sarcoidosis is a condition where small clumps of inflamed cells (called granulomas) build up in the body, most often in the lungs. The VA recognizes it as a real, ratable disability. To pay benefits, the VA first needs a current diagnosis and a service connection — meaning the records show the condition is linked to your time in service — and then assigns a rating that reflects how much the disease affects you.

The VA rates sarcoidosis under 38 CFR § 4.97 (respiratory system), Diagnostic Code 6846. The rating scales with how serious the disease is and how much treatment it takes to control: a 0% rating covers chronic hilar adenopathy or stable lung infiltrates without symptoms; 30% applies when there is pulmonary involvement with persistent symptoms needing chronic low-dose or intermittent corticosteroids; 60% applies when control requires systemic high-dose (therapeutic) corticosteroids; and 100% applies for cor pulmonale, cardiac involvement with congestive heart failure, or progressive disease with fever, night sweats, and weight loss despite treatment. The rule also lets the VA instead rate active disease or residuals as chronic bronchitis, or rate involvement of other organs under the body system affected, when that better fits the facts.

There may also be a faster path to service connection for some veterans. Under the PACT Act, sarcoidosis is listed as a presumptive condition tied to burn-pit and other toxic exposures for veterans who served in covered locations and time periods. "Presumptive" means the VA presumes the exposure caused the condition, so a qualifying veteran usually does not have to prove that link separately; whether you qualify depends on your service dates and locations.

This is general educational information about how the VA's rules work — not legal advice, not a VA decision, and not a prediction about any individual claim. Outcomes depend on your own facts and evidence; a denial can be appealed.

Grounded in federal regulations and VA guidance, independently reviewed June 2026. Educational information, not legal advice or a VA determination.

Across 1,023 real Board appeals for Sarcoidosis

62% were granted, partly granted, or remanded.

A denial is often not the end — remands are sent back for more development and frequently end in a grant.

  • Granted 21%
  • Partly granted 6%
  • Remanded 35%
  • Denied 33%
  • Dismissed 5%

What tends to win

Among the appeals that were granted or partly granted, the most common ways Sarcoidosis was linked to service:

  • Direct service connection197
  • Presumptive (no nexus needed)26
  • Reopened with new & material evidence22

How it’s rated, in practice

When Sarcoidosis was granted, the rating most often assigned was:

  • 100% (31)
  • 30% (31)
  • 60% (30)
  • 10% (18)
  • 50% (10)

Presumptive & exposure paths

These appeals involved a recognized exposure — which can mean the link to service is presumed, with no nexus to prove:

  • PACT Act37
  • Agent Orange / herbicides35
  • Burn pits & airborne hazards28
  • Gulf War16
  • Camp Lejeune water16
Check presumptive conditions for your exposure →

Real decisions

Browse all 1,023 Sarcoidosis decisions →

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What you can do next

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This is general information, not legal advice. For advice about your own situation, talk to a VA-accredited representative — many help for free.