Laryngeal Cancer Residuals

DC 6819Respiratory38 CFR 4.97, DC 6819

Residual effects from cancer of the larynx (voice box), which may include voice changes, breathing difficulty, and swallowing problems. May be linked to in-service toxic exposures, burn pits, or Agent Orange. The VA rates laryngeal cancer residuals based on whether the cancer is active and the severity of residual impairment after treatment.

How the VA rates this condition

The VA rates this condition based on the type and intensity of treatment you require. Higher ratings correspond to more aggressive treatment regimens, such as daily medication, insulin dependence, or the need for ongoing medical management.

Diagnostic code

DC 6819

Rating range

10% – 100%

Rating levels

Rating criteria are defined in 38 CFR 4.97, DC 6819. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

Your laryngeal cancer is active, undergoing treatment, or you have had a total laryngectomy. The 100% rating continues for six months following cessation of surgical, radiation, or other therapeutic treatment, then rated on residuals.

What the VA looks for

Active laryngeal cancer on biopsy
Ongoing chemotherapy, radiation, or surgical treatment
Total laryngectomy with permanent tracheostomy
Six-month post-treatment reassessment pending
Metastatic disease documented

Common Pitfalls

⚠Not filing during active treatment — you are entitled to a 100% rating during active cancer treatment. File as soon as cancer is diagnosed, not after treatment ends.
⚠Not documenting all residual effects after treatment — voice changes, swallowing problems, breathing difficulty, neck stiffness, and radiation side effects should each be documented separately.
⚠Not requesting the six-month post-treatment evaluation — the VA must re-examine you six months after treatment ends. If residuals are significant, ensure the examiner documents all functional impairments.
⚠Not connecting to in-service toxic exposures — laryngeal cancer may be linked to burn pit exposure (PACT Act), Agent Orange, asbestos, or industrial chemical exposure during service.

Related DBQ Forms

DBQ Respiratory Conditions (other than Tuberculosis and Sleep Apnea)

View evidence checklist →See secondary conditions →

Condition Rating Guides

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Laryngeal Cancer Residuals

How the VA rates this condition

Diagnostic code

DC 6819

Rating range

10% – 100%

Rating levels

Rating Levels

What the VA looks for

Active laryngeal cancer on biopsy
Ongoing chemotherapy, radiation, or surgical treatment
Total laryngectomy with permanent tracheostomy
Six-month post-treatment reassessment pending
Metastatic disease documented

Common Pitfalls

⚠Not filing during active treatment — you are entitled to a 100% rating during active cancer treatment. File as soon as cancer is diagnosed, not after treatment ends.

⚠Not documenting all residual effects after treatment — voice changes, swallowing problems, breathing difficulty, neck stiffness, and radiation side effects should each be documented separately.

⚠Not requesting the six-month post-treatment evaluation — the VA must re-examine you six months after treatment ends. If residuals are significant, ensure the examiner documents all functional impairments.

⚠Not connecting to in-service toxic exposures — laryngeal cancer may be linked to burn pit exposure (PACT Act), Agent Orange, asbestos, or industrial chemical exposure during service.