Skip to main content

Evidence checklist

Nasal Polyps

DC 652238 CFR § 4.97Respiratory

Evidence strength

Mark what you already have below and your evidence strength appears here.

Target
Saved locally
01

Specialist opinion

Highest value0 of 4 collected
CT scan of paranasal sinuses documenting polyp extentCritical

CT imaging is essential for evaluating the extent of nasal polyposis, showing opacification of the ethmoid and maxillary sinuses, polyp burden, and anatomical obstruction. The Lund-Mackay score helps grade severity.

Private provider · independent opinion
ENT evaluation with nasal endoscopyCritical

Otolaryngologist examination with nasal endoscopy directly visualizing and characterizing the polyps — size, extent, unilateral vs. bilateral, and presence in the middle meatus vs. extending to the choana.

Private provider · independent opinion
Nexus opinion linking nasal polyps to service ("at least as likely as not")Critical

A medical opinion connecting your nasal polyps to in-service allergic rhinitis, chronic sinusitis, aspirin-exacerbated respiratory disease (AERD), or chemical/inhalational exposures during service.

Private provider · independent opinion
Allergy testing documenting atopic basis

Skin-prick or specific IgE testing documenting allergic sensitization that may be driving chronic eosinophilic inflammation and polyp formation, strengthening the nexus to service-related allergen exposures.

Private provider · independent opinion
02

Treatment records

0 of 2 collected
Treatment records (nasal steroids, biologics, surgery)

Records documenting intranasal corticosteroids, systemic steroids, dupilumab or other biologic therapy, and any endoscopic sinus surgery (FESS) with polypectomy, including operative reports.

VA or private records · written request
Documentation of polyp recurrence after surgery

Post-surgical endoscopy or imaging showing recurrence of polyps following surgical removal, demonstrating the chronic nature and severity of the condition.

VA or private records · written request
03

Lay statements

0 of 1 collected
Buddy statement from spouse, family, or fellow service member

A written statement from someone who can describe observable symptoms and how your condition affects daily life.

You or a witness · VA Form 21-4138 or 21-10210How to get this →
04

Benefits questionnaire

0 of 1 collected
Completed DBQ Sinusitis/Rhinitis and Other Conditions of the Nose, Throat, Larynx, and PharynxCritical

Standardized form capturing endoscopy findings, polyp extent, treatment history, and functional impact of nasal polyps.

Provider-completed · VA DBQ formHow to get this →
05

Service records

0 of 1 collected
Service treatment records (STRs)Critical

Military medical records showing in-service treatment, complaints, or injuries related to this condition.

NPRC / milConnect · SF-180
Condition guideRating criteria and what VA looks forC&P exam prepWhat the examiner will askBuddy statement builderGuided VA Form 21-10210

What you mark here is saved in this browser, on this device only — not to an account. Changing the target rating shows different items, but never loses what you have already marked.