Ear/HearingDC 6200
Chronic Suppurative Otitis Media, Mastoiditis, or Cholesteatoma
Chronic suppurative otitis media (CSOM), mastoiditis, and cholesteatoma are rated together under DC 6200. CSOM is typically caused by a bacterial infection of the middle ear. Mastoiditis is an infection affecting the mastoid bone in the middle ear. Cholesteatoma involves abnormal skin growth or cysts located behind the eardrum or the bone behind the ear. Even if a veteran has two or all three of these conditions, only a single rating is allowed under this code (pyramiding rule).
VA Rating Levels
10%
Pus or blood coming out of the ear due to suppuration, or growths of aural polyps.
Exam Tips & Key Evidence
- →Even though the maximum standalone rating is 10%, common secondary conditions include hearing loss, tinnitus, bone loss of the skull, and facial nerve paralysis. Each may be rated separately.
- →Only one rating is allowed under this code even if you have multiple conditions (CSOM, mastoiditis, and cholesteatoma). Focus on pursuing secondary conditions for a higher combined rating.
- →Make sure your medical records clearly document any discharge from the ear, polyp growths, or infections, as these are the specific criteria for the 10% rating.
- →Request an Ear Conditions DBQ from your provider to ensure the examiner captures all findings the VA needs for proper rating.
Commonly Related Conditions
38 CFR Reference
38 CFR 4.87, Diagnostic Code 6200