VA Disability Rating for Lyme Disease (DC 6319)

Diagnostic Code 6319 · 38 CFR §4.88b

What Is It?

Lyme disease is a tick-borne infection caused by Borrelia burgdorferi. The VA uses the General Rating Formula. Residuals including arthritis, Bell's palsy, radiculopathy, ocular conditions, and cognitive dysfunction are rated under appropriate body system codes.

Rating Criteria

RatingCriteria
100%Active Lyme disease with confirmed testing and symptoms during treatment.
0%Treated. Residuals including arthritis, Bell's palsy, radiculopathy, ocular conditions, and cognitive dysfunction are rated under relevant body system codes.

Evidence Needed

Positive Lyme testing (ELISA confirmed by Western blot or newer tests). Medical records of symptom progression. Service records showing outdoor activity in tick-endemic regions. Treatment records. Evaluations of residual damage.

Frequently Asked Questions

What areas are highest risk for Lyme?

Northeast, upper Midwest, and Pacific coast.

What if I have ongoing symptoms after treatment?

Post-treatment Lyme disease syndrome symptoms can be evaluated under appropriate diagnostic codes for each affected body system.

Can I get service-connected years later?

Yes, especially if late-stage symptoms are now appearing. Document tick exposure during service and symptom progression.