Evidence Checklist: Pulmonary Embolism (Residuals)
DC 6817
Significant gaps — claim likely to be denied or underrated
Specialist Opinion (Highest Value)
Pulmonary function tests (PFTs) with DLCOCritical
Spirometry and DLCO documenting any residual ventilatory or gas exchange impairment. Reduced DLCO is a common residual after pulmonary embolism and directly drives the VA rating level.
Nexus opinion linking pulmonary embolism to service ("at least as likely as not")Critical
A medical opinion connecting the PE to a service-related event such as prolonged immobilization, traumatic injury, or surgery performed during or for a service-connected condition.
Echocardiogram (if pulmonary hypertension or right heart strain suspected)
Echocardiography documenting any right ventricular dysfunction, pulmonary hypertension, or chronic thromboembolic pulmonary hypertension (CTEPH) as a residual complication.
Treating Physician
Documentation of exercise intolerance and functional limitation
Medical records or personal statement documenting dyspnea on exertion, reduced activity tolerance, and functional limitations persisting after the acute PE episode.
Treatment Records
CT pulmonary angiogram (CTPA) confirming PE historyCritical
Imaging study that was used to confirm the pulmonary embolism. If the acute event records are unavailable, subsequent imaging showing chronic thromboembolic changes or residual clot can establish the history.
Anticoagulation treatment records (warfarin, DOAC therapy)Critical
Records documenting ongoing anticoagulation therapy — the need for lifelong anticoagulation due to recurrent PE or chronic thromboembolic disease reflects ongoing residual disability.
Lay Statements & Personal Documentation
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.
Disability Benefits Questionnaire (DBQ)
Completed DBQ Respiratory ConditionsCritical
Standardized form capturing PFT results, exercise tolerance, treatment requirements, and functional impact of pulmonary embolism residuals.
Service Records
Service treatment records (STRs)Critical
Military medical records showing in-service treatment, complaints, or injuries related to this condition.