Chronic sinusitis va

According to the 2015 American Community Survey, there are 18.8 million veterans in the United States, 9.3 million of whom were aged 65 and older. There are many different deals an...

Chronic sinusitis va. Doctor T.T. noted that there are studies that suggest that chronic allergic sinusitis or nasal obstruction can worsen obstructive sleep apnea. In addition, VA examination reports from October 2009 and June 2011 both note that nasal congestion is a potential risk factor for obstructive sleep apnea.

Chronic sinusitis means that a sinusitis becomes persistent and lasts for longer than 12 weeks. Chronic sinusitis is common, affecting in 1 in 10 adults in the UK.. Most cases of chronic sinusitis develop following an acute sinusitis infection. Most cases of acute sinusitis go away within 2-3 weeks, often much sooner. In some cases the …

Allergic Rhinitis and/or Chronic Sinusitis Exam? What to expect? Veterans as well as Active Duty Military in the VA Disability Claims Process, this video is ...Chronic sinusitis. ( J32) J32.9 is a billable diagnosis code used to specify a medical diagnosis of chronic sinusitis, unspecified. The code is valid during the current fiscal year for the submission of HIPAA-covered transactions from October 01, 2023 through September 30, 2024.You don't need a label for chronic. Acute is a one time thing. If you are having multiple occurrences per year, it's a chronic condition. Most who have allergies are chronic. Maybe you can pull a few minute clinic visit receipts or something. You'll see that saving records becomes real important in the VA disability world.Jul 13, 2019 · A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), AND The PACT Act, which was passed in August 2022, has enlarged the presumption list of illnesses related to fire pit exposure. This new law adds 23 diseases, including chronic rhinitis, to the list of conditions deemed to be service-related for “covered veterans.”. The PACT Act defines covered veterans as those who were on active duty in ...Chronic sinusitis is also known as chronic rhinosinusitis. It's often diagnosed when you've had symptoms for more than 12 weeks, even with medical treatment. The …Treating Chronic Sinusitis. Chronic sinusitis is also known as chronic rhinosinusitis. It's often diagnosed when you've had symptoms for more than 12 weeks, even with medical treatment. The sinuses are hollow areas formed by the bones of the face. Sinuses make and drain mucus. This keeps the nasal passages clean and moist.Sinusitis findings show that deployed Veterans were 29% more likely to have been diagnosed with sinusitis during and after 2001 compared to non-deployed Veterans. For asthma and bronchitis, the study found no significant difference in asthma or bronchitis risk between deployed and non-deployed Veterans.

39. May 06, 2010 #1. I recently got turned down for a claim for chronic allergic rhinitis. The VA letter said there is no evidence I had chronic rhinitis. I didn't give them anything new, but my military records show several entries for nose problems and allergies, at one point they gave me a skin test and put me on flonase.sinusitis and rhinitis claim. VA Disability Claims. I have been seeing a sinus specialist after being diagnosed with sleep apnea by the VA (but denied SC). They diagnosed me with chronic sinusitis, allergic rhinitis, sleep apnea, and a deviated septum. Since I deployed to Djibouti, I put in a claim with the hopes of presumptive SC due to burn pits.As a veteran, you have access to a variety of benefits that can help you and your family. One of the best ways to take advantage of these benefits is to set up an eBenefits login. ...The sinuses experience a burning sensation when the nasal passages sinuses are inflamed and swollen. According to the Mayo Clinic, this condition is usually caused by the common co...When you’re looking for locations of VA hospitals, there are a few ways to find the one that’s closest to you. You can search on the US Department of Veteran’s Affairs website in a...

While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires.a2. does the veteran currently have any findings, signs or symptoms attributable to chronic sinusitis? a3. has the veteran had non-incapacitating episodes of sinusitis characterized by headaches, pain and purulent discharge or crusting in the past 12 months? (if "no," proceed to section iv) (if "yes," check all that apply):So I’ve been working on a PACT ACT claim for Chronic Rhinitis and Chronic Sinusitis. I know I could use a VA rep to help me with the paperwork but I wanted to ask the community for anyone who has successfully completed a claim for either of these. I went to my PCP and was able to get a CT Scan which came back with the results: “Mild ...39. May 06, 2010 #1. I recently got turned down for a claim for chronic allergic rhinitis. The VA letter said there is no evidence I had chronic rhinitis. I didn't give them anything new, but my military records show several entries for nose problems and allergies, at one point they gave me a skin test and put me on flonase.Denied Chronic Sinusitis Pact Act. Hey all. I wanted to see what my next move should be after my denial for Chronic Sinusitis. I put in the claim under the Pact Act and submitted evidence from an ENT of my diagnosis of Chronic Sinusitis. After reviewing my denial decision letter it stated that the reason for my denial was that I didn’t have a ...

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Chronic rhinosinusitis (CRS) is a prevalent and disabling condition of the paranasal sinuses. It affects approximately 31 million people in the United States and accounts for an estimated $8.6 billion in direct health care expenditures. 1 CRS is reported to have a more negative impact on quality of life than other chronic conditions, such as congestive …VA Disability Claims. Was just approved for sinusitis at 30%. It was not easy and actually started before the whole thing became a law. Now...ladies and gentlemen, I would not wish this on anyone as it affects me almost daily. It first started 5 months after a deployment in 2004. Happy to say this part is over and have all the secondary claims ...Chronic sinusitis is a common incidental finding in patients who have a head CT for other reasons (eg, patients with headache with or without mild head injury) but is rarely the cause of the patient's symptoms. Microbial cultures are rarely done because a valid culture requires a sample obtained by sinus endoscopy or sinus puncture; culturing a swab of …Sinusitis findings show that deployed Veterans were 29% more likely to have been diagnosed with sinusitis during and after 2001 compared to non-deployed …Sample Disability Compensation Letter for Sinusitis, Sleep Apnea, and Allergic Rhinitis: Avoid The Weeds. By Benjamin Krause April 26, 2024. 112 Comments. The key to winning your VA benefits claim ...

Proving Service Connection for Your Chronic Sinusitis. For any VA disability claim, the most important factor is the connection between your disability and your military service. Many people experience chronic sinusitis as a result of non-service-connected factors, so you must make the differentiation to earn compensation. Looked up my nose. I also gave the examiner a log of my sinus infections for 30 days. I claimed sinusitis based on repeated sinus infections. They did some imaging (CT) and a 5 minute C&P and rated me 10% for the sinusitis and 0% for “non-allergic” rhinitis, which was never claimed. Sinusitis secondary to allergic rhinitis is a condition that can be disabling. It can cause severe headaches, facial pain, and difficulty breathing. Sinusitis and rhinitis can also sometimes aggravate sleep apnea. If this condition impacts your ability to work, you may be eligible for VA disability benefits.Chronic Sinusitis is an inflammation of the paranasal sinuses. It is characterized clinically by sinus symptomatology lasting three or more months. Chronic Sinusitis may be of …As a disabled veteran, you may be eligible for home repair grants that can help you make necessary repairs to your home. These grants can help you improve the safety and accessibil...Proving sleep apnea to the VA can be difficult, as it requires a medical opinion linking the condition to the veteran’s service. Generally, veterans will need to show chronic respiratory failure with carbon dioxide retention or cor pulmonale, or require a tracheostomy in order to receive a 100% disability rating for sleep apnea. J32.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM J32.9 became effective on October 1, 2023. This is the American ICD-10-CM version of J32.9 - other international versions of ICD-10 J32.9 may differ. Applicable To. The Department of Veterans Affairs (VA) offers a variety of services and benefits to veterans, including access to VA forms. These forms are used to apply for benefits, file claims...The VA will now grant presumptive service connection for asthma, rhinitis, or sinusitis if any of those conditions manifested within 10 years of a qualifying period of military service. This means you will have to prove that you had asthma, rhinitis, or sinusitis that first started within 10 years from the date of your discharge. Treating Chronic Sinusitis. Chronic sinusitis is also known as chronic rhinosinusitis. It's often diagnosed when you've had symptoms for more than 12 weeks, even with medical treatment. The sinuses are hollow areas formed by the bones of the face. Sinuses make and drain mucus. This keeps the nasal passages clean and moist. On Aug. 2, 2021, VA began processing disability claims for asthma, rhinitis, and sinusitis based on presumed exposure to particulate matter. This applies to Veterans who served in the Southwest Asia theater of operations beginning August 2, 1990, to the present, or Afghanistan, Uzbekistan, Syria, or Djibouti beginning September 19, 2001, to the …To avoid combined ratings over 100 percent, the VA uses a combined ratings table when you have two or more disabilities. For example, if you have an allergic rhinitis rating of 30 percent and a 60 percent asthma rating, your combined score is 72. The VA uses 10 percent increments in final disability ratings, so the 72 is rounded down to 70 ...

Sep 25, 2020 · The PACT Act is a law that expands VA health care and benefits for Veterans exposed to burn pits, Agent Orange, and other toxic substances. This law helps us provide generations of Veterans—and their survivors—with the care and benefits they’ve earned and deserve. And starting March 5, 2024, we’re expanding VA health care to millions of Veterans—years earlier than called for by the ...

Chronic sinusitis causes the spaces inside the nose and head, called sinuses, to become inflamed and swollen. The condition lasts 12 weeks or longer, even with treatment. This …For example: Dr. Jane Doe, MD 1234 Medical Lane Boston, MA 02101. In addition, the doctor should include the following information above the first paragraph of the letter: Date: January 1, 2021 Reference: …Entitlement to a disability rating in excess of 10 percent for chronic sinusitis. 2. Entitlement to service connection for residuals of a hysterectomy to ...There are 1215 doctors who treat Chronic Sinusitis in Fairfax. Find the best for you: · Dr. Ravi Swamy, MD · Dr. Sarah Blank, MD · Dr. Michael Abidin, MD &midd...Chronic sinusitis and acute sinusitis have similar symptoms. But acute sinusitis is a short-lived infection of the sinuses often linked to a cold. The symptoms of chronic sinusitis last at least 12 weeks. There might be many bouts of acute sinusitis before it becomes chronic sinusitis. Fever isn't common with chronic sinusitis.I was denied, not being service connected. I gave up and didn’t try even though I was diagnosed with Obstructive Sleep Apnea by the VA after a sleep study and was given a CPAP. This year 2023 I was awarded 50% Sinusitis, 30% Allergic Rhinitis and 10% Asthma (this should be 30% waiting to submit a supplemental). Treating Chronic Sinusitis. Chronic sinusitis is also known as chronic rhinosinusitis. It's often diagnosed when you've had symptoms for more than 12 weeks, even with medical treatment. The sinuses are hollow areas formed by the bones of the face. Sinuses make and drain mucus. This keeps the nasal passages clean and moist. If you are a veteran or know someone who is, it’s essential to be aware of the resources available to support and assist veterans. One crucial resource is the Veterans Service Offi...39. May 06, 2010 #1. I recently got turned down for a claim for chronic allergic rhinitis. The VA letter said there is no evidence I had chronic rhinitis. I didn't give them anything new, but my military records show several entries for nose problems and allergies, at one point they gave me a skin test and put me on flonase.

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The Veteran claims that he has had chronic sinus allergies since his deployments in Kuwait and Iraq. He believes the chronic sinus problems are related to ...The sinuses are hollow structures in the skull located behind the forehead, nasal bones, cheeks, and eyes. They are filled with air and normally secrete small amounts of mucus that drains through the nose. Sinusitis is the inflammation of the inner lining of the sinuses. This generally occurs due to allergies or infections.However, on August 2, 2021, the VA added asthma, rhinitis, and sinusitis to the presumptive list of conditions. This means, there is a “fast-track” program for ...I'm gathering evidence now but my primary care doc died a few years ago and the clinics don't keep records that far back. I have no civilian records before 2012. I had sinus surgery and large polyps removed from almost every sinus cavity in 2012 and a diagnosis of chronic sinusitis and rhinitis with a CT scan to verify.People with chronic nasal problems or allergies are more likely to get acute sinusitis. Sinusitis is also more common if you have a weakened immune system, such as with …Sinusitis means sinus inflammation and infection. Acute sinusitis may come on suddenly. It often happens right after an upper respiratory infection, such as a cold. Viruses cause most acute sinus infections. But bacteria may also be the cause. Chronic sinusitis is ongoing swelling of the sinus lining. Thick yellow or green mucus from your nose or postnasal drip (mucus that builds up and drips down the back of your throat). Stuffy nose. Toothache. Headache, particularly a headache that makes your face hurt. Cough. Tiredness. Ear pain. Loss of the senses of taste ( ageusia) and smell ( anosmia ). Background: Patients with chronic rhinosinusitis (CRS) frequently experience sleep disruption and are at a higher than normal risk for obstructive sleep apnea (OSA). The purpose of this study was to determine how CRS affects polysomnography findings and sleep-related breathing in OSA. 2. Page 1 of 2. There are 24 doctors in Callao, VA that treat Chronic sinusitis. Find the best for you: Robert Davison, MD, Ashley Dearstine, Ashley Dearstine, Kevin McGrath, MD, Salvatore Bavuso, MD. The process concluded that particulate matter pollution is associated with chronic asthma, rhinitis and sinusitis for Veterans who served in the Southwest Asia theater of operations beginning Aug. 2, 1990 to the present, or Afghanistan, Uzbekistan, Syria or Djibouti beginning Sept. 19, ….

It is interesting to note that only 30% of these patients had isolated anatomical abnormalities, 6% had chronic rhinosinusitis, 18% AR and 26% NAR. These corroborate the results reported by Shadan et al. 29 who employed nasal cytology as a marker of clinically silent inflammation in a group of 38 OSA patients, diagnosing AR in …Chronic rhinosinusitis (CRS) is a complex disease that affects not only the nose and sinuses but also has broad effects throughout the body. Previous studies in CRS found that 9–25% of patients report a previous physician diagnosis of depression. 1,2 Studies that used validated screening instruments were able to identify an additional 8–15% of patients with …Apr 16, 2020 · Near constant sinusitis (If checked, describe frequency): Headaches SPHENOID. A1. INDICATE THE SINUSES/TYPE OF SINUSITIS CURRENTLY AFFECTED BY THE VETERAN'S CHRONIC SINUSITIS (Check all that apply): 2. 3. DOES THE VETERAN HAVE ANY OF THE FOLLOWING NOSE, THROAT, LARYNX OR PHARYNX CONDITIONS? (If "Yes," complete Osteomyelitis Questionnaire) Background: Patients with chronic rhinosinusitis (CRS) frequently experience sleep disruption and are at a higher than normal risk for obstructive sleep apnea (OSA). The purpose of this study was to determine how CRS affects polysomnography findings and sleep-related breathing in OSA.A medical diagnosis of sleep apnea confirmed by a sleep study in VA medical records or private records (unless you did this already on active duty) Evidence of a service-connected primary disability (such as PTSD, depression, anxiety, sinusitis, rhinitis, weight gain), ANDOur analyses suggest that occupational exposure to jet fuel is related to the occurrence of chronic respiratory conditions in Air Force and Army Veterans. Conditions associated with occupational jet fuel exposure in this study are consistent with those presumed to be associated with service in Gulf War and the recent conflicts under the …Symptoms of chronic sinusitis persist for 12 weeks or longer, and antibiotics are not routinely needed. The NHS website has patient information on Sinusitis (sinus infection). Advise the person to: Avoid allergic triggers. Stop smoking (and avoid passive smoking), where applicable.Chronic rhinosinusitis (CRS) is a complex disease that affects not only the nose and sinuses but also has broad effects throughout the body. Previous studies in ...VA disability compensation provides tax-free monthly payments. If you have an illness or other health condition that’s connected to your service as a Gulf War Veteran from 1990 to now, you may be eligible. This includes service in Iraq, Afghanistan, and certain other areas. Read this page to learn more. Note: We’ve added information about illnesses linked to service in Afghanistan and ... Chronic sinusitis va, 6514 Sinusitis, sphenoid, chronic. General Rating Formula for Sinusitis (DC's 6510 through 6514): Following radical surgery with chronic osteomyelitis, or; near constant sinusitis characterized by headaches, pain and tenderness of affected sinus, and purulent discharge or crusting after repeated surgeries 50., • Chronic: Symptoms lasting eight weeks or longer and of varying severity. Symptoms are typically similar to acute sinusitis, but often, more fatigue is present. • Recurrent: Three …, While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires. , Practice Essentials. Chronic sinusitis is an inflammatory process involving the paranasal sinus and persisting for at least 12 weeks. Because nasal airway inflammation usually accompanies chronic sinusitis and rhinitis symptoms precede it, the term chronic rhinosinusitis (CRS) is a more accurate term. Chronic rhinosinusitis is one of the more ..., VA Announces New Presumptive Respiratory Conditions Related to Particulate Matter. Three new respiratory conditions are now considered presumptive by the U.S. Department of Veterans Affairs (VA). Starting August 2, 2021, veterans diagnosed with chronic asthma, rhinitis, and sinusitis within 10 years of a qualifying period of service in ..., There are 3 primary ways a veteran can get a VA disability rating for Rhinitis: #1: Direct Service Connection for Allergic Rhinitis with a rating of 10% or 30%. This means an in-service event, injury, or disease …, The VA workgroup reviewed the most claimed chronic conditions related to airborne hazards for disability compensation benefits and found that asthma, sinusitis, and rhinitis were the most claimed and granted (on the basis of direct service connection) respiratory conditions, and these conditions also most closely represented the symptomatology ..., How Does the VA Evaluate and Rate Service-Connected Sinusitis? Under VA regulations, confirmed diagnoses of acute or chronic sinusitis tie to fixed rating criteria under 38 CFR § 4.97, Diagnostic Codes 6510-6514. Exact ratings hinge on symptoms like: Infection episode frequency; Antibiotic treatment duration; Breathing difficulties, Chronic rhinosinusitis (CRS) is a complex disease that affects not only the nose and sinuses but also has broad effects throughout the body. Previous studies in CRS found that 9–25% of patients report a previous physician diagnosis of depression. 1,2 Studies that used validated screening instruments were able to identify an additional 8–15% of patients with CRS with previously undiagnosed ..., The VA will now grant presumptive service connection for asthma, rhinitis, or sinusitis if any of those conditions manifested within 10 years of a qualifying period of military service. This means you will have to prove that you had asthma, rhinitis, or sinusitis that first started within 10 years from the date of your discharge., Sinusitis findings show that deployed Veterans were 29% more likely to have been diagnosed with sinusitis during and after 2001 compared to non-deployed …, A retrospective cohort study of first responders involved in rescue efforts at the World Trade Center collapse on September 11, 2001 found that fire fighters had significantly higher rates of chronic rhinosinusitis (CRS) than did emergency medical technicians, which was attributed to dust exposure from excavation efforts. 4 Population …, J32.9 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The 2024 edition of ICD-10-CM J32.9 became effective on October 1, 2023. This is the American ICD-10-CM version of J32.9 - other international versions of ICD-10 J32.9 may differ. Applicable To., The VA will now grant presumptive service connection for asthma, rhinitis, or sinusitis if any of those conditions manifested within 10 years of a qualifying period of military service. This means you will have to prove that you had asthma, rhinitis, or sinusitis that first started within 10 years from the date of your discharge., 121. Mar 22, 2010 #1. I was rated 30% sinusitus 3 years ago based on antibiotic usage (more than 3 times year). About 18 months ago, I has sinus surgery due to chronic infection. Sicne the surgery, I continue to have frequent infections. My recent ct scan showed complete soft tissue opacification of the left medial antrostomy., I do have a sleep apnea diagnosis from the VA, and I filed sleep apnea secondary to sinusitis. I was rejected. I did not proceed it any further because I received 100% P&T during that claim. Get a diagnosis from a private Doctor and get them to give you a CPAP. I provided a lay statement and i was given a combined claim of 50%., Stay indoors on days when the index is high. Having surgery. In some cases, you may need surgery on the nose, sinuses, or both. This can improve sinus drainage or remove nasal blockages. Chronic sinusitis is a long-term swelling or infection of the sinuses. If sinusitis lasts more than 12 weeks (90 days), it is called chronic. , The process concluded that particulate matter pollution is associated with chronic asthma, rhinitis and sinusitis for Veterans who served in the Southwest Asia theater of operations beginning Aug. 2, 1990 to the present, or Afghanistan, Uzbekistan, Syria or Djibouti beginning Sept. 19,, The examiner diagnosed the Veteran as having, in relevant part, chronic sinusitis. He also stated in the diagnosis section of his report that "rhinitis would go along with the sinusitis." The Veteran indicated at the March 2013 hearing that he has been receiving treatment since 1992 for his disability from a private physician., In this article, we address chronic bronchitis. The VA recognizes bronchitis as a disability and awards disability compensation at 10%, 30%, 60%, and 100% for veterans who meet specific criteria. IMPORTANT UPDATE: Chronic bronchitis VA claims for many Gulf War and post-9/11 veterans are now covered under presumptive service …, Chronic sinusitis is a long-term swelling or infection of the sinuses. If it lasts more than 12 weeks (90 days), it's considered chronic. What is chronic sinusitis? Sinuses are air …, Chronic rhinosinusitis (CRS) is a prevalent and disabling condition of the paranasal sinuses. It affects approximately 31 million people in the United States and accounts for an estimated $8.6 billion in direct health care expenditures. 1 CRS is reported to have a more negative impact on quality of life than other chronic conditions, such as congestive …, Understanding the Relationship: OSA and Sinusitis. Veterans grappling with obstructive sleep apnea often find themselves confronting a myriad of upper airway issues, including chronic sinusitis. While the association between these conditions may not always be apparent, research indicates a significant overlap in their pathophysiology., While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires., If you are like more than 25 million adult Americans who have chronic pain every day, you know it is a big problem. It can significantly impact the quality of life that a person ha..., Public Disability Benefits Questionnaires (DBQs) DBQs help collect necessary medical information to process your disability claims. You can use these forms to submit medical evidence from your health care providers. This information helps to support your claims for disability benefits. Please have your health care provider fill out and submit ..., The Department of Veterans Affairs will begin processing disability claims Aug. 2 for asthma, rhinitis and sinusitis on a presumptive basis based on presumed particulate matter exposures during military service in Southwest Asia and certain other areas — if these conditions manifested within 10 years of a qualifying period of military service., Understanding the Relationship: OSA and Sinusitis. Veterans grappling with obstructive sleep apnea often find themselves confronting a myriad of upper airway issues, including chronic sinusitis. While the association between these conditions may not always be apparent, research indicates a significant overlap in their pathophysiology., While on active duty, military service members may have been exposed to a variety of airborne hazards including: The smoke and fumes from open burn pits. Sand, dust, and particulate matter. General air pollution common in certain countries. Fuel, aircraft exhaust, and other mechanical fumes. Smoke from oil well fires., I'm 90%. I'm 70% insomina 50% sleep apnea 30% migraines and 10% Tinnitus. I've been to a Pact Act screening and was serviced connected for chronic sinusitis based on serving in the TERA. Should I file a claim for chronic sinusitis secondary to my serviced connected sleep apnea or file chronic sin..., Sinusitis can be classified into the following categories: Acute: Symptoms lasting less than six weeks. Usually caused by bacterial infection. If lasting between six and eight weeks, it may be considered subacute. Chronic: Symptoms lasting eight weeks or longer and of varying severity., Table of Contents. Sleep apnea and sinusitis are both health conditions that reduce your quality of sleep by disrupting your breathing. While Obstructive Sleep Apnea (OSA) blocks the throat, a sinus inflammation blocks the nasal passages. The result of either condition is an inability to get a good night’s sleep because you were unable to ..., Chronic sinusitis has specific diagnostic criteria, which is 12 wks of specific symptoms confirmed by mucosal changes on imaging or endoscopy. So if you don't have that documentation yet, it would be very beneficial to get it before C&P. Rhinitis is subjective so it's much more likely to be granted with limited evidence.