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Presumptive Conditions

All PACT Act Conditions

This list covers 31 conditions recognized as presumptive under the PACT Act and subsequent VA rulemaking; the VA continues to add more over time. Each condition listed below qualifies for VA disability compensation without requiring you to prove it was caused by your service — you only need to show you served in a qualifying location. Always confirm the current list on the official VA burn-pit presumptive page.

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Respiratory Conditions

12
PACT Act 202230100% rating
Constrictive Bronchiolitis (Obliterative Bronchiolitis)

A rare and serious lung disease in which inflammation causes scar tissue to form in the small airways (bronchioles), progressively blocking airflow.

PACT Act 202210100% rating
Asthma (Diagnosed After Service)

A chronic inflammatory airway disease causing reversible airflow obstruction, wheezing, chest tightness, and shortness of breath.

PACT Act 202210100% rating
Chronic Bronchitis

Chronic inflammation of the bronchial airways producing a persistent, productive cough on most days for at least three months in two consecutive years.

PACT Act 202210100% rating
Chronic Obstructive Pulmonary Disease (COPD)

A progressive obstructive lung disease — encompassing chronic bronchitis and emphysema — that causes persistent airflow limitation, chronic cough, and worsening breathlessness.

PACT Act 202210100% rating
Emphysema

A form of COPD in which the alveoli (air sacs) are progressively destroyed, reducing gas exchange and causing shortness of breath.

PACT Act 202210100% rating
Interstitial Lung Disease (ILD)

A group of disorders causing progressive scarring and inflammation of the lung interstitium, leading to a dry cough and worsening breathlessness.

PACT Act 20220100% rating
Pleuritis (Pleurisy)

Inflammation of the pleura — the membranes lining the lungs and chest cavity — causing sharp chest pain that worsens with breathing, and sometimes fluid buildup (pleural effusion).

PACT Act 202210100% rating
Pulmonary Fibrosis

Progressive scarring of lung tissue that stiffens the lungs and reduces oxygen transfer, producing a dry cough and increasing breathlessness.

PACT Act 20220100% rating
Sarcoidosis

An inflammatory disease in which granulomas (clusters of immune cells) form in the lungs and other organs, causing cough, shortness of breath, fatigue, and sometimes systemic involvement.

PACT Act 202230100% rating
Granulomatous Disease (Pulmonary)

A category of lung diseases characterized by the formation of granulomas (clusters of immune cells) in lung tissue, often in response to inhaled foreign particles or chemical irritants.

PACT Act 2022030% rating
Chronic Rhinitis

Persistent inflammation of the nasal mucous membranes, causing runny nose, nasal congestion, sneezing, and postnasal drip.

PACT Act 2022050% rating
Chronic Sinusitis

Chronic inflammation of the paranasal sinuses affecting one or more sinus cavities, causing nasal congestion, facial pain or pressure, and reduced sense of smell.

Cancers & Malignancies

14
PACT Act 2022100100% rating
Respiratory Cancer (Lung, Larynx, and Related)

Cancers of the respiratory tract including lung cancer, laryngeal cancer, tracheal cancer, and cancers of the bronchi.

PACT Act 2022100100% rating
Brain Cancer (Any Type)

Any malignant tumor of the brain, including gliomas and other primary central-nervous-system cancers.

PACT Act 2022100100% rating
Glioblastoma

The most aggressive form of primary brain cancer, arising from glial cells (glioblastoma multiforme, GBM).

PACT Act 2022100100% rating
Gastrointestinal Cancer (Any Type)

Malignant tumors anywhere in the gastrointestinal tract, including esophageal, stomach, small-intestine, colon, and rectal cancers.

PACT Act 2022100100% rating
Pancreatic Cancer

Malignant tumors of the pancreas, most commonly pancreatic ductal adenocarcinoma, which carries a very poor prognosis.

PACT Act 2022100100% rating
Reproductive Cancer (Any Type)

Cancers of the male and female reproductive organs, including testicular, prostate, ovarian, uterine, and cervical cancer.

PACT Act 2022100100% rating
Bladder Cancer (Genitourinary)

Cancer arising from the cells lining the bladder, with urothelial (transitional cell) carcinoma being the most common type.

PACT Act 2022100100% rating
Kidney Cancer (Genitourinary)

Renal cell carcinoma and other malignant tumors of the kidney.

PACT Act 2022100100% rating
Head Cancer (Any Type)

Any malignant tumor occurring in the structures of the head, including the oral cavity, salivary glands, nasal cavity, and skull base.

PACT Act 2022100100% rating
Neck Cancer (Any Type)

Malignant tumors occurring in neck structures, including lymph nodes of the neck, soft tissues, and cervical structures.

PACT Act 2022100100% rating
Squamous Cell Carcinoma of the Head/Neck

A specific type of cancer arising from the squamous cells lining the mucosal surfaces of the head and neck, including the oropharynx, hypopharynx, and larynx.

PACT Act 2022100100% rating
Lymphatic Cancer (Lymphoma and Related)

Cancers of the lymphatic system, including Hodgkin's lymphoma, non-Hodgkin's lymphoma, and other lymphoproliferative disorders.

PACT Act 2022100100% rating
Hematologic Cancer (Leukemias, Multiple Myeloma, and Related)

Cancers of the blood and bone marrow, including the acute and chronic leukemias, multiple myeloma, myelodysplastic syndromes, and myelofibrosis.

PACT Act 2022100100% rating
Melanoma

A malignant tumor of melanocytes (pigment-producing skin cells) that can develop anywhere on the skin and occasionally in other tissues.

Gulf War Presumptive Conditions

5

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Published by the Honest MOS Editorial DeskVerified against DoD/.gov sourcesUpdated May 2026Editorial standards