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7819
§ 4.118 Schedule of ratings—skin.

Benign skin growths

Noncancerous skin growths such as cysts, warts, or other harmless lumps or bumps.

What the rating means

Benign skin neoplasms (DC 7819) are not rated on their own scale. Instead, VA rates them based on what the growths cause: disfigurement of the head, face, or neck; scarring elsewhere on the body; or impairment of function. That means your rating depends entirely on which of those results applies to your situation.

For disfigurement of the head, face, or neck (DC 7800), ratings of 10%, 30%, 50%, or 80% are possible, depending on how many facial features show visible tissue loss, gross distortion, or asymmetry, and how many of eight defined characteristics of disfigurement are present. For scarring on the body outside the head, face, and neck, ratings under DC 7801 (scars with underlying soft tissue damage) or DC 7802 (scars without underlying soft tissue damage) turn on the total area of skin affected, with ratings ranging from 10% to 40%. If one or more scars are unstable or painful, DC 7804 can add a separate rating of 10%, 20%, or 30% based on the number of such scars. If a scar is both unstable and painful, 10% is added to that figure. Functional impairment is rated under whichever diagnostic code fits the affected body part.

Evidence that helps

Because the rating follows what the growths cause, the evidence needs to match the specific criteria for whichever diagnostic code applies.

For head, face, or neck disfigurement, medical records and examination findings should document visible or palpable tissue loss, which features are distorted or asymmetric, and how many of the eight characteristics of disfigurement are present, such as scar length, width, pigmentation changes, abnormal skin texture, elevated or depressed contour, or skin that is indurated and inflexible. Unretouched color photographs are specifically considered under DC 7800.

For body scars under DC 7801 or 7802, exam findings should document the total area of each scar in square inches or centimeters and whether underlying soft tissue is damaged. For DC 7804, records should show whether any scar is unstable, meaning the skin over it breaks down frequently, or whether it causes pain, and how many such scars exist.

For functional impairment, records showing how the affected area limits movement or use of a body part support a rating under the appropriate code. Your own statements describing how symptoms affect work and daily activities can also help show the degree of impairment.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.