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7630
§ 4.116 Schedule of ratings—gynecological conditions and disorders of the breast.

Breast cancer

Cancer that develops in the breast tissue.

What the rating means

Breast cancer is rated under diagnostic code 7630 as a malignant neoplasm of the breast. VA assigns a 100 percent rating while the cancer is active and during any course of treatment, including surgery, radiation, antineoplastic chemotherapy, or other therapeutic procedures. That 100 percent rating does not stop the moment treatment ends — it continues for six months after treatment is discontinued.

After those six months, VA requires a mandatory examination to determine the appropriate rating going forward. At that point, if the cancer itself is no longer active, VA rates any remaining problems — called chronic residuals — based on how much they limit your function. Those residuals can include scars, lymphedema, disfigurement, limited motion of the arm, shoulder, or wrist, reduced grip strength, loss of sensation, or effects from muscle harvesting done for reconstruction. Residuals are rated under the rules for those specific impairments and may also be evaluated under diagnostic code 7626. Any change to your rating after that examination is subject to the protections in 38 CFR § 3.105(e).

Evidence that helps

During active treatment, medical records confirming the diagnosis and documenting ongoing surgical, radiation, chemotherapy, or other therapeutic care are the core evidence for the 100 percent rating. Pathology reports, oncology notes, and treatment summaries all speak directly to whether active treatment is underway.

After treatment ends, the mandatory VA examination will assess residual impairment, but your own medical records and treating-physician notes matter too. For limited arm, shoulder, or wrist motion, range-of-motion measurements from physical therapy or orthopedic records are relevant. For lymphedema, records showing swelling, its severity, and its effect on limb use are helpful. For scars or disfigurement, photographs and clinical descriptions of the affected area support the record. For reduced grip strength or loss of sensation, objective testing documented by a provider is directly tied to those rating criteria. Statements from you or people who know you describing how these residuals affect your daily activities, ability to lift or carry, or ability to work connect the medical findings to your actual functional loss.

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.