TurboVets is fully live. For support, please submit tickets in app.
Sign In to TurboVets
Your Data is Protected. Never Sold. Never Used for Profit.
Read our FAQ
9918
§ 4.150 Schedule of ratings—dental and oral conditions.

Cancer of jaw or mouth tissue

Cancer affecting the bone or soft tissue of the jaw or mouth.

What the rating means

Malignant neoplasm of the hard and soft tissue of the jaw or mouth is rated under diagnostic code 9918 in VA's schedule of dental and oral conditions. While the cancer is active and being treated, VA assigns a 100 percent rating. That 100 percent rating does not stop the moment treatment ends — it continues beyond the cessation of surgery, radiation, antineoplastic chemotherapy, or any other therapeutic procedure.

Six months after treatment ends, VA requires a mandatory examination to determine the appropriate rating going forward. Any change in your rating after that exam is governed by the protections in 38 CFR § 3.105(e). If the cancer has not come back locally and has not spread, VA rates you on the residuals — meaning what remains after treatment — such as loss of supporting bone or teeth, and functional impairment caused by scarring. Separate conditions like loss of vocal articulation, loss of smell, loss of taste, neurological impairment, and respiratory dysfunction are each rated under their own diagnostic codes and then combined under § 4.25.

Evidence that helps

While cancer is active or being treated, the key evidence is records confirming the malignant diagnosis and documentation of ongoing or recently completed treatment — surgical reports, radiation therapy records, and chemotherapy or other antineoplastic treatment logs.

For the mandatory VA examination six months after treatment ends, the records that matter most are imaging studies — such as X-rays, CT scans, MRI, PET scans, radionuclide bone scans, or ultrasound — showing whether there has been local recurrence or metastasis. Pathology reports and follow-up oncology notes also speak directly to that question.

If no recurrence or spread is found, evidence shifts to the residuals. Dental and oral surgery records can document loss of supporting bone or teeth. Examination findings and surgical or procedural notes can show the extent of scarring and any resulting functional impairment. Statements from you describing how difficulty chewing, speaking, or other mouth or jaw limitations affect your work and daily life help show the functional impact of those residuals.

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.