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6208
§ 4.87 Schedule of ratings—ear.

Ear cancer

Cancer in the outer, middle, or inner ear (not skin cancer) that may cause pain, drainage, or changes in hearing.

What the rating means

VA rates malignant neoplasm of the ear (other than skin only) under Diagnostic Code 6208. While your cancer is active and during any treatment — such as surgery, radiation, chemotherapy, or other therapeutic procedures — VA assigns a 100% rating. That 100% rating does not stop the moment treatment ends. It continues for six months after treatment is discontinued. At that point, VA schedules a mandatory examination to determine the appropriate rating going forward. Any change to your rating after that exam follows the protections in 38 CFR § 3.105(e). If the cancer has not come back and has not spread, VA will then rate you based on whatever residual conditions remain from the cancer or its treatment.

Evidence that helps

During active disease and treatment, medical records confirming the diagnosis and documentation of ongoing or recently completed surgery, radiation, chemotherapy, or other therapeutic procedures are the core evidence supporting the 100% rating. After the six-month period following treatment ends, the mandatory VA examination becomes the primary basis for evaluation. At that stage, records showing whether there has been any local recurrence or metastasis are critical. If there is no recurrence or spread, VA looks at residual disabilities — so medical records, imaging results, specialist notes, hearing tests, and any other findings that document lasting effects of the cancer or its treatment are relevant. Statements from you describing how residual symptoms affect your daily life and work can also help establish the severity of those remaining conditions.

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.