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5325
§ 4.73 Schedule of ratings—muscle injuries.

Facial muscle injury

Injury to muscles of the face that may affect chewing or appearance.

What the rating means

Facial muscle injury is rated under diagnostic code 5325. VA does not apply a single fixed scale to this condition the way it does for many muscle injuries. Instead, VA rates the functional impairment by looking at how the injury actually affects you, using whichever other rating code fits best. If the injury causes facial nerve problems, it is rated as seventh (facial) cranial nerve neuropathy under diagnostic code 8207. If it produces a disfiguring scar, it is rated under diagnostic code 7800. Other comparable codes may also apply depending on the nature of your impairment.

There is one baseline: if the facial muscle injury interferes to any extent with chewing, VA assigns a minimum rating of 10%, regardless of what a rating under another code might produce. This floor protects you if the applicable code would otherwise result in a lower rating. Ratings above that minimum follow whatever criteria apply under the code being used.

Evidence that helps

Because this condition is rated by reference to other diagnostic codes, the evidence that helps most depends on which aspect of the injury is being evaluated. For a seventh cranial nerve rating, medical records documenting facial nerve function, clinical exam findings such as facial weakness, drooping, or paralysis, and nerve conduction or electromyography test results are relevant. For a disfiguring scar rating, photographs and clinical descriptions of the scar's appearance and location matter.

For the 10% minimum, the key showing is that the injury interferes to any extent with mastication, meaning chewing. Medical records noting pain, limited jaw movement, or difficulty chewing, along with a VA or private physician's exam documenting those findings, support this threshold. Your own written statement describing how chewing is affected in daily life, such as needing to avoid certain foods or experiencing pain while eating, can also help establish that the minimum criteria are met.

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.