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9918
§ 4.150 Schedule of ratings—dental and oral conditions.

Oral cavity cancer

Malignant neoplasm of lip, oral cavity, and pharynx (unspecified)

What the rating means

Oral cavity cancer — rated under diagnostic code 9918 as a malignant neoplasm of hard and soft tissue — is assigned a 100 percent rating while the cancer is active or being treated. That 100 percent rating continues after any surgery, radiation, chemotherapy, or other treatment ends. Six months after treatment stops, VA requires a mandatory examination to determine the appropriate rating going forward. Any rating change after that exam follows the rules in 38 CFR § 3.105(e), which govern how existing ratings can be changed.

If the cancer has not come back and has not spread, VA rates you based on what the cancer and its treatment left behind. Those residuals include loss of supporting structures such as bone or teeth, and functional impairment caused by scarring. Conditions such as loss of vocal articulation, loss of smell, loss of taste, neurological impairment, and respiratory dysfunction are each evaluated separately under their own diagnostic codes and then combined under § 4.25.

Rating levels

  • 100% — Neoplasm, hard and soft tissue, malignant

VA doesn't add ratings together. It combines them using the table in 38 CFR § 4.25, so two ratings usually total less than their sum.

Evidence that helps

While the cancer is active or being treated, records confirming the diagnosis and showing ongoing or recently completed treatment are the core evidence. This includes pathology reports, oncology notes, surgical records, radiation treatment summaries, and chemotherapy records. These establish that the 100 percent rating applies and that it should continue through the post-treatment period.

At the mandatory six-month examination, the evidence shifts to what symptoms and impairments remain. Dental and oral surgery records showing bone or tooth loss document loss of supporting structures. Photographs, imaging studies — such as X-ray, CT, or MRI — and exam findings can show the extent of scarring and any resulting functional impairment. For separately rated conditions such as loss of taste, loss of smell, or neurological changes, records from relevant specialists and your own statements describing how those impairments affect eating, speaking, and daily activities help show severity at each level.

VA exam form (DBQ) for this condition:

Presumptive conditions

If your service meets the rules below, VA presumes this condition is connected to it.

  • Chronic disease — 38 CFR § 3.309(a)
  • PACT Act — 38 U.S.C. § 1120

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.