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7805
§ 4.118 Schedule of ratings—skin.

Scars from mustard gas burns

Chronic scar tissue resulting from vesicant (mustard gas) burns on skin

What the rating means

Diagnostic code 7805 covers scars and other effects of scars that are not fully captured by the ratings assigned under diagnostic codes 7800 through 7804. In practice, this means VA evaluates any disabling effect of your scars that was not already counted in a rating under one of those other codes, and it does so by applying whatever diagnostic code fits that specific disabling effect.

For scars of the head, face, or neck, VA rates disfigurement under diagnostic code 7800. The possible ratings are 10%, 30%, 50%, and 80%. A 10% rating applies when one characteristic of disfigurement is present. A 30% rating applies when there is visible or palpable tissue loss combined with gross distortion or asymmetry of one facial feature or paired set of features, or when two or three characteristics of disfigurement are present. A 50% rating applies when tissue loss is combined with distortion of two features or paired sets, or four or five characteristics are present. An 80% rating applies when tissue loss is combined with distortion of three or more features or paired sets, or six or more characteristics are present. The regulation identifies eight specific characteristics of disfigurement, and they can come from one scar or from multiple scars combined.

Evidence that helps

Because ratings under diagnostic code 7805 depend on what other diagnostic codes apply, the evidence that helps most is whatever documents the specific disabling effects of your scars that were not already rated.

For disfigurement of the head, face, or neck under diagnostic code 7800, useful evidence includes medical records or exam findings that document visible or palpable tissue loss, the number of facial features affected, and the degree of distortion or asymmetry. Findings relevant to the eight characteristics include measurements of scar length and width, examiner notes on whether the scar surface is elevated or depressed, whether it is adherent to underlying tissue, and measurements of any area where skin pigmentation, texture, softness, or underlying soft tissue is affected. The regulation also states that unretouched color photographs are taken into consideration, so photographs documenting the appearance of your scars can be meaningful evidence.

For disabling effects beyond disfigurement, such as pain, instability, or nerve and muscle injury linked to a scar, medical records and statements describing how those effects limit your work and daily activities can help show what additional codes apply.

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.