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7801
§ 4.118 Schedule of ratings—skin.

Scars with deep tissue damage (not head, face, or neck)

Scars on the body that involve damage to muscles, nerves, or other tissues beneath the skin.

What the rating means

VA rates burn scars and other scars outside the head, face, and neck under diagnostic code 7801 when those scars are associated with underlying soft tissue damage. The rating is based entirely on the total area of scarring in each of six defined body zones: each arm or leg counts as its own zone, and the front and back of the trunk are separate zones (divided by the midaxillary line along your sides).

A 10% rating applies when the affected area is at least 6 square inches but less than 12 square inches. A 20% rating applies for at least 12 square inches but less than 72 square inches. A 30% rating applies for at least 72 square inches but less than 144 square inches. A 40% rating applies when the area reaches 144 square inches or more.

If your scars span more than one body zone, VA may assign a separate rating for each zone and then combine those ratings under the combined-ratings formula. Alternatively, if adding the areas across zones produces a higher single rating, VA may use that instead.

Evidence that helps

The key evidence for this condition is documentation of the total surface area of scarring and confirmation that the scar tissue involves underlying soft tissue damage. A VA or private medical examination that measures scar dimensions in square inches or square centimeters directly supports the area thresholds that separate each rating level. Photographs taken alongside a measuring tool can help confirm size. Surgical records, wound-care notes, and pathology or imaging reports that describe involvement of deeper tissue layers show that the scars qualify under this diagnostic code rather than a code for surface-only scars.

If your scars cover more than one body zone, records that identify which zones are affected help VA determine whether separate ratings apply. Your own written statement describing how the scarring limits movement, causes pain, or affects your ability to work and perform daily tasks can also support the overall picture, particularly when it reflects the extent of tissue involved across different parts of your body.

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.