Skin Cancer (Non-Melanoma)
Non-melanoma skin cancers are rated under Diagnostic Code 7818. While the cancer is active and undergoing systemic treatments such as chemotherapy, radiation (more extensive than just the skin), or surgery more extensive than local removal, a 100% rating is assigned. A 100% rating also continues for 6 months after treatment stops and the cancer goes dormant. After that, the condition is rated based on residual symptoms. An important note: if the cancer is active but only receiving skin treatments including surgical removal limited to the skin, a 100% rating is not appropriate. Squamous cell carcinoma is a presumptive condition for veterans exposed to mustard gas.
VA Rating Levels
Rated on residual symptoms (commonly rated under disfigurement, scars, or limitation of range of motion).
While cancer is active AND undergoing systemic treatments (chemotherapy, radiation beyond skin level, or extensive surgery), or for 6 months after treatments stop and the cancer goes dormant.
Exam Tips & Key Evidence
- →If the cancer only required local skin removal (not systemic treatment), the 100% rating does not apply. The condition would instead be rated on residual symptoms like scarring.
- →After the 6-month post-treatment 100% rating expires, request a new C&P exam to evaluate residual symptoms such as scars, disfigurement, or range of motion limitations.
- →Common residual ratings after skin cancer treatment include disfigurement, scars, and limitation of range of motion.
- →Squamous cell carcinoma is presumptive for mustard gas exposure.
Commonly Related Conditions
38 CFR Reference
38 CFR $ 4.118, Diagnostic Code 7818