The United States Department of Veterans Affairs (VA) offers a disability rating system to help veterans receive compensation for service-connected medical conditions. Among the various conditions recognized by the VA are surgery scars, which, although often overlooked, can significantly impact a veteran’s life. Whether they are reminders of painful injuries or have more profound psychological effects, surgery scars deserve proper recognition within the VA’s disability framework.

This article provides an in-depth guide on the VA Disability Rating for Surgery Scars: how surgery scars are classified, rated, and compensated by the Veterans Affairs,, along with steps to apply and navigate the appeals process.

Overview of VA Disability Rating

VA disability rating is the percentage for veterans based on the proven severity of their service-connected disability; it ranges from 0% to 100 % in increments of 10%. A higher rating reflects a more significant disability and, consequently, higher monetary compensation from the VA. Physical disabilities such as surgery scars are considered in determining a VA disability rating. 

Surgery Scars and VA Disability Rating

Surgery scars are not only physical scars from past surgeries; they may also impact the veteran’s mental and emotional condition. The VA acknowledges this and has established specific criteria for evaluating the impact of surgery scars on a veteran’s health. The disability rating assigned to surgery scars can range from 0% to 80%, depending on size, location, and severity.

Categorization of Scars in VA Disability Rating

The VA rates surgery scars based on individual factors, each of which exerts a heavy role on the level of disability rating given. Some of the factors or characteristics considered include:

• Size and Area: Scars that cover a larger surface area (e.g., more than 144 square inches) are generally assigned a higher disability rating.
• Location: Scars in visible areas, such as the face, neck, or hands, tend to receive higher ratings due to their impact on appearance and daily function.
• Severity: The severity of the scar is determined by factors such as:
• Pain: Painful scars are eligible for a higher rating.
• Instability: Scars prone to frequent breakdown or ulceration can result in a higher rating.
• Functional Limitation: Scars that impair movement or function, such as those limiting joint mobility, receive higher ratings.
• Cosmetic Disfigurement: Scars causing significant disfigurement, particularly in visible areas, may receive a higher rating under the VA’s criteria for cosmetic disfigurement.

VA Diagnostic Codes for Scars

The VA rates the following types of scars under the relevant Diagnostic Codes, which can be found in the Code of Regulations, with examples of the most common codes including:

• 7800: Disfigurement of the head, face, or neck.
• 7801: Scars, other than head, face, or neck, that are deep and nonlinear.
• 7802: Scars, other than head, face, or neck, that are superficial and nonlinear.
• 7804: Scars that are unstable or painful.
• 7805: Other scars, including those that cause limitation of function.

Each code represents specific criteria as well as potential ratings. For instance, as indicated on Diagnostic Code 7801, scars involving a surface area of at least 72 square inches could be eligible for a 20% percent rating.

Understanding the VA Disability Rating for Surgery Scars

The VA rates surgery scars on an individual basis, using criteria such as location and size.

• Location and Size: Larger scars or those in prominent locations (e.g., face, neck) generally receive higher ratings.
• Severity and Symptoms: Scars associated with pain, tissue damage, or functional impairment may qualify for higher ratings.
• Impact on Daily Life: The VA considers how the scar affects a veteran’s ability to perform daily activities, including employment.

How to Apply

Applying for a VA disability rating that specifically governs surgery scars follows these steps:

1. Gather Medical Documentation:

Start by collecting detailed medical records that explain the nature and effect of your surgery scars. It should include evidence in the form of:

• Physician Reports: Medical records from VA healthcare providers or other qualified professionals.
• Personal Statements: Detailed accounts of how the scars affect your daily life, employment, and mental health.
• Photographs: Visual evidence of the scars, showing their size, location, and severity.

2. Submit a VA Disability Claim: File your claim through the VA’s website or by submitting VA Form 21-526EZ. Ensure that all documentation is included to support your claim.

3. Work with a VSO or Accredited Representative: Veterans Service Organizations (VSOs) and VA-accredited representatives can provide invaluable assistance during the application process.  You can find Accredited Attorneys, Claims Agents, and Veterans Service Organizations (VSO) Representatives on the VA’s “Accreditation Search“ page.”

Common Pitfalls to Avoid

• Incomplete Documentation: Failing to provide complete medical records or photographs can result in a lower rating or denial.
• Missed Deadlines: Ensure all forms and evidence are submitted within the VA’s specified timelines to ensure timely processing of your claim.

Appeals Process

If the request for a VA disability rating has been denied or they received one lower than anticipated, the decision can be appealed. Below are some steps an individual can follow to appeal:

1. Notice of Disagreement (NOD): If you disagree with the rating or denial, file a NOD within one year of the VA’s decision.
2. Statement of the Case (SOC): After filing a NOD, the VA will issue a SOC explaining the reasons for the decision. Review this document carefully and gather additional evidence if necessary.
3. Submit Additional Evidence: If you have new medical records, personal statements, or other relevant information, submit them during the appeal to strengthen your case.
4. Board of Veterans’ Appeals (BVA): If the appeal remains unresolved, it may be escalated to the BVA, where a veteran’s law judge will review your case.

The appeals process can be long and fraught with complications. Still, with the right help, and some persistence, you can argue back from any decision handed to you by the VA.

The system of VA rating for surgery scars can be challenging to go through; however, this has to be kept in mind: you deserve compensation for what your service has taken away from you. Scars from surgery can put both physical and mental strain on a person, and the rating system in the VA acknowledges this. Proper preparation can make you successful in your benefits claim. Wherever you are in the claims process, remember: It is your right to bring private medical evidence to a disability claim. It Is your right to receive the most accurate decision or disability rating and the benefits that belong to you. And we at Trajector Medical are here to help you succeed.