Scars may seem minor to some, but for many veterans, they are lasting reminders of service-connected injuries, surgeries, or accidents. Whether visible or painful, scars and disfigurement can have physical and psychological impacts—and they are often eligible for VA disability compensation.
The Department of Veterans Affairs recognizes that scars can be more than skin deep. If a scar limits motion, causes pain, or creates visible disfigurement, it may qualify for a disability rating. In this blog, we’ll explore when and how scars are rated, what types are most commonly compensated, and how to strengthen your claim.
What Types of Scars Qualify for VA Disability?
Not all scars are treated equally in the VA system. To qualify, a scar must meet certain criteria—such as being painful, unstable (prone to breaking down), large, or disfiguring.
Common Causes of Service-Connected Scars:
Combat injuries (e.g., shrapnel wounds, burns)
Surgeries (from service-connected injuries or conditions)
Accidental lacerations or abrasions during training
Burns from chemical, electrical, or fire exposure
Skin conditions like cystic acne or infections requiring surgery
Types of Scars Most Often Claimed:
Surgical scars (back, knee, abdomen)
Keloid or hypertrophic scars (raised, thickened)
Facial scars from trauma or burns
Amputation-related scarring
Scars from IED or shrapnel wounds
VA Diagnostic Codes for Scars
The VA evaluates scars under 38 CFR § 4.118, using diagnostic codes (DCs) ranging from 7800 to 7805. Each code applies to specific types of scarring and functional impacts.
DC 7800: Scars or Disfigurement of the Head, Face, or Neck
This code considers visible disfigurement, based on characteristics such as:
Length and width
Texture or pigmentation
Tissue loss
Skin adherence
Elevation or depression
Skin color change
Ratings range from 10% to 80%, depending on the number and severity of characteristics.
DC 7801: Deep and Nonlinear Scars (excluding head, face, neck)
This applies to scars greater than 6 square inches and those that affect underlying soft tissue. Ratings:
10% – At least 6 square inches
20% – At least 12 square inches
30% – At least 72 square inches
40% – At least 144 square inches
DC 7802: Superficial, Nonlinear Scars
Covers large, superficial scars that don’t affect deeper tissue. Typically rated at 10% if the area is at least 144 square inches.
DC 7804: Painful or Unstable Scars
Scars that are either painful on examination or unstable (frequently breaking down) are rated here.
10% – 1–2 painful or unstable scars
20% – 3–4 painful or unstable scars
30% – 5 or more
DC 7805: Limitation of Function
Scars that impair motion or function are rated based on the affected body part (e.g., limitation in shoulder motion due to scar tightness).
Disfigurement Ratings: The Face Matters
Facial disfigurement carries a special weight in VA ratings because of its visibility and psychological impact. The VA recognizes eight characteristics of disfigurement, including:
Scar length over 6 inches
Atrophic or shiny skin
Skin induration
Color differences
Tissue loss
If your facial scarring involves two or more of these traits, you may qualify for a 30% or higher rating.
Psychological Impact of Disfigurement
While scars are rated physically, they may also contribute to secondary psychological conditions like:
Depression
Social anxiety
PTSD
Body image issues
Veterans can file for secondary service connection for mental health disorders related to disfigurement. If a scar causes isolation, embarrassment, or emotional distress, you may be entitled to additional compensation.
Real-World Example
Case Study:
Army Specialist David had surgery to repair a ruptured Achilles tendon sustained during a parachute jump. The resulting scar on the back of his ankle was thick, painful, and often reopened.
His initial claim was denied because the scar was considered “non-disabling.” However, with a follow-up exam and medical records showing consistent breakdown and pain, he was granted:
10% under DC 7804 for pain
An additional 10% for instability
Plus a 30% rating for secondary depression
David’s scar ended up increasing his overall rating and benefits—proof that even a small scar can make a big impact when properly documented.
How to Strengthen a Scar Disability Claim
Many scar claims are denied due to lack of proper evidence. Here’s how to improve your odds of success:
1. Photographic Evidence
Include clear, color photos of the scar showing size, location, and texture. Take pictures from different angles and distances.
2. Medical Records
Show medical documentation of:
Painful sensations
Breakdown or infections
Impact on movement
Doctor’s notes describing scar characteristics
3. Personal Statements
Write a lay statement explaining:
When and how the scar occurred
Pain level and duration
How it affects your daily life or self-image
4. Buddy Letters
Statements from family or friends observing how your behavior, comfort, or confidence has changed due to the scar can be powerful.
What Happens at the C&P Exam?
Your Compensation & Pension (C&P) exam will be a key part of your claim. Be prepared to:
Show the scar to the examiner
Describe pain, itching, or irritation
Explain limitations in movement
Detail any emotional effects
Don’t exaggerate—but don’t downplay your symptoms either. Be honest about how the scar affects you physically and mentally.
VA Scars and Special Monthly Compensation (SMC)
If your scars are severe and affect sensitive areas (like reproductive organs or the eyes), or involve amputations, you may qualify for Special Monthly Compensation (SMC). This is additional compensation beyond the standard rating schedule.
Common Mistakes to Avoid
Not measuring your scar – Area and dimensions matter for higher ratings
Ignoring pain – If it hurts, say so and have it documented
Assuming one scar equals one rating – You may be eligible for multiple ratings for different scars or characteristics
Skipping the mental health component – Scars that cause emotional distress can increase your total rating
Can I Get VA Disability for Cosmetic Scars?
Cosmetic scars may be ratable if they cause visible disfigurement, particularly on the face, neck, or hands. However, purely aesthetic concerns without functional or emotional impact are harder to win.
If a facial scar causes you to avoid social interaction or lowers your self-esteem, consider filing a secondary mental health claim alongside the scar claim.
Final Thoughts: Don’t Underestimate the Power of a Scar
Scars are often treated like an afterthought—but they deserve more attention. Whether you suffered a deep cut during training, endured surgery to repair a joint, or bear visible scars from combat, your story—and your pain—matter.
The VA does offer compensation for both the physical and emotional effects of scars and disfigurement. With proper documentation, a well-written claim, and a full understanding of your rights, you can turn what seems like a minor issue into a meaningful benefit.
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