What Is Scars Rating
Scars rating is the VA's evaluation of visible scars based on size, location, depth, and whether they restrict movement or function in the affected area. The VA assigns diagnostic codes and percentage ratings to scars under 38 CFR 4.118, which covers skin conditions including keloids, burn scars, and contracture scars. A scar that is 6 inches or larger, disfiguring, or limits joint movement typically receives a higher rating than a small, flat, stable scar in a concealed location.
The rating you receive directly affects your monthly disability compensation. A 10% rating for a significant scar might add $180 to your monthly payment, while a 20% rating adds closer to $380. If your scar causes contracture (tightening that limits movement), the VA may rate it higher or rate both the scar itself and the functional limitation separately.
How the VA Rates Scars
During your Compensation and Pension (C&P) exam, the VA examiner will document the scar's exact dimensions in inches, its location on your body, color and texture compared to surrounding skin, and any functional impact. The examiner photographs the scar and notes whether it's stable (no longer changing) or unstable (still healing or prone to breakdown). This information goes into your claims file under your relevant diagnostic code.
- Scars 6+ inches long and disfiguring typically receive 10% to 20% depending on location and functional impact
- Scars causing joint contracture may receive 20% to 30% if movement is significantly limited
- Multiple scars from the same service-connected condition are often rated together rather than separately
- Scar location matters: a scar on your face carries more weight than one on your thigh due to visibility and functional concerns
Building Your Claim for Scar Rating
To maximize your scar rating, your C&P exam needs detailed medical documentation. If you have medical records showing the original injury, surgical repair, or current complications, submit those. A nexus letter from your VA doctor or private physician stating the scar is service-connected strengthens your claim significantly. If the scar limits your ability to work or causes pain during specific activities, document that in a personal statement or have your doctor note it in your medical record.
If the VA initially rates your scar lower than you believe is accurate, you can appeal within one year. Veterans Service Officers (VSOs) frequently win scar rating appeals by providing detailed photographs, updated medical evidence, and expert statements about functional limitations. The Board of Veterans' Appeals has authority to increase scar ratings if new evidence shows the condition has worsened or was underrated initially.
Common Questions
- Can I get a rating for a scar that's fully healed and stable? Yes. Stability doesn't eliminate rating eligibility. A stable scar that's large, disfiguring, or limits function still qualifies. The VA rates stable scars based on their current appearance and functional impact, not their potential to change.
- What if I have multiple scars from different service-connected conditions? The VA typically combines scars from the same injury but rates scars from separate injuries under their respective diagnostic codes. Your VSO can help ensure each condition is rated correctly without double-counting.
- Should I get cosmetic surgery on my scar before my C&P exam? Generally no. Have the exam done first while the scar is in its current state, then pursue surgery if desired. Surgery after rating won't increase your rating unless complications arise, but improved appearance might help if you later appeal.