e-CFR banner

Home
gpo.gov
govinfo.gov

e-CFR Navigation Aids

Browse

Simple Search

Advanced Search

 — Boolean

 — Proximity

 

Search History

Search Tips

Corrections

Latest Updates

User Info

FAQs

Agency List

Incorporation By Reference

eCFR logo

Related Resources

 

Electronic Code of Federal Regulations

e-CFR data is current as of June 3, 2020

Title 38Chapter IPart 4Subpart B → §4.150


Title 38: Pensions, Bonuses, and Veterans' Relief
PART 4—SCHEDULE FOR RATING DISABILITIES
Subpart B—Disability Ratings


§4.150   Schedule of ratings—dental and oral conditions.

   Rating
Note (1): For VA compensation purposes, diagnostic imaging studies include, but are not limited to, conventional radiography (X-ray), computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), radionuclide bone scanning, or ultrasonography
Note (2): Separately evaluate loss of vocal articulation, loss of smell, loss of taste, neurological impairment, respiratory dysfunction, and other impairments under the appropriate diagnostic code and combine under §4.25 for each separately rated condition
9900   Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of:
Rate as osteomyelitis, chronic under diagnostic code 5000.
9901   Mandible, loss of, complete, between angles100
9902   Mandible, loss of, including ramus, unilaterally or bilaterally:
Loss of one-half or more,
Involving temporomandibular articulation
Not replaceable by prosthesis70
Replaceable by prosthesis50
Not involving temporomandibular articulation.
Not replaceable by prosthesis40
Replaceable by prosthesis30
Loss of less than one-half,
Involving temporomandibular articulation.
Not replaceable by prosthesis70
Replaceable by prosthesis50
Not involving temporomandibular articulation.
Not replaceable by prosthesis20
Replaceable by prosthesis10
9903   Mandible, nonunion of, confirmed by diagnostic imaging studies:
Severe, with false motion30
Moderate, without false motion10
9904   Mandible, malunion of:
Displacement, causing severe anterior or posterior open bite20
Displacement, causing moderate anterior or posterior open bite10
Displacement, not causing anterior or posterior open bite0
9905   Temporomandibular disorder (TMD):
Interincisal range:
0 to 10 millimeters (mm) of maximum unassisted vertical opening.
With dietary restrictions to all mechanically altered foods50
Without dietary restrictions to mechanically altered foods40
11 to 20 mm of maximum unassisted vertical opening.
With dietary restrictions to all mechanically altered foods40
Without dietary restrictions to mechanically altered foods30
21 to 29 mm of maximum unassisted vertical opening.
With dietary restrictions to full liquid and pureed foods40
With dietary restrictions to soft and semi-solid foods30
Without dietary restrictions to mechanically altered foods20
30 to 34 mm of maximum unassisted vertical opening.
With dietary restrictions to full liquid and pureed foods30
With dietary restrictions to soft and semi-solid foods20
Without dietary restrictions to mechanically altered foods10
Lateral excursion range of motion:
0 to 4 mm10
Note (1): Ratings for limited interincisal movement shall not be combined with ratings for limited lateral excursion
Note (2): For VA compensation purposes, the normal maximum unassisted range of vertical jaw opening is from 35 to 50 mm
Note (3): For VA compensation purposes, mechanically altered foods are defined as altered by blending, chopping, grinding or mashing so that they are easy to chew and swallow. There are four levels of mechanically altered foods: full liquid, puree, soft, and semisolid foods. To warrant elevation based on mechanically altered foods, the use of texture-modified diets must be recorded or verified by a physician
9908   Condyloid process, loss of, one or both sides30
9909   Coronoid process, loss of:
Bilateral20
Unilateral10
9911   Hard palate, loss of:
Loss of half or more, not replaceable by prosthesis30
Loss of less than half, not replaceable by prosthesis20
Loss of half or more, replaceable by prosthesis10
Loss of less than half, replaceable by prosthesis0
9913   Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity:
Where the lost masticatory surface cannot be restored by suitable prosthesis:
Loss of all teeth40
Loss of all upper teeth30
Loss of all lower teeth30
All upper and lower posterior teeth missing20
All upper and lower anterior teeth missing20
All upper anterior teeth missing10
All lower anterior teeth missing10
All upper and lower teeth on one side missing10
Where the loss of masticatory surface can be restored by suitable prosthesis0
Note—These ratings apply only to bone loss through trauma or disease such as osteomyelitis, and not to the loss of the alveolar process as a result of periodontal disease, since such loss is not considered disabling
9914   Maxilla, loss of more than half:
Not replaceable by prosthesis100
Replaceable by prosthesis50
9915   Maxilla, loss of half or less:
Loss of 25 to 50 percent:
Not replaceable by prosthesis40
Replaceable by prosthesis30
Loss of less than 25 percent:
Not replaceable by prosthesis20
Replaceable by prosthesis0
9916   Maxilla, malunion or nonunion of:
Nonunion,
With false motion30
Without false motion10
Malunion,
With displacement, causing severe anterior or posterior open bite30
With displacement, causing moderate anterior or posterior open bite10
With displacement, causing mild anterior or posterior open bite0
Note: For VA compensation purposes, the severity of maxillary nonunion is dependent upon the degree of abnormal mobility of maxilla fragments following treatment (i.e., presence or absence of false motion), and maxillary nonunion must be confirmed by diagnostic imaging studies
9917   Neoplasm, hard and soft tissue, benign:
Rate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring.
9918   Neoplasm, hard and soft tissue, malignant100
Note: A rating of 100 percent shall continue beyond the cessation of any surgical, radiation, antineoplastic chemotherapy or other therapeutic procedure. Six months after discontinuance of such treatment, the appropriate disability rating shall be determined by mandatory VA examination. Any change in evaluation based upon that or any subsequent examination shall be subject to the provisions of §3.105(e) of this chapter. If there has been no local recurrence or metastasis, rate on residuals such as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring

[59 FR 2530, Jan. 18, 1994, as amended at 82 FR 36083, Aug. 3, 2017]

Need assistance?