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C&P Exam Prep: Malignant Skin Neoplasms (Other Than Melanoma)

DC 7818 skin 38 CFR 4.118

DBQ Overview

Interview + Physical
Form Name
Skin_Diseases
Form Code
Skin_Diseases
Page Count
12
Examiner Type
Dermatologist or appropriate clinician
Estimated Duration
15-30 minutes
Exam Format
Interview + Physical

What to Expect During Your Exam

Exam Overview

To document the nature, extent, active status, treatment history, and residual effects of malignant skin neoplasms (other than melanoma) for VA disability rating purposes under 38 CFR 4.118, DC 7818. The examiner will determine whether the cancer is active or in remission, what treatments have been used, and how residual effects such as scars or disfigurement should be separately rated.

What the examiner evaluates:

  • Type, location, and number of malignant skin neoplasms (e.g., basal cell carcinoma, squamous cell carcinoma, Merkel cell carcinoma)
  • Whether each neoplasm is a primary cancer or a metastatic lesion
  • Current active vs. remission status of each neoplasm
  • Whether treatment required systemic chemotherapy, extensive X-ray therapy beyond the skin, or surgery more extensive than wide local excision
  • Date of diagnosis and anatomical location of each neoplasm
  • Complete treatment history including surgery type, radiation therapy, chemotherapy, immunotherapy, and antineoplastic agents
  • Residual scars, disfigurement of the head, face, or neck, or functional impairment resulting from the neoplasm or its treatment
  • Presence of local recurrence or metastasis
  • Functional impairment caused by the condition or treatment
  • Whether the veteran is regularly followed at a clinic
  • Impact of the condition on occupational and daily functioning

Exam typically includes a physical skin examination of all affected areas and a structured interview about diagnosis history, treatment course, and current symptoms. Bring all pathology reports, operative reports, and oncology treatment records. The examiner will physically inspect scars, disfigurement areas, and any active lesions. Each distinct malignant neoplasm may be documented separately on the DBQ.

Typical duration: 15-30 minutes

Scar/Disfigurement Documentation

Size (length and width in centimeters), location, type (linear, superficial non-linear, painful, unstable), and surface area of scars resulting from excision or treatment of the malignant neoplasm

What to expect:

The examiner will physically measure scars using a ruler or measuring tape, note their location relative to anatomical landmarks, and classify them by type. Scars on the head, face, or neck will be evaluated under DC 7800 (disfigurement) or DCs 7801-7805 (scars). The examiner may take photographs.

Key thresholds:

  • Greater than 39 sq cm superficial non-linear scar — Higher rating potential under DC 7802; document exact dimensions
  • Painful or unstable scar (any size) — Qualifies for rating under DC 7804 regardless of size; be explicit about pain
  • Scar on head, face, or neck causing disfigurement — Rated under DC 7800; number and type of disfiguring characteristics directly drive rating percentage
  • Deep, nonlinear scar limiting motion — May be rated under DC 7801 or as functional impairment; document range of motion limitation

Tips:

  • Show all scars, including those from biopsies, Mohs surgery, excisions, skin grafts, and lymph node removal
  • Point out any scar that is painful to touch, tender, or causes burning sensations
  • Identify scars that are adherent to underlying tissue or restrict movement
  • Do not minimize scar pain - if a scar hurts when pressed or during activity, say so explicitly
  • If a scar on the face or neck causes cosmetic disfigurement, describe how it affects your appearance and daily social interactions

Pain considerations: Scar pain is a separate rating criterion under DC 7804. Describe pain as it occurs on your worst days - burning, shooting, hypersensitivity to clothing contact, or pain with movement. Pain that limits function, causes sleep disruption, or affects employment should be explicitly stated.

Total Body Surface Area (TBSA) and Exposed Surface Area Documentation

The percentage of total body surface area and exposed body surface area affected by active skin disease or residual skin changes, required per M21-1 for skin condition DBQs

What to expect:

The examiner will document what percentage of the body surface is affected by current skin manifestations or treatment-related skin changes. This is especially relevant if the malignancy has caused widespread skin involvement or treatment has caused diffuse skin effects.

Key thresholds:

  • Any percentage of exposed body surface area affected — Required documentation; higher percentages support higher disability ratings for residual skin conditions

Tips:

  • If you have multiple sites of excision or radiation damage, help the examiner understand the full scope by identifying each location
  • If your treatment caused skin effects across a broad area, describe the extent accurately
  • Point to all affected areas - do not assume the examiner will find them all without direction

Pain considerations: Not applicable for this measurement type.

Functional Impairment Assessment

How the malignant neoplasm, its treatment, or residual effects limit the veteran's physical functioning, including range of motion limitations from scars, lymphedema, nerve damage, or weakness from surgery

What to expect:

The examiner may ask about limitations in reaching, gripping, walking, or other functions depending on the location of the neoplasm. If scars restrict joint movement, range of motion testing may be performed.

Key thresholds:

  • Functional limitation from scar tissue or surgical damage — Rated as impairment of function under DC 7818; may warrant separate rating for the affected body part

Tips:

  • Describe any limitations in movement, grip strength, or activities caused by surgical scars or radiation damage
  • Mention if lymph node removal has caused lymphedema or swelling
  • If peripheral nerve damage occurred from surgery or radiation, describe numbness, tingling, or weakness accurately

Pain considerations: Functional impairment from scars includes pain-limited range of motion. Describe how pain restricts what you can do, not just the anatomical limitation.

Estimate

Rating Criteria Breakdown

100% Active malignant skin neoplasm requiring therapy comparable ...

Active malignant skin neoplasm requiring therapy comparable to that used for systemic malignancies: systemic chemotherapy, X-ray therapy more extensive than to the skin, or surgery more extensive than wide local excision. A 100% evaluation is assigned from the date of onset of such treatment and continues with a mandatory VA examination six months after completion of antineoplastic treatment.

Key Symptoms

  • Active malignancy requiring systemic chemotherapy (e.g., IV or oral targeted chemotherapy agents)
  • Radiation therapy extending beyond the skin (e.g., treatment of lymph nodes or internal structures)
  • Surgery more extensive than wide local excision (e.g., radical excision, lymph node dissection, amputation)
  • Immunotherapy or biological agents used for systemic cancer treatment (e.g., checkpoint inhibitors, high-dose interferon)
  • Evidence of active disease or ongoing antineoplastic treatment at time of exam

CFR: Per 38 CFR 4.118 DC 7818: If a skin malignancy requires therapy comparable to that used for systemic malignancies - systemic chemotherapy, X-ray therapy more extensive than to the skin, or surgery more extensive than wide local excision - a 100% evaluation will be assigned from the date of onset of treatment. Note: If treatment is confined to the skin only, the 100% evaluation provisions do not apply.

0% After completion of antineoplastic treatment with no local r ...

After completion of antineoplastic treatment with no local recurrence or metastasis, the evaluation is based entirely on residuals. Residuals are rated under DC 7800 (disfigurement of head, face, or neck), DC 7801 (deep nonlinear scar), DC 7802 (superficial nonlinear scar), DC 7803 (unstable or painful scar), DC 7804 (painful scar), DC 7805 (other scar effects), or as impairment of function. There is no fixed percentage for residuals under DC 7818 - the rating is entirely determined by the applicable residual diagnostic codes. If treatment was confined to the skin only, the 100% evaluation never applies.

Key Symptoms

  • No active malignancy, no local recurrence, no metastasis
  • Residual surgical scars from excision or Mohs surgery
  • Residual disfigurement of head, face, or neck
  • Functional limitation from scar tissue, nerve damage, or lymphedema
  • Radiation-related skin changes (fibrosis, telangiectasia, atrophy)
  • Pain or instability at scar site
  • Cosmetic disfigurement affecting daily life or employment

CFR: Per 38 CFR 4.118 DC 7818: If there has been no local recurrence or metastasis, evaluation will be made on residuals. Rate as disfigurement of head, face, or neck (DC 7800), scars (DCs 7801-7805), or impairment of function. Note: If treatment is confined to the skin, the provisions for a 100% evaluation do not apply - the condition is rated on residuals from the outset.

How to Describe Your Symptoms

Active Malignancy and Treatment Intensity

How to describe:

Clearly state the specific type of skin cancer (e.g., squamous cell carcinoma, basal cell carcinoma, Merkel cell carcinoma), all locations, dates of diagnosis, and every treatment modality used. Distinguish between treatments confined to the skin (simple excision, topical treatments, superficial radiation) and treatments that extend beyond the skin (systemic chemotherapy, lymph node dissection, deep radiation fields).

Worst-day example:

“I was diagnosed with squamous cell carcinoma on my left cheek in [year] and underwent a radical neck dissection with removal of 22 lymph nodes, followed by 35 sessions of radiation that included the neck and submandibular nodes, and six cycles of systemic cisplatin chemotherapy. On my worst days during treatment, I could not eat, had severe fatigue, and required hospitalization for dehydration.”

What the examiner listens for:

Whether the treatment modality qualifies for the 100% evaluation under DC 7818 - specifically systemic chemotherapy, radiation beyond skin fields, or surgery beyond wide local excision. The examiner will document each treatment type, dates, and current status.

Understatements to avoid:

Do not simply say 'I had surgery to remove it.' Specify the extent - wide local excision versus radical excision versus Mohs surgery versus lymph node dissection. Each matters significantly for rating purposes.

Scar Pain and Sensitivity

How to describe:

Describe the quality, frequency, and triggers of scar pain. Use specific language: burning, shooting, stabbing, hypersensitive to touch, pain with clothing contact, weather-related pain, or pain that wakes you at night. Indicate which scars are painful and how pain affects function.

Worst-day example:

“On my worst days, the scar on my neck from the lymph node dissection feels like it is on fire and tightens to the point where I cannot turn my head to check blind spots while driving. Even the collar of my shirt causes significant pain and I have to wear only soft V-neck shirts.”

What the examiner listens for:

Any scar that is painful on direct pressure or with movement, unstable, adherent, or causes functional limitation qualifies for rating under DCs 7804 or 7805. The examiner needs to document this to ensure it is captured in the DBQ.

Understatements to avoid:

Do not say 'my scar is fine' or 'it doesn't bother me much.' If it hurts at all - even occasionally - describe it accurately and completely. Understating scar pain is the single most common cause of underrating for this condition.

Disfigurement of Head, Face, or Neck

How to describe:

Describe the visual appearance and location of any disfigurement - skin discoloration, tissue loss, asymmetry, contracture, visible scarring, hair loss at the scar site, or changes in skin texture. Explain how the disfigurement affects your self-image, social interactions, and employment.

Worst-day example:

“The scar on my face from the Mohs surgery has left a visible depression and discoloration that causes strangers to stare. I avoid social situations because I am self-conscious. My supervisor commented on my appearance, and I have stopped attending client-facing meetings.”

What the examiner listens for:

The number and severity of disfiguring characteristics under DC 7800 - tissue loss, gross distortion, multiple scars, skin discoloration, or abnormal skin texture on the head, face, or neck. Each characteristic contributes to the rating percentage.

Understatements to avoid:

Do not minimize the cosmetic impact by saying 'it's not that bad.' Describe the objective appearance accurately and how it has changed your life. The examiner rates what they observe and what you report.

Functional Impairment from Treatment Residuals

How to describe:

Describe any loss of function caused by surgery, radiation, or chemotherapy - including limited range of motion from scar tissue, lymphedema, numbness from nerve damage, weakness in the affected limb or area, difficulty swallowing or speaking if head and neck were treated, or fatigue from ongoing treatment.

Worst-day example:

“After my radical neck dissection, I have persistent shoulder drop and weakness from spinal accessory nerve damage. I cannot raise my right arm above shoulder height, which prevents me from performing overhead work. I also have chronic lymphedema in my right arm that causes significant swelling and tightness every day.”

What the examiner listens for:

Any functional impairment that can be separately rated - shoulder weakness, limited cervical range of motion, lymphedema, neuropathy, or swallowing dysfunction. These may support additional ratings beyond the skin neoplasm itself.

Understatements to avoid:

Do not fail to mention functional limitations because you think they are 'separate' from the skin cancer. They are direct residuals of treatment and should be described in detail at this exam.

Recurrence, Metastasis, and Ongoing Surveillance

How to describe:

Describe your ongoing monitoring schedule, any history of local recurrence, regional lymph node involvement, or distant metastasis. Include dates of recurrence, retreatment, and current surveillance frequency. If you have been told you are cancer-free, say so - but also describe what monitoring you still undergo.

Worst-day example:

“My squamous cell carcinoma recurred twice - first in [year] and again in [year] - and on the second recurrence it had spread to two cervical lymph nodes, requiring a second neck dissection. I now see my oncologist every three months for surveillance, and each visit brings significant anxiety about recurrence.”

What the examiner listens for:

History of recurrence or metastasis is critical for determining whether the condition should still be rated at 100% or transitioned to a residuals-based evaluation. The examiner must document the current status accurately.

Understatements to avoid:

Do not omit prior recurrences or metastatic episodes. Each episode of recurrence or spread may restart the 100% evaluation period and affects the overall disability picture.

Common Mistakes to Avoid

Prep Checklist

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Before Your Exam

Day Of

During the Exam

After the Exam

Your Rights During a C&P Exam

  • You have the right to request that the C&P examination be recorded (audio or video) in most states. Notify the VA in writing before the exam that you intend to record. Check your state's consent laws - most require only one-party consent.
  • You have the right to bring a VSO representative, attorney, or claims agent to the examination as an observer.
  • You have the right to submit a buddy statement or personal statement describing your symptoms before or after the examination.
  • You have the right to request a copy of the completed Disability Benefits Questionnaire (DBQ) after the examination.
  • You have the right to submit additional medical evidence, including private medical opinions, to supplement or rebut the C&P examiner's findings.
  • You have the right to request a new or additional examination if you believe the original examination was inadequate, incomplete, or based on inaccurate information.
  • Under the PACT Act, certain malignant skin cancers may qualify as presumptive conditions for veterans exposed to burn pits, Agent Orange, radiation, or other toxic exposures. Ask your VSO if your cancer may qualify for presumptive service connection.
  • Per M21-1, each malignant skin neoplasm is considered a separate primary cancer entitled to its own separate rating - you have the right to have each diagnosed cancer evaluated individually.
  • A mandatory VA examination must occur six months after completion of antineoplastic treatment. You have the right to ensure this examination is scheduled and completed, as it determines your post-treatment residuals-based rating.
  • Per 38 CFR 3.105(e), any reduction in your disability rating following the six-month post-treatment mandatory examination is subject to specific procedural protections before the reduction becomes effective.
  • You have the right to a clear written notice from the VA explaining any rating decision, including the specific evidence and criteria used to make that decision.

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This C&P exam preparation guide is for educational purposes only and does not constitute legal, medical, or claims advice. Always consult with a qualified Veterans Service Organization (VSO) representative or VA-accredited attorney for guidance specific to your claim. Never exaggerate, minimize, or fabricate symptoms during a C&P examination.