Squamous Cell Carcinoma (SCC) is one of the most common skin cancers affecting veterans, particularly those who served in environments with prolonged sun exposure or hazardous conditions. The VA recognizes SCC as a compensable condition and evaluates it under 38 CFR § 4.118, the General Rating Formula for the Skin.
Understanding how the VA rates squamous cell carcinoma, when a 100% rating applies, and how to properly document your condition can make a significant difference in the outcome of your claim.
“Skin cancers are often underestimated in VA claims, but when documented correctly, they can result in substantial compensation,” said Brian Reese, VA disability expert. “The key is showing treatment intensity and functional impact.”
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How the VA Rates Squamous Cell Carcinoma?
The VA assigns disability ratings for squamous cell carcinoma based on:
- Whether the cancer is actively malignant
- The percentage of the body or exposed areas affected
- The type and duration of treatment
- Any residual symptoms after treatment ends
If the cancer is actively malignant, it is rated under Diagnostic Code 7819.
If it is no longer active, it falls under Diagnostic Code 7818.
Regardless of the diagnostic code, the General Rating Formula for the Skin applies.
“Veterans are often surprised to learn that even after cancer treatment ends, residual scarring and skin damage can still qualify for ongoing compensation,” explained Reese.
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Overview: VA Ratings for Squamous Cell Carcinoma
| VA Rating | Criteria |
|---|---|
| 100% | Active cancer requiring chemotherapy, radiotherapy, or extensive surgery |
| 60% | Over 40% of body or exposed areas affected, or constant systemic therapy |
| 30% | 20%–40% of body or exposed areas affected, or systemic therapy 6+ weeks |
| 10% | 5%–20% of body or exposed areas affected, or short-term systemic therapy |
| 0% | Less than 5% affected, topical treatment only |
What Is Squamous Cell Carcinoma?
Squamous Cell Carcinoma is a cancer of the squamous cells, which make up most of the epidermis. It is the second most common form of skin cancer, following basal cell carcinoma.
Key Characteristics
- Appearance: Firm red nodules, scaly patches, non-healing sores, or growths on scars
- Common Locations: Face, ears, neck, lips, scalp, and hands
- Growth Pattern: Typically slow-growing, but potentially invasive if untreated
- Diagnosis: Confirmed via biopsy
- Treatment: Surgery, radiation, topical therapies, cryotherapy, or Mohs surgery
“Veterans who spent years in direct sunlight without adequate protection are especially vulnerable,” said Reese, “and many don’t develop symptoms until decades after service.”
Establishing Service Connection for Squamous Cell Carcinoma
To receive VA disability compensation, veterans must prove service connection, which includes four elements.
1. Current Diagnosis
You must have a documented medical diagnosis of squamous cell carcinoma from a qualified provider.
2. In-Service Event or Exposure
This may include:
- Prolonged sun exposure during deployment
- Chemical or radiation exposure
- Environmental hazards related to service
3. Nexus (Medical Link)
A Nexus Letter from a medical professional must explain how service exposure “at least as likely as not” caused or aggravated SCC.
“A well-written nexus letter is often the missing link in denied claims,” Reese noted.
4. Severity of Symptoms
You must document:
- Body area affected
- Treatment duration
- Functional and cosmetic impact
- Ongoing residuals such as scarring or pain
Secondary Service Connection for Squamous Cell Carcinoma
SCC can also be claimed secondary to another service-connected condition, including:
- PTSD or depression, which can weaken immune function
- Autoimmune disorders treated with immunosuppressants
- Chronic skin conditions like psoriasis requiring phototherapy
- Immunosuppressive medications
- Environmental toxin exposure
- Chronic inflammatory diseases
“Secondary service connection is an overlooked strategy, especially for veterans already rated for mental health or autoimmune conditions,” explained Reese.
VA Rating Levels Explained in Detail
100% VA Rating for Squamous Cell Carcinoma
Assigned when SCC requires:
- Chemotherapy
- Extensive radiation
- Major surgery beyond local excision
The 100% rating remains in place during treatment and for at least six months afterward, pending re-evaluation.
60% Rating
Applies when:
- More than 40% of the body or exposed areas are affected
- Constant or near-constant systemic therapy is required
30% Rating
Assigned for:
- 20%–40% body or exposed area involvement
- Systemic therapy lasting six weeks or more
10% Rating
Applies to:
- 5%–20% of body or exposed areas
- Short-term systemic treatment
0% Rating
Used when:
- Less than 5% affected
- Only topical treatment is required
How to Get a 100% VA Rating for Skin Cancer?
A 100% rating is granted when treatment resembles that of systemic malignancies.
Qualifying Treatments
- Systemic chemotherapy
- Extensive radiation therapy
- Major surgical intervention
Post-Treatment Reevaluation
- Mandatory VA exam occurs six months after treatment ends
- If no recurrence exists, rating is adjusted based on residuals
“Many veterans panic when they see a proposed reduction,” Reese said, “but residual ratings can still provide meaningful compensation.”
VA Compensation Rates for Squamous Cell Carcinoma
| Rating | Monthly Compensation (Veteran Alone) |
|---|---|
| 0% | $0 |
| 10% | $171.23 |
| 30% | $524.31 |
| 60% | $1,361.88 |
| 100% | $3,737.85 |
These amounts are tax-free and increase with dependents.
Pro Tips for Winning a Squamous Cell Carcinoma Claim
- Upload photos of affected skin
- Document treatment duration and intensity
- Track recurrence or residual scarring
- Attend all follow-up VA exams
- Claim secondary conditions and residuals separately
“Photos and treatment records often make the difference between a 10% and a 60% rating,” said Reese.
Final Thought
Squamous Cell Carcinoma is a serious and compensable condition under VA law. With proper documentation, veterans may qualify for ratings ranging from 0% to 100%, depending on treatment and severity.
“Veterans earned these benefits through service,” Brian Reese emphasized. “The key is understanding how the VA evaluates skin cancers and building your claim strategically.”
FAQs
Can squamous cell carcinoma be rated at 100%?
Yes, if it requires chemotherapy, radiation, or extensive surgery.
Does the rating continue after treatment ends?
The 100% rating continues for at least six months, then residuals are evaluated.
Can scarring be rated separately?
Yes, scars and functional limitations may receive separate ratings.
Is SCC presumptive for veterans?
It can be presumptive if linked to certain exposures, depending on service history.
Do dependents increase compensation?
Yes, veterans with dependents receive higher monthly payments.
