Skin cancer is one of the most common medical conditions affecting veterans, especially those who served in sun-intense or hazardous environments. Among these conditions, basal cell carcinoma stands out as the most frequently diagnosed form of skin cancer.
For veterans, a basal cell carcinoma diagnosis may qualify for VA disability compensation, but the rating system is often misunderstood. Many assume any cancer diagnosis automatically leads to high compensation, yet the VA evaluates basal cell carcinoma under specific rules that depend on treatment type, body coverage, and symptom severity.
Understanding how the VA rates basal cell carcinoma can help veterans file stronger claims and avoid unnecessary denials or underratings.
What Is Basal Cell Carcinoma?
Basal cell carcinoma (BCC) is a form of skin cancer that develops in the basal cells, which are found in the deepest layer of the epidermis. It most commonly appears on areas frequently exposed to sunlight, including the face, neck, scalp, ears, shoulders, and arms.
BCC often presents as a shiny bump, a persistent sore that does not heal, a red patch, or a scar-like lesion. While it rarely spreads to distant organs, it can grow deeper into tissue and cause disfigurement or functional damage if left untreated.
“Basal cell carcinoma is usually slow-growing, but untreated lesions can become destructive,” explained Dr. Karen Mills, a board-certified dermatologist who frequently evaluates veterans.
How the VA Rates Basal Cell Carcinoma?
The VA evaluates basal cell carcinoma under 38 CFR § 4.118, using the General Rating Formula for the Skin. Ratings are based on how much of the body is affected and what type of treatment is required.
If the cancer is actively malignant, it is rated under Diagnostic Code 7819. If it is no longer malignant, it is rated under Diagnostic Code 7818. Regardless of the diagnostic code, the same rating formula applies.
Key Feature: Temporary 100% Rating
If basal cell carcinoma requires surgery, chemotherapy, or radiation, the VA assigns a temporary 100% disability rating during active treatment.
“The VA focuses more on treatment intensity than the cancer label itself,” said James Holloway, a former VA Rating Veterans Service Representative.
Basal Cell Carcinoma VA Rating Overview
| VA Rating | Criteria Used by the VA |
|---|---|
| 100% | Active cancer requiring surgery, chemotherapy, or radiation therapy |
| 60% | More than 40% of the body or exposed areas affected, or constant systemic therapy |
| 30% | 20%–40% of the body or exposed areas affected, or systemic therapy for 6+ weeks |
| 10% | 5%–20% of body or exposed areas affected, or intermittent systemic therapy |
| 0% | Less than 5% affected, topical treatment only |
Eligibility Rules for VA Disability Compensation
To qualify for VA disability compensation for basal cell carcinoma, veterans must meet three core requirements:
- A current or prior diagnosis of basal cell carcinoma
- Evidence of an in-service event, exposure, or condition
- A medical nexus linking service to the cancer
Sun exposure during deployments, radiation exposure, and chemical contact are common service-related risk factors used in successful claims.
“Veterans often underestimate how valuable service history statements are when medical records are incomplete,” noted Laura Benton, an accredited VA claims agent.
Benefits of a Basal Cell Carcinoma VA Rating
VA disability compensation offers several important benefits to veterans diagnosed with basal cell carcinoma:
- Monthly tax-free compensation
- Eligibility for a temporary 100% rating during treatment
- Access to VA healthcare for ongoing skin monitoring
- Potential separate ratings for scars or disfigurement
- Increased compensation when combined with other service-connected conditions
Even a 0% rating can still establish service connection, which protects future claims if the cancer returns or worsens.
Payment and Compensation Details 2026 Estimates
| VA Rating | Monthly Compensation (Veteran Alone) |
|---|---|
| 0% | $0 |
| 10% | $171.23 |
| 30% | $524.31 |
| 60% | $1,361.88 |
| 100% | $3,737.85 |
“Because VA compensation is tax-free, the real value of higher ratings is often underestimated,” explained financial analyst Robert Chen, who specializes in veteran benefits.
Comparison: Active vs Inactive Basal Cell Carcinoma
| Status | How the VA Evaluates It |
|---|---|
| Active cancer | Temporary 100% rating during treatment |
| Inactive, residual lesions | Rated based on body coverage and therapy |
| Post-treatment scars | May qualify for separate ratings |
Recent VA Rating Trends and Updates
In recent years, the VA has placed stronger emphasis on photographic evidence, treatment documentation, and post-treatment follow-up exams. Veterans who submit photos and surgical records tend to receive faster and more accurate ratings.
Mandatory follow-up examinations are usually scheduled six months after treatment ends, at which point the VA may reduce the rating if the cancer is no longer active.
Why This Rating Matters for Veterans?
For many veterans, basal cell carcinoma is not a one-time diagnosis. Recurrent lesions, surgical scars, and cosmetic or functional impairment can affect daily life long after treatment ends.
A properly rated claim ensures veterans receive fair compensation not only during cancer treatment but also for long-term residual effects.
FAQs
Can basal cell carcinoma receive a 100% VA rating?
Yes. A temporary 100% rating applies during active treatment involving surgery, chemotherapy, or radiation.
Is basal cell carcinoma a presumptive VA condition?
No, but veterans can still establish service connection through documented exposures during service.
Are scars rated separately?
Yes. Scars and disfigurement may qualify for additional VA ratings.
Should photos be submitted with a claim?
Yes. Photos help demonstrate lesion size, location, and severity.
Can basal cell carcinoma be claimed as secondary?
Yes. It may be secondary to PTSD, autoimmune disorders, or immunosuppressive therapy.
