{"data":{"id":"us/38-cfr-4.150","jurisdiction":"us","citation":"38 CFR 4.150","heading":"Schedule of ratings—dental and oral conditions.","body":"Rating\nNote (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\nNote (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\n9900 Maxilla or mandible, chronic osteomyelitis, osteonecrosis or osteoradionecrosis of:\nRate as osteomyelitis, chronic under diagnostic code 5000.\n9901 Mandible, loss of, complete, between angles 100\n9902 Mandible, loss of, including ramus, unilaterally or bilaterally:\nLoss of one-half or more,\nInvolving temporomandibular articulation\nNot replaceable by prosthesis 70\nReplaceable by prosthesis 50\nNot involving temporomandibular articulation.\nNot replaceable by prosthesis 40\nReplaceable by prosthesis 30\nLoss of less than one-half,\nInvolving temporomandibular articulation.\nNot replaceable by prosthesis 70\nReplaceable by prosthesis 50\nNot involving temporomandibular articulation.\nNot replaceable by prosthesis 20\nReplaceable by prosthesis 10\n9903 Mandible, nonunion of, confirmed by diagnostic imaging studies:\nSevere, with false motion 30\nModerate, without false motion 10\n9904 Mandible, malunion of:\nDisplacement, causing severe anterior or posterior open bite 20\nDisplacement, causing moderate anterior or posterior open bite 10\nDisplacement, not causing anterior or posterior open bite 0\n9905 Temporomandibular disorder (TMD):\nInterincisal range:\n0 to 10 millimeters (mm) of maximum unassisted vertical opening.\nWith dietary restrictions to all mechanically altered foods 50\nWithout dietary restrictions to mechanically altered foods 40\n11 to 20 mm of maximum unassisted vertical opening.\nWith dietary restrictions to all mechanically altered foods 40\nWithout dietary restrictions to mechanically altered foods 30\n21 to 29 mm of maximum unassisted vertical opening.\nWith dietary restrictions to full liquid and pureed foods 40\nWith dietary restrictions to soft and semi-solid foods 30\nWithout dietary restrictions to mechanically altered foods 20\n30 to 34 mm of maximum unassisted vertical opening.\nWith dietary restrictions to full liquid and pureed foods 30\nWith dietary restrictions to soft and semi-solid foods 20\nWithout dietary restrictions to mechanically altered foods 10\nLateral excursion range of motion:\n0 to 4 mm 10\nNote (1): Ratings for limited interincisal movement shall not be combined with ratings for limited lateral excursion\nNote (2): For VA compensation purposes, the normal maximum unassisted range of vertical jaw opening is from 35 to 50 mm\nNote (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\n9908 Condyloid process, loss of, one or both sides 30\n9909 Coronoid process, loss of:\nBilateral 20\nUnilateral 10\n9911 Hard palate, loss of:\nLoss of half or more, not replaceable by prosthesis 30\nLoss of less than half, not replaceable by prosthesis 20\nLoss of half or more, replaceable by prosthesis 10\nLoss of less than half, replaceable by prosthesis 0\n9913 Teeth, loss of, due to loss of substance of body of maxilla or mandible without loss of continuity:\nWhere the lost masticatory surface cannot be restored by suitable prosthesis:\nLoss of all teeth 40\nLoss of all upper teeth 30\nLoss of all lower teeth 30\nAll upper and lower posterior teeth missing 20\nAll upper and lower anterior teeth missing 20\nAll upper anterior teeth missing 10\nAll lower anterior teeth missing 10\nAll upper and lower teeth on one side missing 10\nWhere the loss of masticatory surface can be restored by suitable prosthesis 0\nNote—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\n9914 Maxilla, loss of more than half:\nNot replaceable by prosthesis 100\nReplaceable by prosthesis 50\n9915 Maxilla, loss of half or less:\nLoss of 25 to 50 percent:\nNot replaceable by prosthesis 40\nReplaceable by prosthesis 30\nLoss of less than 25 percent:\nNot replaceable by prosthesis 20\nReplaceable by prosthesis 0\n9916 Maxilla, malunion or nonunion of:\nNonunion,\nWith false motion 30\nWithout false motion 10\nMalunion,\nWith displacement, causing severe anterior or posterior open bite 30\nWith displacement, causing moderate anterior or posterior open bite 10\nWith displacement, causing mild anterior or posterior open bite 0\nNote: 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\n9917 Neoplasm, hard and soft tissue, benign:\nRate as loss of supporting structures (bone or teeth) and/or functional impairment due to scarring.\n9918 Neoplasm, hard and soft tissue, malignant 100\nNote: 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","path":["Title 38—Pensions, Bonuses, and Veterans' Relief","CHAPTER I—DEPARTMENT OF VETERANS AFFAIRS","PART 4—SCHEDULE FOR RATING DISABILITIES","Subpart B—Disability Ratings"],"source_url":"https://www.ecfr.gov/api/versioner/v1/full/2026-08-25/title-38.xml","current_through":"2026-08-25","vintage":"","retrieved_at":"2026-08-27T02:25:50Z","sha256":"482f8d19c0a4c93f0a9c1ae1d65519d7c7eaccc144f0e5374cfacb2933af3582","source_id":"us-cfr","stale":true,"prev":"us/38-cfr-4.149","next":"us/38-cfr-appendix-a-to-part-4"},"notice":"GroundRules: Original legal text. Not legal advice."}
