100% (DC 9901/9914/9918)
Highest listed pathwayComplete loss of the mandible between the angles (DC 9901); loss of more than half the maxilla, not replaceable by prosthesis (DC 9914); or a malignant oral neoplasm (DC 9918).
What separates the next level: DC 9914's 100 percent tier drops to 50 percent if the same extent of maxilla loss is replaceable by prosthesis -- the prosthesis-replaceability axis directly changes the percentage.
Review CFR criteria, examples, and evidence
- Official CFR language
- 9901 Mandible, loss of, complete, between angles -- 100. 9914 Maxilla, loss of more than half: Not replaceable by prosthesis -- 100. 9918 Neoplasm, hard and soft tissue, malignant -- 100.
- Qualification explanation
- Three independent codes each reach the range's 100 percent ceiling through entirely different findings -- complete mandible loss, non-replaceable extensive maxilla loss, or a malignant diagnosis.
- Examples
- Records document complete loss of the mandible between the angles following traumatic injury.; Records document a confirmed malignant neoplasm of the oral hard or soft tissue.
- Medical evidence
- Dental and Oral Conditions DBQ; Surgical or oncology records confirming the diagnosis and extent
- Functional impact examples
- Complete loss of mandible structure, extensive non-replaceable maxilla loss, or a malignant oral diagnosis.
- Common misconceptions
- DC 9918 is the only malignancy code in this range, and its ceiling -- there is no separate scale for oral malignancy severity.; DC 9918's own Note states the 100 percent rating is not simply permanent: it continues through treatment, and a mandatory VA examination six months after treatment ends determines the disability rating going forward (any resulting change is subject to 38 CFR 3.105(e) due-process protections). If there has been no local recurrence or metastasis, the veteran is then rated on residuals such as loss of supporting structures or scarring.
- Related topics
- prosthesis-axis
- Source context
- 38 CFR 4.150; 9901/9914/9918; Current DC 9900-9918 educational pathway. No pending rulemaking touches 38 CFR 4.150 (RSCH-047, confirmed via fresh verbatim fetch during this build).