Diagnostic Code 7804 · 38 CFR §4.118
DC 7804 rates scars that are painful on examination or unstable (meaning they frequently lose their covering of skin, forming open wounds or scabs). This code applies to scars anywhere on the body and is rated based on the number of qualifying scars. It is one of the most commonly claimed scar codes because many service-connected scars remain painful long after healing. A scar can qualify under this code in addition to other scar codes, allowing veterans to receive multiple scar ratings.
| Rating | Criteria |
|---|---|
| 10% | One or two scars that are unstable (frequent loss of covering of skin over the scar) or painful. |
| 20% | Three or four scars that are unstable or painful. |
| 30% | Five or more scars that are unstable or painful. A scar that is BOTH unstable AND painful is rated separately, with the table value increased by 10% per such scar. |
A physical examination documenting which scars are painful to touch is the primary evidence. For unstable scars, photographs showing the breakdown and records of treatment for open wounds demonstrate the instability. Medical records showing ongoing treatment for scar pain support the claim. Service treatment records connecting the scars to in-service injuries establish the nexus.
Yes. DC 7801 rates the area of deep scars, while DC 7804 rates the pain and instability of those same scars. These are separate evaluations and you are entitled to both. Make sure your claim lists both diagnostic codes.
If a single scar is both painful to touch and unstable (frequently breaking open), it counts as two scars for the purpose of DC 7804 rating. So if you have three scars that are all both painful and unstable, they count as six qualifying scars, giving you the maximum 30% rating under this code.