VA Disability Rating for Total Laryngectomy (DC 6518)
Diagnostic Code 6518 · 38 CFR §4.97
What Is It?
A total laryngectomy is the complete surgical removal of the larynx (voice box), typically performed to treat laryngeal cancer. After this surgery, the person breathes through a permanent stoma (opening) in the neck rather than through the nose and mouth, and loses their natural voice entirely. Veterans who develop laryngeal cancer related to military exposures such as asbestos, Agent Orange, burn pits, or other toxic substances may need this surgery. The VA automatically assigns a 100 percent disability rating for total laryngectomy.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Total laryngectomy is rated at 100 percent. This rating is permanent. |
Evidence Needed
- Surgical operative report documenting the total laryngectomy
- Pathology report confirming the reason for surgery (typically cancer)
- Evidence connecting the cancer to military service — toxic exposure records, deployment history
- Post-surgical treatment records showing the permanent stoma and voice rehabilitation efforts
C&P Exam Tips
- This is a straightforward claim — the surgery itself qualifies for 100 percent
- Focus your evidence on establishing the service connection for the cancer that led to the surgery
- Bring the operative report and pathology report to the exam
- Report any additional complications such as swallowing difficulty, breathing problems, or surgical complications
How to File
File on VA Form 21-526EZ with surgical records, pathology reports, and evidence of service-connected exposure that caused the cancer. Also apply for Special Monthly Compensation for loss of a creative organ.
Common Mistakes
Not claiming Special Monthly Compensation Total laryngectomy qualifies for SMC for loss of a creative organ, which provides additional monthly compensation beyond the 100 percent rate. Not establishing the toxic exposure connection Link the cancer to specific military exposures: asbestos in ships, burn pits, Agent Orange, industrial chemicals. PACT Act claims may apply.
Frequently Asked Questions
Is a total laryngectomy always rated at 100 percent?
Yes. Total laryngectomy receives an automatic, permanent 100 percent rating.
What is Special Monthly Compensation for this?
SMC provides additional payment beyond the 100 percent rate for loss of a creative organ. The larynx is considered a creative organ because it produces speech.
Can PACT Act claims cover laryngeal cancer?
Yes. If your laryngeal cancer is related to burn pit exposure, toxic substances, or other PACT Act covered exposures, you may qualify for presumptive service connection.