VA Disability Rating for Tongue Loss (DC 7202)
Diagnostic Code 7202 · 38 CFR §4.114
What Is It?
This code covers partial or complete loss of the tongue from combat injuries, surgical removal (often for cancer), or trauma during military service. The tongue is essential for chewing, swallowing, tasting, and speaking. Even partial loss can significantly impair all of these functions. Veterans who lose tongue tissue due to service-related injuries or cancer treatment may qualify for substantial disability compensation.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Complete loss of the tongue with inability to communicate by speech. |
| 60% | Loss of half or more of the tongue with severe impairment of chewing, swallowing, and speech. |
| 30% | Loss of less than half of the tongue with moderate functional impairment. |
Evidence Needed
- Surgical records documenting the extent of tissue removed
- Current oral examination showing residual tongue anatomy
- Speech pathology evaluation documenting communication impairment
- Swallowing study if dysphagia is present
- Service connection evidence — injury records or cancer linked to service exposures
C&P Exam Tips
- The examiner needs to document exactly how much tongue tissue is missing
- Get a speech pathology evaluation to document speech impairment
- Describe all functional impacts: eating, tasting, speaking, swallowing
- If you use assistive devices for communication, report this
How to File
File on VA Form 21-526EZ with surgical records, speech evaluation, and swallowing study. Apply for SMC for loss of a creative organ.
Common Mistakes
Not claiming Special Monthly Compensation The tongue is considered a creative organ. Loss of tongue may qualify for additional monthly SMC payment.
Frequently Asked Questions
Does loss of tongue qualify for SMC?
Yes. The tongue is considered a creative organ for speech purposes, and its loss may qualify for Special Monthly Compensation in addition to the regular disability rating.