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4.118-X§4.118—Schedule of ratings–skin      4.118-X

Skin texture abnormal (irregular, atrophic, shiny, scaly, etc.) in

an area exceeding six square inches (39 sq. cm.).

Underlying soft tissue missing in an area exceeding six square

inches (39 sq. cm.).

Skin indurated and inflexible in an area exceeding six square

inches (39 sq. cm.).

Note (2): Rate tissue loss of the auricle under DC 6207 (loss of auricle) and anatomical loss of the eye under DC 6061 (anatomical loss of both eyes) or DC 6063 (anatomical loss of one eye), as appropriate.

Note (3): Take into consideration unretouched color photographs when evaluating under these criteria.

Note (4): Separately evaluate disabling effects other than disfigurement that are associated with individual scar(s) of the head, face, or neck, such as pain, instability, and residuals of associated muscle or nerve injury, under the appropriate diagnostic code(s) and apply § 4.25 to combine the evaluation(s) with the evaluation assigned under this diagnostic code.

Note (5): The characteristic(s) of disfigurement may be caused by one scar or by multiple scars; the characteristic(s) required to assign a particular evaluation need not be caused by a single scar in order to assign that evaluation.

With visible or palpable tissue loss and either gross distortion or

asymmetry of three or more features or paired sets of features

(nose, chin, forehead, eyes (including eyelids), ears (auricles),

cheeks, lips), or; with six or more characteristics of disfigurement80

7801  Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are deep and

nonlinear:

Area or areas of 144 square inches (929 sq. cm.) or    greater40

Area or areas of at least 72 square inches (465 sq. cm.) but less than

144 square inches (929 sq. cm.)30

Area or areas of at least 12 square inches (77 sq. cm.) but less than

72 square inches (465 sq. cm.)20

Area or areas of at least 6 square inches (39 sq. cm.) but less than

12 square inches (77 sq. cm.)10

Note (1): A deep scar is one associated with underlying soft tissue damage.

Note (2): If multiple qualifying scars are present, or if a single qualifying scar affects more than one extremity, or a single qualifying scar affects one or more extremities and either the anterior portion or posterior portion of the trunk, or both, or a single qualifying scar affects both the anterior portion and the posterior portion of the trunk, assign a separate evaluation for each affected extremity based on the total area of the qualifying scars that affect that extremity, assign a separate evaluation based

(No. 51  2/5/12)

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