This guide covers how the VA actually rates cancer under diagnostic code varies / 7528 — the criteria the rater applies, the evidence that carries weight, and the related conditions veterans most often leave unclaimed. It's the same playbook our own case managers work from.
How the VA rates it
ACTIVE cancer rates 100% automatically, continuing 6 months past the end of treatment. After that, residuals rate on their own codes (surgical, urinary, respiratory, scarring). Remission does NOT mean the claim is over — the residuals are the long game.
Honest ceiling: active cancer rates 100% automatically; residuals rate after treatment.
The evidence that wins
Service connection: PACT ACT: long presumptive list from burn pits (respiratory, head/neck, GU, lymphoma). AGENT ORANGE: prostate, lung, bladder, leukemias, more. Radiation-exposed vets have their own list.
Medical opinion (nexus): Usually NOT needed — check the presumptive lists before anything else.
Filing it right the first time
Most denials on cancer claims trace to the same failures: the evidence never addressed the actual rating criteria, the connection to service was asserted instead of supported, or the C&P exam went sideways because nobody prepared for it. A complete file — records, statements written to the criteria above, and honest exam preparation — is the difference.
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