Dental and Oral Conditions§ 4.150Updated
Rating criteria

VA Diagnostic Code 9914Maxilla, loss of more than half

Rated from 50% to 100% under § 4.150. Here is what the VA requires at each level.

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What each rating requires

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  1. 100%

    Not replaceable by prosthesis

  2. 50%

    Replaceable by prosthesis

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note (1): For VA compensation purposes, diagnostic imaging studies include, but are not limited to, conventional radiography (X-ray), computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), radionuclide bone scanning, or ultrasonography
  • Note (2): Separately evaluate loss of vocal articulation, loss of smell, loss of taste, neurological impairment, respiratory dysfunction, and other impairments under the appropriate diagnostic code and combine under § 4.25 for each separately rated condition

Maxilla, Loss of More Than Half (Diagnostic Code 9914)

VA Dental and Oral Conditions — Rated under 38 CFR § 4.150

Understanding This Condition

The maxilla is the upper jawbone that supports the upper teeth and forms part of the structure of the face and mouth. This rating category applies when more than half of the maxilla has been lost. Because the upper jaw plays a role in eating, speaking, and facial structure, its loss can affect daily functioning in meaningful ways.

Under Diagnostic Code 9914, the VA evaluates this condition based on whether the lost portion of the maxilla can be replaced by a prosthesis.

Available Rating Levels

The VA uses two rating levels for loss of more than half of the maxilla:

RatingCriteria
100%The loss is not replaceable by prosthesis
50%The loss is replaceable by prosthesis

What the VA Looks For

When rating this condition, the VA focuses on the key factor of whether the affected portion of the maxilla can or cannot be replaced by a prosthesis, which determines placement at the 50% or 100% level.

Diagnostic imaging. For VA compensation purposes, diagnostic imaging studies may be used to evaluate this condition. These studies include, but are not limited to:

  • Conventional radiography (X-ray)
  • Computed tomography (CT)
  • Magnetic resonance imaging (MRI)
  • Positron emission tomography (PET)
  • Radionuclide bone scanning
  • Ultrasonography

Related impairments evaluated separately. The VA separately evaluates the following impairments under the appropriate diagnostic code and combines them under § 4.25 for each separately rated condition:

  • Loss of vocal articulation
  • Loss of smell
  • Loss of taste
  • Neurological impairment
  • Respiratory dysfunction
  • Other impairments

This means that certain associated effects may be considered under their own diagnostic codes in addition to the rating for the maxilla itself.

These criteria are a rendering of § 4.150, diagnostic code 9914. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 9914 and attach the evidence for the level you are asking for. Other Dental and Oral Conditions codes may cover your secondary conditions.

Find out which rating your evidence supports.

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