Oral Leukoplakia

DC 9913Dental/Oral38 CFR 4.150, DC 9913

White patches on the mucous membranes of the mouth that cannot be rubbed off, considered a potentially precancerous condition. The VA rates based on the extent of the lesions, whether biopsy shows dysplasia, and functional impact on the oral cavity.

How the VA rates this condition

The VA rates this condition based on objective clinical measurements and test results. The examiner will use standardized tests or lab values to determine the severity of your condition rather than relying primarily on subjective symptom reports.

Diagnostic code

DC 9913

Rating range

0% – 10%

Rating levels

Rating criteria are defined in 38 CFR 4.150, DC 9913. This guide presents a plain-language summary and is not a substitute for the full regulatory text. Always consult a VSO or VA-accredited attorney for case-specific advice.

Rating Levels

You have widespread leukoplakia or biopsy-confirmed dysplasia requiring ongoing monitoring and treatment. The patches may cause discomfort or mild difficulty eating.

What the VA looks for

Widespread leukoplakia patches documented
Or dysplasia confirmed on biopsy
Ongoing monitoring and treatment required
Discomfort or mild difficulty eating noted
Serial biopsy or imaging records on file

Common Pitfalls

⚠Not getting a biopsy to determine whether dysplasia is present — the distinction between simple leukoplakia and dysplastic leukoplakia significantly affects the rating and medical monitoring required.
⚠Not documenting the extent and location of all patches — photographs and detailed oral examination notes are important for establishing the scope of the condition.
⚠Not connecting to in-service tobacco use or chemical exposures — leukoplakia is strongly associated with tobacco and chemical irritants that may have been encountered during service.

Related DBQ Forms

DBQ Dental and Oral Conditions

View evidence checklist →See secondary conditions →

Condition Rating Guides

Understand what the VA looks for at each rating level — loading conditions…

How the VA rates this condition

Diagnostic code

DC 9913

Rating range

0% – 10%

Rating levels

Rating Levels

You have widespread leukoplakia or biopsy-confirmed dysplasia requiring ongoing monitoring and treatment. The patches may cause discomfort or mild difficulty eating.

What the VA looks for

Widespread leukoplakia patches documented
Or dysplasia confirmed on biopsy
Ongoing monitoring and treatment required
Discomfort or mild difficulty eating noted
Serial biopsy or imaging records on file

Common Pitfalls

⚠Not getting a biopsy to determine whether dysplasia is present — the distinction between simple leukoplakia and dysplastic leukoplakia significantly affects the rating and medical monitoring required.

⚠Not documenting the extent and location of all patches — photographs and detailed oral examination notes are important for establishing the scope of the condition.

⚠Not connecting to in-service tobacco use or chemical exposures — leukoplakia is strongly associated with tobacco and chemical irritants that may have been encountered during service.