Condition Rating Guides
Understand what the VA looks for at each rating level — loading conditions…
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Understand what the VA looks for at each rating level — loading conditions…
Oral symptoms of Sjogren's syndrome, an autoimmune condition that attacks moisture-producing glands. Causes severe chronic dry mouth (xerostomia), accelerated tooth decay, difficulty swallowing, and frequent oral infections. Rated based on the frequency and severity of oral symptoms.
The VA rates this condition based on how often symptoms occur and how severe each episode is. The examiner will ask about the frequency, duration, and intensity of your episodes, as well as how they affect your ability to work.
Diagnostic code
DC 9913
Rating range
0% – 30%
Rating levels
4
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.
You have extreme oral manifestations with near-complete absence of saliva, requiring constant management. You have lost multiple teeth, have chronic oral infections, and require a modified diet due to swallowing difficulty.
What the VA looks for
Conditions commonly associated with Sjogren's Syndrome (Oral Manifestations) or rated under the same body system.
Temporomandibular Joint Disorder (TMJ)
Loss of Teeth (Due to Bone Loss)
Jaw Fracture Residuals
Chronic Osteomyelitis of the Jaw
Nonunion of the Mandible
Loss of Hard Palate
Partial Loss of Mandible
Partial Loss of Maxilla