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    ★ Rating percentages & 2026 pay

    VA Rating for Head & Neck Cancer

    PACT Act presumptive (38 CFR § 3.320); rated under 38 CFR § 4.97 / § 4.114 depending on site

    Last updated: August 2026

    Every percentage, and what it pays in 2026

    Household
    Rating percentages, the criteria each one requires, and the 2026 monthly payment
    Rating2026 monthlyWhat that level generally requires
    100%$3,939/moActive malignancy and for 6 months following completion of treatment.
    VariableAfter 6 months: rated on residuals (voice, swallowing, breathing, scarring, disfigurement).

    Criteria paraphrased from PACT Act presumptive (38 CFR § 3.320); rated under 38 CFR § 4.97 / § 4.114 depending on site. Rates are the published 2026 schedule (effective December 1, 2025, 2.8% COLA) and are shown for reference only — they are not an estimate of what any individual claim will pay. 10% and 20% pay a flat amount with no dependent increase.

    What it adds to your existing rating

    Combine it with your current rating

    VA does not add ratings together — it combines them on a "whole person" basis under 38 CFR § 4.25, then rounds to the nearest 10.

    Combined
    60%
    Before
    $1,133/mo
    After
    $1,435/mo

    Illustrative math on the published 2026 rate schedule for a veteran with no dependents. It is not a prediction, an estimate of your claim, or a statement that any rating is achievable.

    Why a rating lands lower than the records suggest

    • The exam captured a good day. Ratings are built from what the C&P examiner recorded. If flare-ups, fatigue, or repeated-use loss were not documented, they were not rated — 38 CFR § 4.40 and § 4.45 require them to be considered when they are in the record.
    • The criteria were read as a checklist. Under 38 CFR § 4.7, when the disability picture more nearly approximates the higher level, the higher level applies. A partially-met tier is not automatically the lower tier.
    • Secondary conditions were never claimed. A separately ratable secondary condition adds to the combined rating; it does not raise this diagnostic code's percentage.
    • Pyramiding was applied too broadly. 38 CFR § 4.14 bars rating the same symptom twice — it does not bar rating distinct manifestations under different codes.

    For the full evidence checklist, C&P exam detail, and secondary pathways, read the complete Head & Neck Cancer claim guide.

    Common questions

    What is the highest VA rating for Head & Neck Cancer?

    The schedular maximum under PACT Act presumptive (38 CFR § 3.320); rated under 38 CFR § 4.97 / § 4.114 depending on site is 100%. A higher combined rating is possible when other service-connected conditions, secondary conditions, or an extraschedular or TDIU pathway apply, but those are separate determinations.

    How much does a 100% rating pay in 2026?

    $3,939 per month for a veteran with no dependents, under the rate schedule effective December 1, 2025 (2.8% COLA). Ratings of 30% and above increase with dependents.

    Can Head & Neck Cancer be rated at 0%?

    Yes. VA can grant service connection and assign a noncompensable (0%) rating when the condition is established but the findings do not meet the criteria for a compensable level. A 0% rating still preserves the effective date and can be increased later if the condition worsens.

    Are head and neck cancers PACT Act presumptive?

    Head and neck cancer of any type is included in the PACT Act presumptive list for veterans with qualifying toxic-exposure service.

    Should hypothyroidism after radiation be a separate claim?

    It is a distinct disability with its own criteria under 38 CFR § 4.119 and is commonly evaluated separately as a residual of treatment.

    Think your Head & Neck Cancer rating is too low?

    Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. No fee unless past-due benefits are awarded on an appeal.

    Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.

    Ready to Discuss Your Case?

    Reach out for a free consultation. We'll review your situation and discuss how Oakridge Claims can help.