Symblepharon — VA Rating Criteria (38 CFR DC 6091)

The VA rates Symblepharon under Diagnostic Code 6091 at the following tiers: 0%. The minimum 0% rating requires: Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with § 4.25. The maximum 0% rating requires: Evaluate under the General Rating Formula for Diseases of the Eye, lagophthalmos (diagnostic code 6022), disfigurement (diagnostic code 7800), etc., depending on the particular findings, and combine in accordance with § 4.25.

Diagnostic Code 6091 is the VA rating identifier for Symblepharon within 38 CFR 38 CFR § 4.79. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.

The maximum rating for Symblepharon is defined in 38 CFR Part 4 under DC 6091. See the rating tiers above for exact criteria.

Symblepharon is rated under 38 CFR 38 CFR § 4.79, Diagnostic Code 6091. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.

Secondary conditions caused or aggravated by Symblepharon may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.

Service connection for Symblepharon requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.