Do not grant service connection (SC) for b. SC for Male Pattern Baldness or male pattern baldness, or Androgenetic androgenetic alopecia. Alopecia VA classifies conditions as congenital or developmental Note: abnormalities. While SC is not warranted for alopecia of androgenetic origin, Important: VA recognizes hair loss due to scarring alopecia and alopecia areata under , as disabilities for which SC is warranted if first manifest in service. For more information on congenital or developmental Reference: abnormalities, see , and M21-1, Part IV, Subpart ii, 2.B.6. c. Assigning Assign separate evaluations for Multiple Evaluations complete loss of the eyebrows and eyelashes due to injury, burns, or local Due to Hair disease under Loss complete loss of the eyelashes due to injury, burns, or local disease under , and loss of all body hair due to alopecia areata or an analogous condition under . d. Applying When offers variable methods to evaluate a skin condition, assign a single Alternative evaluation using the criteria that results in the highest rating. Rating Criteria in Evaluating Under DC 7806, dermatitis is to be rated based on either skin Example: Skin Conditions involvement/type of treatment or as disfigurement of the head, face, or neck or scars, depending upon the predominant disability. For examination findings of dermatitis involving at least 5 percent, but less than 20 percent, of the entire body (a 10 percent evaluation under DC 7806) and scarring that is noncompensable under DCs 7800 through 7805, a single evaluation of 10 percent is warranted under DC 7806. Assigning an evaluation for dermatitis based on percentage of involvement of the entire body and a separate evaluation based on the residual scarring amounts to pyramiding. For more information on avoidance of pyramiding, see . Reference: The bilateral factor under only applies to skin conditions rated based on the e. Application of the Bilateral skin evaluation criteria under , as the evaluation criteria and notes provided by Factor to these DCs specifically address entitlement to separate evaluations for multiple Evaluations for extremity involvement. The bilateral factor may also be for application for Skin Conditions conditions rated under a DC with evaluation criteria not considering skin to Include involvement (such as when the predominant disability is that pertaining to Scarring
b. SC for Male Pattern Baldness or Androgenetic Alopecia Do not grant service connection (SC) for male pattern baldness, or androgenetic alopecia. Note: VA classifies conditions as congenital or developmental abnormalities. Important: While SC is not warranted for alopecia of androgenetic origin, VA recognizes hair loss due to scarring alopecia and alopecia areata under , as disabilities for which SC is warranted if first manifest in service. Reference: For more information on congenital or developmental abnormalities, see , and M21-1, Part IV, Subpart ii, 2.B.6. c. Assigning Multiple Evaluations Due to Hair Loss Assign separate evaluations for complete loss of the eyebrows and eyelashes due to injury, burns, or local disease under complete loss of the eyelashes due to injury, burns, or local disease under , and loss of all body hair due to alopecia areata or an analogous condition under . d. Applying Alternative Rating Criteria in Evaluating Skin Conditions When offers variable methods to evaluate a skin condition, assign a single evaluation using the criteria that results in the highest rating. Example: Under DC 7806, dermatitis is to be rated based on either skin involvement/type of treatment or as disfigurement of the head, face, or neck or scars, depending upon the predominant disability. For examination findings of dermatitis involving at least 5 percent, but less than 20 percent, of the entire body (a 10 percent evaluation under DC 7806) and scarring that is noncompensable under DCs 7800 through 7805, a single evaluation of 10 percent is warranted under DC 7806. Assigning an evaluation for dermatitis based on percentage of involvement of the entire body and a separate evaluation based on the residual scarring amounts to pyramiding. Reference: For more information on avoidance of pyramiding, see . e. Application of the Bilateral Factor to Evaluations for Skin Conditions to Include Scarring The bilateral factor under only applies to skin conditions rated based on the skin evaluation criteria under , as the evaluation criteria and notes provided by these DCs specifically address entitlement to separate evaluations for multiple extremity involvement. The bilateral factor may also be for application for conditions rated under a DC with evaluation criteria not considering skin involvement (such as when the predominant disability is that pertaining to
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