Psoriasis
Psoriasis is a VA-ratable condition under diagnostic code 7816 in the Skin category. Maximum rating: 60%.
Skin Condition Rating Reference
Body Surface Area - Rule of Nines
Source: 38 CFR § 4.118 - Schedule of Skin Ratings
Rating Criteria
| Rating | Criteria |
|---|---|
| 60% | More than 40 percent of the entire body or more than 40 percent of exposed areas affected, OR constant or near-constant systemic therapy such as corticosteroids, phototherapy, retinoids, biologics, or other immunosuppressive drugs required during the past 12-month period |
| 30% | 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected, OR systemic therapy such as corticosteroids, phototherapy, retinoids, biologics, or other immunosuppressive drugs required for a total duration of six weeks or more, but not constantly, during the past 12-month period |
| 10% | At least 5 percent but less than 20 percent of the entire body or at least 5 percent but less than 20 percent of exposed areas affected, OR intermittent systemic therapy such as corticosteroids, phototherapy, retinoids, biologics, or other immunosuppressive drugs required for less than six weeks during the past 12-month period |
| 0% | Less than 5 percent of the entire body or less than 5 percent of exposed areas affected, and no more than topical therapy required during the past 12-month period |
Important Notes
Per 38 CFR § 4.118, DC 7816 uses the same rating criteria as DC 7806. SYSTEMIC THERAPY includes corticosteroids, phototherapy, retinoids, biologics (Humira, Enbrel, Stelara, etc.), or other immunosuppressive drugs. Does NOT include topical creams/ointments. Document all treatments and their duration over the past 12 months. Biologics administered every few weeks = 'constant or near-constant' systemic therapy.
Filing Tips
Pro Tip: The VA won't connect the dots for you. That's your job. Build the paper trail before you file.
Gather medical evidence showing a current diagnosis of this condition.
Document in-service events, injuries, or exposures that caused or aggravated this condition.
Consider a nexus letter from a medical professional linking your condition to service.
Review the rating criteria for DC 7816 to understand what symptoms warrant higher ratings.