Erythema Multiforme and Toxic Epidermal Necrolysis
Erythema multiforme is a skin condition characterized by target-shaped (bulls-eye) lesions. Toxic epidermal necrolysis (TEN) is a severe condition where the skin peels off and blisters. Both are rated under Diagnostic Code 7827 based on the number and severity of episodes per year and the need for systemic immunosuppressive medication. An episode is defined as a period when symptoms became active, and it must be documented by a doctor visit to count.
VA Rating Levels
1 to 3 episodes per year involving the mouth, hands, or feet (but not impairing their function) that required systemic immunosuppressive medications to control, or no episodes due to continuous systemic medication for control.
4 or more episodes per year involving the mouth, hands, or feet (but not impairing their function) that required systemic immunosuppressive medications to control.
Episodes involve the mouth, hands, or feet and DO impair their function, episodes are regular and consistent, and are NOT properly controlled by systemic immunosuppressive medications.
Exam Tips & Key Evidence
- →Every episode must be documented by a medical provider in order to count toward your rating. Visit your doctor during active flares.
- →The key distinction between 30% and 60% is whether the episodes impair the function of the mouth, hands, or feet. Make sure to describe any functional limitations during exams.
- →TEN is considered a severe form and typically produces more significant documented episodes and functional impairment.
- →If these conditions cause scarring, check whether a rating under the disfigurement or scars schedule might yield a better result.
Commonly Related Conditions
38 CFR Reference
38 CFR $ 4.118, Diagnostic Code 7827