Psoriasis
Psoriasis is a condition where skin cells build up and form scales along with itchy, dry patches. It is rated under Diagnostic Code 7816 using the General Rating Formula for the Skin. Ratings are based on the percentage of total body or exposed areas affected and the type of therapy required. Since it is an autoimmune condition, psoriasis can also lead to psoriatic arthritis, which may be rated separately.
VA Rating Levels
Topical medications used at least once over a 12-month period, or lesions cover less than 5% of the total body, or less than 5% of exposed areas.
Lesions cover 5 to 19% of the total body or 5 to 19% of exposed areas, or systemic therapy was needed for less than 6 weeks total over a 12-month period.
Lesions cover 20 to 40% of the total body or 20 to 40% of exposed areas, or systemic therapy was needed for 6 weeks or more total over a 12-month period.
Lesions cover more than 40% of the total body or more than 40% of exposed areas, or constant or near-constant systemic therapy was needed over a 12-month period.
Exam Tips & Key Evidence
- →If psoriasis leads to joint inflammation, you may be eligible for a separate rating for psoriatic arthritis under the musculoskeletal schedule.
- →Remember that topical treatments (creams, ointments) are not systemic therapy under the VA's current rules. Only injectables, oral medications, biologics, or light therapy (PUVA/UVB) qualify.
- →Document flare-ups with photos and medical visits to show the extent and frequency of your symptoms.
- →If your skin condition permanently damages clothing, you may qualify for a yearly clothing allowance.
Commonly Related Conditions
38 CFR Reference
38 CFR $ 4.118, Diagnostic Code 7816