Infectious Diseases, Immune Disorders and Nutritional Deficiencies§ 4.88bUpdated
Rating criteria

VA Diagnostic Code 6350Lupus erythematosus, systemic (disseminated)

Rated from 10% to 100% under § 4.88b. Here is what the VA requires at each level.

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What each rating requires

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  1. 100%

    Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health

  2. 60%

    Exacerbations lasting a week or more, 2 or 3 times per year

  3. 10%

    Exacerbations once or twice a year or symptomatic during the past 2 years

From the schedule

Notes on this code

These notes are part of the regulation. They change how the levels above are applied.

  • Note: Evaluate this condition either by combining the evaluations for residuals under the appropriate system, or by evaluating DC 6350, whichever method results in a higher evaluation.

Systemic Lupus Erythematosus (Disseminated) — VA Diagnostic Code 6350

Body System: Infectious Diseases, Immune Disorders and Nutritional Deficiencies Regulation: 38 CFR § 4.88b, Diagnostic Code 6350

Understanding the Condition

Systemic lupus erythematosus (SLE), also called disseminated lupus, is an immune disorder. Under the VA rating schedule, it is listed in the section covering infectious diseases, immune disorders, and nutritional deficiencies and is assigned Diagnostic Code 6350.

Because lupus can affect multiple body systems, the VA provides two possible approaches to rating it. The VA evaluates this condition either by combining the evaluations for its residuals under the appropriate body system, or by evaluating it under Diagnostic Code 6350 directly — whichever method results in the higher evaluation.

Please note: a rating under DC 6350 is not to be combined with ratings under DC 7809.

Available Rating Levels

The VA rates systemic lupus under DC 6350 at the following levels:

RatingWhat It Reflects
100%Acute, with frequent exacerbations, producing severe impairment of health
60%Exacerbations lasting a week or more, 2 or 3 times per year
10%Exacerbations once or twice a year, or symptomatic during the past 2 years

What the VA Looks For

When rating systemic lupus under Diagnostic Code 6350, the VA focuses on the frequency, duration, and severity of exacerbations (flare-ups), and the overall impact on the veteran's health. Key factors described in the rating levels include:

  • Frequency of exacerbations — how many times per year flare-ups occur.
  • Duration of exacerbations — whether flare-ups last a week or more.
  • Severity of impairment — whether the condition is acute with frequent exacerbations producing severe impairment of health.
  • Recent symptomatic activity — whether the veteran has been symptomatic during the past 2 years.

Because lupus can involve several body systems, the VA also considers whether combining the evaluations of the condition's residuals under the appropriate system would produce a higher overall evaluation than rating under DC 6350 alone, and applies whichever method results in the higher evaluation.

This information is provided for general educational purposes and is drawn directly from the VA rating schedule. It does not predict any individual outcome.

These criteria are a rendering of § 4.88b, diagnostic code 6350. The official version is the one that governs your rating.

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What next

How to claim this

Knowing the criteria is the first half. Getting your file to show them is the second.

  1. Find your level in the stack

    Read each rung against what your medical records already say. The level your records document today is the one the VA can support today.

  2. Name the gap

    Look at the rung above yours and write down exactly what it asks for that your file does not show yet — a diagnosis, a measurement, a prescribed brace, a doctor’s opinion linking it to service.

  3. Claim it by code

    File under diagnostic code 6350 and attach the evidence for the level you are asking for. Other Infectious Diseases, Immune Disorders and Nutritional Deficiencies codes may cover your secondary conditions.

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