Skin§ 4.118Updated
Rating criteria

VA Diagnostic Code 7816Psoriasis.

Rated from 0% to 60% under § 4.118. Here is what the VA requires at each level.

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Not the right code?

In short

Summary

Evaluate under the General Rating Formula for the Skin

The ladder

What each rating requires

The VA assigns the highest level your evidence actually supports. Read up the stack until your records stop matching.

  1. 60%

    At least one of the following

  2. 60%

    Constant or near-constant systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs required over the past 12-month period

  3. 30%

    At least one of the following

  4. 10%

    At least one of the following

  5. 0%

    No more than topical therapy required over the past 12-month period and at least one of the following

How it is applied

General rating formula

General Rating Formula For The Skin

From the schedule

Notes on this code

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

  • Note: Rate complications such as psoriatic arthritis and other clinical manifestations (e.g., oral mucosa, nails) separately under the appropriate diagnostic code

VA Disability Ratings for Psoriasis (Diagnostic Code 7816)

Understanding Psoriasis and How the VA Rates It

Psoriasis is a skin condition rated by the VA under Diagnostic Code 7816, part of the skin regulations found in § 4.118. It is evaluated using the General Rating Formula for the Skin.

If you are living with psoriasis connected to your service, understanding how the VA approaches ratings can help you know what to expect from the process.


Available Rating Levels

Under the General Rating Formula for the Skin, psoriasis may be assigned one of the following disability ratings:

60% Rating

Assigned when there is constant or near-constant systemic therapy required over the past 12-month period. Systemic therapy includes, but is not limited to:

  • Corticosteroids
  • Phototherapy
  • Retinoids
  • Biologics
  • Photochemotherapy
  • Psoralen with long-wave ultraviolet-A light (PUVA)
  • Other immunosuppressive drugs

30% Rating

Assigned based on the criteria within the General Rating Formula for the Skin.

10% Rating

Assigned based on the criteria within the General Rating Formula for the Skin.

0% Rating

Assigned when no more than topical therapy was required over the past 12-month period, along with the applicable skin formula criteria.


What the VA Looks For

When rating psoriasis, the VA evaluates the condition under the General Rating Formula for the Skin. A key factor across the rating levels is the type of treatment required over the past 12-month period — ranging from topical therapy only (at the lowest level) up to constant or near-constant systemic therapy such as corticosteroids, biologics, or other immunosuppressive drugs (at the highest level).


Important Note on Related Complications

Complications and related conditions are rated separately. The VA notes that complications such as psoriatic arthritis and other clinical manifestations — for example, effects on the oral mucosa or nails — should be rated separately under the appropriate diagnostic code.


This information is drawn directly from the VA rating schedule for Diagnostic Code 7816 under § 4.118. It is provided for general educational purposes and does not guarantee any particular rating outcome.

These criteria are a rendering of § 4.118, diagnostic code 7816. 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 7816 and attach the evidence for the level you are asking for. Other Skin codes may cover your secondary conditions.

Find out which rating your evidence supports.

Six reads your records against these exact criteria and tells you what the VA is still missing.

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