VA Diagnostic Code 7822Papulosquamous disorders not listed elsewhere (including lichen planus, large or small plaque parapsoriasis, pityriasis lichenoides et varioliformis acuta (PLEVA), lymphomatoid papulosus, mycosis fungoides, and pityriasis rubra pilaris (PRP)).

VA Disability Rating: Papulosquamous Disorders (Diagnostic Code 7822)

Understanding the Condition

Papulosquamous disorders are a group of skin conditions that are not listed elsewhere in the VA rating schedule. Under Diagnostic Code 7822, this category includes conditions such as:

• Lichen planus
• Large or small plaque parapsoriasis
• Pityriasis lichenoides et varioliformis acuta (PLEVA)
• Lymphomatoid papulosis
• Mycosis fungoides
• Pityriasis rubra pilaris (PRP)

These conditions affect the skin body system and are evaluated under § 4.118 using the General Rating Formula for the Skin.

Available Rating Levels

The VA assigns a disability rating based on the type and intensity of treatment your condition has required. The available rating levels for Diagnostic Code 7822 are:

What the VA Looks For

When rating papulosquamous disorders under Diagnostic Code 7822, the VA focuses on the type of treatment required over the past 12-month period. In particular, the VA considers:

• Whether systemic therapy is needed — such as corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs — and how frequently it is required (for example, constant or near-constant use points toward the 60% level).
• Whether only topical therapy has been needed — the 0% level reflects situations where no more than topical therapy was required over the past 12-month period.

Each rating level requires that at least one of its applicable criteria be met. Because the evaluation looks back over a 12-month period, documentation of your treatment history is central to how this condition is rated.