Skin§ 4.118Updated
Rating criteria

VA Diagnostic Code 7828Acne:

Rated from 0% to 30% under § 4.118. Here is what the VA requires at each level.

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In short

Summary

Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability

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. 30%

    Deep acne (deep inflamed nodules and pus-filled cysts) affecting 40 percent or more of the face and neck

  2. 10%

    Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck, or deep acne other than on the face and neck

  3. 0%

    Superficial acne (comedones, papules, pustules) of any extent

VA Disability Rating for Acne (Diagnostic Code 7828)

Understanding How the VA Rates Acne

Acne is a skin condition rated by the VA under Diagnostic Code 7828, found in 38 CFR § 4.118 (the skin body system). Ratings depend on the type of acne, how deep it is, and how much of the face and neck it affects.

Plain-Language Explanation

Not all acne is rated the same way. The VA distinguishes between:

  • Deep acne — deep inflamed nodules and pus-filled cysts
  • Superficial acne — comedones (blackheads and whiteheads), papules, and pustules

The location and extent of the acne matter. Deep acne on the face and neck is evaluated based on the percentage of those areas affected, while deep acne in other areas is also considered.

In some cases, acne may instead be rated based on its most significant related effect. Depending on the predominant disability, the VA may evaluate the condition as disfigurement of the head, face, or neck (DC 7800) or as scars (DCs 7801, 7802, 7804, or 7805).

Available Rating Levels

RatingCriteria
30%Deep acne (deep inflamed nodules and pus-filled cysts) affecting 40 percent or more of the face and neck
10%Deep acne (deep inflamed nodules and pus-filled cysts) affecting less than 40 percent of the face and neck, or deep acne other than on the face and neck
0%Superficial acne (comedones, papules, pustules) of any extent

What the VA Looks For

When rating acne under DC 7828, the VA considers:

  • The type of acne — whether it is deep (inflamed nodules and pus-filled cysts) or superficial (comedones, papules, pustules)
  • The extent of coverage — the percentage of the face and neck affected by deep acne
  • The location — whether deep acne appears on the face and neck or in other areas
  • The predominant disability — whether the condition is better evaluated as disfigurement of the head, face, or neck (DC 7800) or as scars (DCs 7801, 7802, 7804, or 7805)

This information is drawn directly from the VA rating schedule for Diagnostic Code 7828 (38 CFR § 4.118). Individual evaluations are based on the specific medical evidence in each case.

These criteria are a rendering of § 4.118, diagnostic code 7828. 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 7828 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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