---
title: "DC 7815 - Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda)."
diagnostic_code: "7815"
body_system: "Skin"
cfr_section: "§ 4.118"
canonical: "https://veteranai.co/va-rating-schedule/skin/7815-bullous-disorders-including-pemphigus-vulgaris-pemphigus"
source: "https://www.ecfr.gov/current/title-38/section-4.118"
updated: "2026-07-21T21:16:29.356753Z"
---

# DC 7815 - Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda).

Rated under § 4.118. Body system: Skin.

Evaluate under the General Rating Formula for the Skin

General Rating Formula For The Skin

## Rating criteria

| Rating | Criteria |
| --- | --- |
| 60% | At least one of the following |
| 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 |
| 30% | At least one of the following |
| 10% | At least one of the following |
| 0% | No more than topical therapy required over the past 12-month period and at least one of the following |

## Notes

- Note: Rate complications and residuals of mucosal involvement (ocular, oral, gastrointestinal, respiratory, or genitourinary) separately under the appropriate diagnostic code

# VA Disability Ratings for Bullous Disorders (Diagnostic Code 7815)

Bullous disorders are a group of skin conditions that cause blistering. Under VA Diagnostic Code **7815**, this category includes:

- Pemphigus vulgaris
- Pemphigus foliaceous
- Bullous pemphigoid
- Dermatitis herpetiformis
- Epidermolysis bullosa acquisita
- Benign chronic familial pemphigus (Hailey-Hailey)
- Porphyria cutanea tarda

These conditions fall under the **Skin** body system and are addressed in **§ 4.118** of the VA rating schedule.

## How the VA Rates Bullous Disorders

Bullous disorders are evaluated under the **General Rating Formula for the Skin**. The rating levels available for this condition are:

| Rating | What It Reflects |
|--------|------------------|
| **60%** | At least one of the qualifying criteria is met — including **constant or near-constant systemic therapy** required over the past 12-month period. This systemic therapy includes, but is not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, psoralen with long-wave ultraviolet-A light (PUVA), or other immunosuppressive drugs. |
| **30%** | At least one of the qualifying criteria is met. |
| **10%** | At least one of the qualifying criteria is met. |
| **0%** | No more than **topical therapy** was required over the past 12-month period, and at least one of the qualifying criteria is met. |

## What the VA Looks For

When rating a bullous disorder under the General Rating Formula for the Skin, the VA considers factors such as:

- **The type of treatment required** over the past 12-month period — ranging from topical therapy only (associated with the 0% level) to constant or near-constant systemic therapy (associated with the 60% level).
- **Systemic therapies**, which may include corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs.

## Complications and Related Conditions

**Important note:** Complications and residuals of mucosal involvement — such as **ocular, oral, gastrointestinal, respiratory, or genitourinary** involvement — are rated **separately** under the appropriate diagnostic code.

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*This information is drawn from the VA rating schedule for Diagnostic Code 7815 under § 4.118. It is provided for general educational purposes and does not guarantee any particular rating or outcome.*

Source: https://www.ecfr.gov/current/title-38/section-4.118