Education · 38 CFR § 4.118 · Skin and scars · not your rating · we do not file
Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda) VA rating (DC 7815)
VA rates bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda) under diagnostic code 7815 in 38 CFR § 4.118. The rule book lists 0%, 10%, 30%, and 60%. Below: each level in plain English, then the exact words.
Rule-book name: Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda).. Last checked against eCFR on 2026-10-10 (eCFR issue 2026-08-27). Official text: 38 CFR § 4.118 on eCFR.
Each rating level in plain English
- 60%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
- 60%: The published words look at: medicine you take for it.
- 30%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
- 10%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
- 0%: Read the exact words below. We have not mapped this line to plain words, so we quote it rather than guess.
Plain words come from our reading aid for the published words. They never add a symptom. The quotes below are the rule.
Exact words in 38 CFR § 4.118
General Rating Formula For The Skin
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 printed with this code
“Evaluate under the General Rating Formula for the Skin”
“Note: Rate complications and residuals of mucosal involvement (ocular, oral, gastrointestinal, respiratory, or genitourinary) separately under the appropriate diagnostic code”
“Characteristic lesions involving more than 40 percent of the entire body or more than 40 percent of exposed areas affected; or”
“Characteristic lesions involving 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected; or Systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of 6 weeks or more, but not constantly, over the past 12-month period”
“Characteristic lesions involving at least 5 percent, but less than 20 percent, of the entire body affected; or”
“Intermittent systemic therapy including, but not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, or other immunosuppressive drugs required for a total duration of less than 6 weeks over the past 12-month period”
“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. This rating instruction does not apply to DC 7824”
What records usually show this
VA reads these things from your records: service treatment records, VA and private treatment records, and the VA claim exam (C&P exam). The published words on this page talk about:
- Medicine you take for it: usually found in treatment notes or the VA claim exam (C&P exam) report that describe it, when those exist.
Education only. This does not say you have any of these, and a record that mentions them does not decide a rating. Only write what is true for you. Evidence needed for your disability claim · VA claim exam (C&P exam)
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Common questions
What percentages does the VA rating schedule list for Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda) (DC 7815)?
38 CFR § 4.118 lists 0%, 10%, 30%, and 60% for diagnostic code 7815. VA decides which line fits from the evidence. This page is not your rating.
Where do these words come from?
They are quoted from the public eCFR copy of 38 CFR § 4.118, last checked 2026-10-10. The official page is linked on this page so you can check every word.
Does this page tell me what my rating will be?
No. It shows what the published rule book says. It does not predict a rating, a decision, or a dollar amount, and it does not say you have this condition.
Who can file a VA claim for me for free?
Accredited Veterans Service Officers (VSOs) can prepare and file a claim with you at no cost. VA lists accredited representatives on VA.gov. We do not file.
This page quotes the public VA rule book. It is not your rating and not your pay. We do not say you have this condition. We do not file. You, or a free accredited representative, file with VA.
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