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7828
§ 4.118 Schedule of ratings—skin.

Acne

A skin condition causing pimples, blackheads, or cysts, typically on the face, chest, or back.

What the rating means

VA rates acne under diagnostic code 7828. The possible ratings are 30 percent, 10 percent, and 0 percent, depending on the type of acne and how much of the body it covers.

The 30 percent rating applies when you have deep acne — meaning deep inflamed nodules and pus-filled cysts — that affects 40 percent or more of the face and neck. The 10 percent rating applies when that same deep acne covers less than 40 percent of the face and neck, or when deep acne appears on areas of the body other than the face and neck. Superficial acne — comedones, papules, and pustules — of any extent rates at 0 percent.

VA may instead rate your acne as disfigurement of the head, face, or neck (diagnostic code 7800) or as scars (diagnostic codes 7801, 7802, 7804, or 7805), whichever approach captures the predominant disability. If your acne and another skin condition involve the same area of skin, only the highest single rating applies to that area.

Evidence that helps

To support a rating above 0 percent, medical evidence needs to show that your acne is deep — meaning it produces inflamed nodules or pus-filled cysts, not just surface-level blemishes. A dermatology or primary care record that documents the type of lesions present and where they appear on your body is central to separating deep acne from superficial acne.

For the 30 percent level, records need to show that deep nodules or cysts cover 40 percent or more of the face and neck. Photographs taken at medical appointments, written descriptions in treatment notes, or a VA examination that maps the affected area can help establish that coverage.

If your acne has left permanent marks, records documenting any resulting scars or disfigurement on the head, face, or neck may support rating under the scar or disfigurement codes instead. Your own statements, and statements from people who see you regularly, describing how your symptoms affect your daily life and activities can also be part of the evidence record.

Secondary conditions

Conditions that are often caused or made worse by this one. If you have any of these, they may be claimable as secondary service connection.