Erythema multiforme or toxic skin reaction

Medical records that document the frequency of your episodes over the past 12 months are central to this rating. Treatment records showing what systemic medications you take — such as immunosuppressives, antihistamines, or sympathomimetics — and whether they are used continuously or only during flare-ups directly correspond to the rating criteria. Records showing that therapy is ongoing yet episodes still occur support the higher rating level.

Exam findings or provider notes that describe which body areas are affected — mucous membranes, palms, or soles — and whether those episodes limited your ability to chew food, use your hands, or walk are important at the 60% level. If impairment is not recorded, the documented episode count and treatment type become the distinguishing factors between 10% and 30%.

Your own statements, or statements from family members or caregivers, describing how flare-ups affected your daily activities — eating, gripping objects, or getting around — can help fill gaps in the medical record. If scarring or facial disfigurement resulted from the condition, records documenting those findings may support rating under the applicable scar or disfigurement diagnostic codes instead.