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7832
§ 4.118 Schedule of ratings—skin.

Excessive sweating

A condition causing abnormally heavy sweating beyond what is needed to regulate body temperature.

What the rating means

VA rates hyperhidrosis, or excessive sweating, under Diagnostic Code 7832 in the skin schedule. Two ratings are possible: 30% or 0%.

The 30% rating requires two things at the same time: the sweating is severe enough that you are unable to handle paper or tools because of the moisture, and the condition has not responded to therapy.

The 0% rating applies when therapy has made it possible for you to handle paper or tools. This does not mean the sweating is gone, only that treatment has brought it under enough control to allow that level of hand function.

For context, the rating schedule defines two types of therapy. Systemic therapy is treatment taken orally, by injection, by suppository, or intranasally. Topical therapy is treatment applied directly to the skin. The rating criteria use the word "therapy" without limiting it to one type, so either form may be relevant to where you fall between these two levels.

Evidence that helps

To support a 30% rating, evidence would need to show both that moisture prevents you from handling paper or tools and that treatment has not brought the condition under control. Medical records documenting failed treatment attempts are central here. Notes from a dermatologist or primary care provider recording the specific therapies tried, the doses or methods used, how long treatment was attempted, and the provider's conclusion that the condition is unresponsive would all be relevant. An examination finding that your hands remain too wet to grip paper or tools despite ongoing therapy directly addresses the criteria.

To show the 0% level, records would reflect that therapy, whether topical or systemic, has allowed you to handle paper or tools, even if sweating continues.

Your own statements, or statements from people who work or live with you, describing how moisture affects your ability to hold objects, use tools, or manage everyday tasks can help fill in the picture that clinical notes may not fully capture. Treatment records showing what was prescribed and when are key at both levels.

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.