Scaly skin disorders

Papulosquamous disorders rated under diagnostic code 7822 — including conditions such as lichen planus, mycosis fungoides, PLEVA, lymphomatoid papulosis, and pityriasis rubra pilaris — are evaluated under the General Rating Formula for the Skin.

A 60% rating applies when characteristic lesions cover more than 40 percent of your entire body or more than 40 percent of exposed areas, or when constant or near-constant systemic therapy was required over the past 12 months. A 30% rating applies when lesions cover 20 to 40 percent of your entire body or exposed areas, or when systemic therapy was needed for a total of 6 weeks or more, but not constantly, over the past 12 months. A 10% rating applies when lesions cover at least 5 percent but less than 20 percent of your entire body or exposed areas, or when intermittent systemic therapy was needed for less than 6 weeks total over the past 12 months. A 0% rating applies when no more than topical therapy was required and lesions cover less than 5 percent of your entire body or exposed areas.

Systemic therapy means treatment given by any route other than through the skin — such as orally, by injection, by suppository, or intranasally. Topical therapy means treatment applied directly to the skin. VA may also rate this condition as disfigurement of the head, face, or neck or as scars, whichever reflects the predominant disability.