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7823
§ 4.118 Schedule of ratings—skin.

Vitiligo (skin pigment loss)

A condition where skin loses pigment in patches, creating lighter or white areas.

What the rating means

VA rates vitiligo under Diagnostic Code 7823. There are two possible ratings: 10% or 0%. The difference between them comes down to location. If the areas of your skin affected by vitiligo are exposed — meaning they are visible or uncovered in ordinary daily activity — VA assigns a 10% rating. If none of the affected areas are exposed, the rating is 0%.

If you have a separate skin condition at the same time, VA can combine the ratings only when each condition involves a different area of skin. If two conditions affect the same area of skin, VA uses only the highest of the two ratings rather than combining them. This rule comes directly from the rating schedule for skin conditions under § 4.118.

Evidence that helps

To support a 10% rating, evidence needs to show that vitiligo affects areas of skin that are exposed. Medical records or examination findings that describe the specific location of pigment loss on your body — such as the face, hands, forearms, or other areas not typically covered by clothing — help establish this. Photographs taken during a clinical visit that document where the patches appear can also be useful.

To show that no exposed areas are affected, which corresponds to the 0% rating, records would need to document that any pigment loss is limited to areas that remain covered. A VA or private dermatology examination that maps the affected skin and notes whether those areas are exposed or covered is the most direct way to address the rating criteria. Statements from you describing which parts of your body are affected and how they are typically covered or uncovered in daily life can help a VA examiner understand the full picture.

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.