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Erythema multiforme; Toxic epidermal necrolysis
Diagnostic code 7827 · Skin · 38 CFR 4.118
Rating criteria: the exact regulation text
Quoted from 38 CFR 4.118. The "Rating" column is the percentage VA assigns for that level.
| Criteria | Rating |
|---|---|
| 7827 Erythema multiforme; Toxic epidermal necrolysis: | |
| Recurrent mucosal, palmar, or plantar involvement impairing mastication, use of hands, or ambulation occurring four or more times over the past 12-month period despite ongoing immunosuppressive therapy | 60 |
| All of the following | 30 |
| Recurrent mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring four or more times over the past 12-month period; and requiring intermittent systemic therapy | |
| At least one of the following | 10 |
| One to three episodes of mucosal, palmar, or plantar involvement not impairing mastication, use of hands, or ambulation, occurring over the past 12-month period AND requiring intermittent systemic therapy; or | |
| Without recurrent episodes, but requiring continuous systemic medication for control | |
| Or rate as disfigurement of the head, face, or neck (DC 7800) or scars (DCs 7801, 7802, 7804, or 7805), depending upon the predominant disability | |
| Note: For the purposes of this DC only, systemic therapy may consist of one or more of the following treatment agents: immunosuppressives, antihistamines, or sympathomimetics |
Notes for the whole table
(a) For the purposes of this section, systemic therapy is treatment that is administered through any route (orally, injection, suppository, intranasally) other than the skin, and topical therapy is treatment that is administered through the skin.
(b) Two or more skin conditions may be combined in accordance with § 4.25 only if separate areas of skin are involved. If two or more skin conditions involve the same area of skin, then only the highest evaluation shall be used.
Related codes in the regulation
- 7800 Burn scar(s) of the head, face, or neck; scar(s) of the head, face, or neck due to other causes; or other disfigurement of the head, face, or neckRated using
- 7801 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are associated with underlying soft tissue damageRated using
- 7802 Burn scar(s) or scar(s) due to other causes, not of the head, face, or neck, that are not associated with underlying soft tissue damageRated using
- 7804 Scar(s), unstable or painfulRated using
- 7805 Scars, other; and other effects of scars evaluated under diagnostic codes 7800, 7801, 7802, or 7804Rated using
The VA exam form for this condition
VA examiners record their findings on a Disability Benefits Questionnaire (DBQ). Reading it shows you what the exam will measure and ask.
Rules that apply to this body system
Where this comes from
38 CFR 4.118, VA's Schedule for Rating Disabilities, from the official eCFR.
Regulation text current as of October 16, 2026.
Change history for this code (38 CFR Part 4, Appendix A): Added August 30, 2002; criterion August 13, 2018.
Read it on eCFR.govInformation, not advice
This page shows the text of VA's rating regulation for information. It is not a rating estimate, and it is not legal or medical advice. VA decides every rating on the evidence in your file.
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