Lupus erythematosus, systemic (disseminated)
Lupus erythematosus, systemic (disseminated) is rated under 38 CFR 38 CFR § 4.88b, Diagnostic Code 6350, from 10% to 100% based on the frequency and functional severity of symptoms. The maximum 100% rating requires: Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health. Most claims establish the 10% or 60% rating before reaching the top tier.
What are the VA rating criteria for Lupus erythematosus, systemic (disseminated)?
Exacerbations once or twice a year or symptomatic during the past 2 years
Note: Diagnosis requires meeting ACR/EULAR criteria. Rate the overall disease and separately rate any major organ involvement (renal, CNS, cardiac).
Exacerbations lasting a week or more, 2 or 3 times per year
Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health
Note: Evaluate each organ system affected by lupus separately (e.g., nephritis under DC 7700 series, CNS under DC 8000 series) and combine ratings.
“Exacerbations lasting a week or more, 2 or 3 times per year”
Common Questions About Lupus erythematosus, systemic (disseminated) VA Ratings
What is the VA rating range for Lupus erythematosus, systemic (disseminated)?
The VA rates Lupus erythematosus, systemic (disseminated) under Diagnostic Code 6350 at 10%, 60%, 100%. The minimum 10% rating requires: Exacerbations once or twice a year or symptomatic during the past 2 years. The maximum 100% rating requires: Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health.
Which 38 CFR diagnostic code does the VA use for Lupus erythematosus, systemic (disseminated)?
The VA rates Lupus erythematosus, systemic (disseminated) under Diagnostic Code (DC) 6350, governed by 38 CFR 38 CFR § 4.88b. The diagnostic code establishes the specific rating tiers and severity criteria the VA examiner applies.
What is the difference between a 10% and a 100% rating for Lupus erythematosus, systemic (disseminated)?
A 10% rating requires: Exacerbations once or twice a year or symptomatic during the past 2 years. A 100% rating requires: Not to be combined with ratings under DC 7809 Acute, with frequent exacerbations, producing severe impairment of health. The difference typically reflects the frequency, severity, or functional impact of the condition as documented in medical records and C&P examination findings.
Can Lupus erythematosus, systemic (disseminated) qualify for TDIU (Total Disability Individual Unemployability)?
Veterans rated for Lupus erythematosus, systemic (disseminated) may qualify for TDIU if the condition — alone or in combination with other service-connected disabilities — prevents substantially gainful employment. A single disability rated at 60% or higher (or multiple disabilities combining to 70%, with one at 40%) can support a TDIU claim under 38 CFR § 4.16.
What evidence do I need to establish service connection for Lupus erythematosus, systemic (disseminated)?
Service connection for Lupus erythematosus, systemic (disseminated) requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease, and (3) a medical nexus linking the current diagnosis to that in-service occurrence. A nexus letter from a treating or independent medical examiner is the most reliable nexus evidence.
What is the C&P exam like for Lupus erythematosus, systemic (disseminated)?
A Compensation & Pension (C&P) exam for Lupus erythematosus, systemic (disseminated) uses a Disability Benefits Questionnaire (DBQ) specific to the body system involved. The examiner documents the frequency, severity, and functional impact of your symptoms. Bring all relevant treatment records and be prepared to describe your worst-day symptoms — the examiner rates your condition based on the full clinical picture, not a single visit.
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