Chronic urticaria — VA Rating Criteria (38 CFR DC 7825)
The VA rates Chronic urticaria under 38 CFR 38 CFR § 4.118, Diagnostic Code 7825, from 10% to 60% based on the frequency and functional severity of symptoms. The maximum 60% rating requires Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments. Related conditions in the Skin body system share this rating framework.
What are the VA rating criteria for Chronic urticaria?
Chronic urticaria that requires first line treatment (antihistamines) for control
Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control
Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments
“Chronic urticaria that requires second line treatment (e.g., corticosteroids, sympathomimetics, leukotriene inhibitors, neutrophil inhibitors, thyroid hormone) for control”
How does the VA rate Skin conditions?
Common Questions About Chronic urticaria VA Ratings
What is the VA disability rating for Chronic urticaria?
The VA rates Chronic urticaria under Diagnostic Code 7825 at the following tiers: 10%, 30%, 60%. The minimum 10% rating requires: Chronic urticaria that requires first line treatment (antihistamines) for control. The maximum 60% rating requires: Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments.
What is Diagnostic Code 7825?
Diagnostic Code 7825 is the VA rating identifier for Chronic urticaria within 38 CFR 38 CFR § 4.118. It defines the specific symptom criteria and percentage thresholds a VA adjudicator uses to assign a disability rating. The diagnostic code is listed on a veteran's rating decision letter.
What is the highest rating for Chronic urticaria?
The highest schedular rating for Chronic urticaria under DC 7825 is 60%. This tier requires: Chronic refractory urticaria that requires third line treatment for control (e.g., plasmapheresis, immunotherapy, immunosuppressives) due to ineffectiveness with first and second line treatments. Veterans who cannot secure substantially gainful employment due to Chronic urticaria alone or in combination with other service-connected conditions may also qualify for TDIU at the 100% compensation rate under 38 CFR § 4.16.
What 38 CFR section governs Chronic urticaria ratings?
Chronic urticaria is rated under 38 CFR 38 CFR § 4.118, Diagnostic Code 7825. This section is part of the Schedule for Rating Disabilities (38 CFR Part 4) and can be read in full at the eCFR website.
Which conditions are commonly secondary to Chronic urticaria?
Secondary conditions caused or aggravated by Chronic urticaria may be ratable under 38 CFR § 3.310. Veterans should work with a VSO or accredited claims agent to document the medical relationship.
What evidence do I need to establish service connection for Chronic urticaria?
Service connection for Chronic urticaria requires three elements: (1) a current diagnosis of the condition, (2) an in-service event, injury, or disease that may have caused or aggravated it, and (3) a medical nexus connecting the current diagnosis to that in-service event. A nexus letter from a treating physician or independent medical examiner is the most reliable nexus evidence. C&P exam findings can also establish nexus if adequately documented.
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