What happens during a C&P exam for Pemphigus Vulgaris?

Bring all relevant medical records and a written list of symptoms. Report your worst days, not your best. The VA rates based on overall impairment.

EDUCATIONAL TOOL ONLY. Not legal or medical advice. Not affiliated with the VA.

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Pemphigus Vulgaris

Q: What are the VA rating percentages for Pemphigus Vulgaris?

Pemphigus Vulgaris (DC 7820) is rated at 0%, 10%, 30%, 60% under 38 CFR § 4.118, DC 7820. Less than 5 percent of the entire body or less than 5 percent of exposed areas affected, and no more than topical therapy required during the past 12-month period.

Q: What rates 0% for Pemphigus Vulgaris under 38 CFR § 4.118, DC 7820?

Under 38 CFR § 4.118, DC 7820 (DC 7820), a 0% rating for Pemphigus Vulgaris requires: Less than 5 percent of the entire body or less than 5 percent of exposed areas affected, and no more than topical therapy required during the past 12-month period.

Q: What rates 10% for Pemphigus Vulgaris under 38 CFR § 4.118, DC 7820?

Under 38 CFR § 4.118, DC 7820 (DC 7820), a 10% rating for Pemphigus Vulgaris requires: At least 5 percent but less than 20 percent of the entire body or at least 5 percent but less than 20 percent of exposed areas affected, or intermittent systemic therapy such as corticosteroids or immunosuppressive drugs required for a total duration of less than six weeks during the past 12-month period.

Q: What rates 30% for Pemphigus Vulgaris under 38 CFR § 4.118, DC 7820?

Under 38 CFR § 4.118, DC 7820 (DC 7820), a 30% rating for Pemphigus Vulgaris requires: 20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected, or systemic therapy required for a total duration of six weeks or more but not constantly during the past 12-month period.

Q: What rates 60% for Pemphigus Vulgaris under 38 CFR § 4.118, DC 7820?

Under 38 CFR § 4.118, DC 7820 (DC 7820), a 60% rating for Pemphigus Vulgaris requires: More than 40 percent of the entire body or more than 40 percent of exposed areas affected, or constant or near-constant systemic therapy required during the past 12-month period.

Q: What evidence do I need for a Pemphigus Vulgaris VA claim?

Key evidence for a Pemphigus Vulgaris claim includes: Service treatment records; Current medical diagnosis and treatment records; Buddy/lay statements; Prescription history; Employment impact documentation. All evidence should document both the condition and its impact on daily functioning.

DC 7820 | 38 CFR § 4.118, DC 7820 | 

Pemphigus Vulgaris is rated by the U.S. Department of Veterans Affairs under DC 7820 of 38 CFR § 4.118, DC 7820 across 4 severity tiers (0% / 10% / 30% / 60%). Service connection requires (1) a current diagnosis, (2) an in-service event, injury, or exposure, and (3) a medical nexus opinion linking the two under 38 C.F.R. § 3.303.

OVERVIEW

Serious autoimmune blistering disorder causing painful sores on the skin and mucous membranes

RATING CRITERIA (4 LEVELS)

Less than 5 percent of the entire body or less than 5 percent of exposed areas affected, and no more than topical therapy required during the past 12-month period.

10%

At least 5 percent but less than 20 percent of the entire body or at least 5 percent but less than 20 percent of exposed areas affected, or intermittent systemic therapy such as corticosteroids or immunosuppressive drugs required for a total duration of less than six weeks during the past 12-month period.

30%

20 to 40 percent of the entire body or 20 to 40 percent of exposed areas affected, or systemic therapy required for a total duration of six weeks or more but not constantly during the past 12-month period.

60%

More than 40 percent of the entire body or more than 40 percent of exposed areas affected, or constant or near-constant systemic therapy required during the past 12-month period.

KEY EVIDENCE TO GATHER

-Service treatment records

-Current medical diagnosis and treatment records

-Buddy/lay statements

-Prescription history

-Employment impact documentation

-Any relevant diagnostic testing

C&P EXAM TIPS (5)

1.Bring all relevant medical records and a written list of symptoms.

2.Report your worst days, not your best. The VA rates based on overall impairment.

3.Document how the condition affects daily activities, work, and relationships.

4.Mention all medications and their side effects.

5.Bring buddy statements from people who observe your symptoms.

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SOURCES & EDITORIAL

Rating criteria reference 38 C.F.R. Part 4 (Schedule for Rating Disabilities). This entry has not yet undergone editorial review against the live regulation text — consult the authoritative source directly before relying on the criteria shown.

→ View 38 C.F.R. Part 4 on eCFR → Editorial Standards → Suggest a correction

EDUCATIONAL TOOL ONLY. NOT LEGAL OR MEDICAL ADVICE.
NOT AFFILIATED WITH THE U.S. DEPARTMENT OF VETERANS AFFAIRS.
CLAIM RECON 2026

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