Skin Diseases DBQ: Official VA Form

The public Skin Diseases Disability Benefits Questionnaire records medical information for VA evaluation. The form itself provides its current questions, definitions, examination and clinician requirements. A completed form is evidence; it does not establish service connection or guarantee an evaluation.

Related Diagnostic Code Subjects

25 code subjects are associated with this form in this educational directory. These editorial subject associations are not official VA assignments, and the form may not be appropriate for every examination or claim.

• DC 7806: Dermatitis or eczema
• DC 7807: American (New World) leishmaniasis (mucocutaneous, espundia)
• DC 7808: Old World leishmaniasis (cutaneous, Oriental sore)
• DC 7809: Discoid lupus erythematosus
• DC 7811: Tuberculosis luposa (lupus vulgaris), active or inactive
• DC 7813: Dermatophytosis (ringworm: Of body, tinea corporis; of head, tinea capitis; of feet, tinea pedis; of beard area, tinea barbae; of nails, tinea unguium (onychomycosis); of inguinal area (jock itch), tinea cruris; tinea versicolor)
• DC 7815: Bullous disorders (including pemphigus vulgaris, pemphigus foliaceous, bullous pemphigoid, dermatitis herpetiformis, epidermolysis bullosa acquisita, benign chronic familial pemphigus (Hailey-Hailey), and porphyria cutanea tarda)
• DC 7816: Psoriasis
• DC 7817: Erythroderma
• DC 7818: Malignant skin neoplasms (other than malignant melanoma)
• DC 7819: Benign skin neoplasms
• DC 7820: Infections of the skin not listed elsewhere (including bacterial, fungal, viral, treponemal, and parasitic diseases)
• DC 7821: Cutaneous manifestations of collagen-vascular diseases not listed elsewhere (including scleroderma, calcinosis cutis, subacute cutaneous lupus erythematosus, and dermatomyositis)
• DC 7822: Papulosquamous disorders not listed elsewhere (including lichen planus, large or small plaque parapsoriasis, pityriasis lichenoides et varioliformis acuta (PLEVA), lymphomatoid papulosus, mycosis fungoides, and pityriasis rubra pilaris (PRP))
• DC 7823: Vitiligo
• DC 7824: Diseases of keratinization (including icthyoses, Darier's disease, and palmoplantar keratoderma)
• DC 7825: Chronic urticaria
• DC 7826: Vasculitis, primary cutaneous
• DC 7827: Erythema multiforme; Toxic epidermal necrolysis
• DC 7828: Acne
• DC 7829: Chloracne
• DC 7830: Scarring alopecia
• DC 7831: Alopecia areata
• DC 7832: Hyperhidrosis
• DC 7833: Malignant melanoma

Read The Form Before Arranging An Examination

Review who may complete the form, which conditions it includes or excludes, and whether testing is required. VA can still request a claim examination. Report actual findings; this reference does not provide suggested answers.

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