Diagnostic Code 6350 · 38 CFR §4.88b
Systemic lupus erythematosus (SLE) is a chronic autoimmune disease where the immune system attacks the body's own tissues. It can affect virtually any organ system. The disease follows an unpredictable pattern of flares and remissions. The VA rates SLE based on exacerbation frequency and severity. The rating cannot be combined with DC 7809 (discoid lupus). The VA also allows an alternative: combining evaluations for residuals under each affected body system, using whichever method produces the higher evaluation.
| Rating | Criteria |
|---|---|
| 10% | Exacerbations once or twice a year, or symptomatic during the past two years. |
| 60% | Exacerbations lasting a week or more, occurring two or three times per year. |
| 100% | Acute lupus with frequent exacerbations producing severe impairment of health. |
Rheumatology diagnosis meeting classification criteria. Lab work including ANA, anti-dsDNA, complement levels. Documentation of organ involvement. Treatment records including immunosuppressive medications. Flare-up log documenting frequency, severity, and duration.
The VA can rate lupus itself under DC 6350 and separately rate each damaged organ, using whichever method gives you the higher evaluation.
Yes, through direct onset during service, aggravation of pre-existing condition, or secondary to environmental exposures or medications during service.
The VA rates based on the overall pattern, not a single exam. Document every flare with medical records.