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Lipoma, Dercum’s Disease, Adiposis Dolorosa, Fatty Tissue Rheumatism, Juxta-Articular Adiposis Dolorosa, Lipomatosis Dolorosa Morbus Dercum's


To all of my Sisters and Brothers with this disease.  For all of those who have fought this in the past, there is a light at the end of the tunnel.  I wanted to get this out as I am in my appeal stage and just realized the verbiage on this has changed and the diagnostic code to better address the issues.  The diagnostic code I was given is 7819-7821.

The Skin Basic Rating System

The Basic Rating System below is used to rate many (but not all) of the skin conditions on this page. Find your condition first to see if it is rated under this system.

It is vital that you understand how the VA defines systemic and topical treatments in order to determine your correct rating.

Systemic Therapy: Any treatment that is injected, or taken by mouth, through the nose, or anally. This includes, but is not limited to, corticosteroids, phototherapy, retinoids, biologics, photochemotherapy, PUVA, and other immunosuppressive drugs.
Topical Therapy: Any treatment applied directly to the skin, regardless of the type of drug.

The Basic Rating System

If the lesionsskinlesions.bmp cover more than 40% of total body or more than 40% of exposed divisions, or if it required the constant or near-constant use of systemic therapy for the past 12 months, it is rated 60%.

If the lesions cover 20 to 40% of total body or 20 to 40% of exposed divisions, or if it required the use of systemic therapy for a total of 6 weeks or more over the past 12 months, it is rated 30%.

If the lesions cover 5 to 19% of total body or 5 to 19% of exposed divisions, or if it required the use of systemic therapy for a total of less than 6 weeks over the past 12 months, it is rated 10%.

If the condition only required the use of topical medications over the past 12 months and the lesions cover less than 5% of total body or less than 5% of exposed divisions, it is rated 0%.

Edited by shrekthetank1

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