VA Disability Rating for Leprosy / Hansen's Disease (DC 6302)
Diagnostic Code 6302 · 38 CFR §4.88b
What Is It?
Leprosy (Hansen's disease) is a chronic bacterial infection caused by Mycobacterium leprae affecting the skin, peripheral nerves, and mucous membranes. The VA rates active disease at 100 percent with a mandatory re-examination six months after treatment ends. Residual disabilities including skin lesions, peripheral neuropathy, and amputations are rated under the appropriate body system codes.
Rating Criteria
| Rating | Criteria |
|---|---|
| 100% | Active leprosy during treatment. The 100 percent rating continues through treatment and for six months after, followed by a mandatory VA examination. |
| 0% | Resolved. Residual disabilities including skin lesions, peripheral neuropathy, and amputations are rated under appropriate body system codes. |
Evidence Needed
Biopsy or lab results confirming Mycobacterium leprae. Service records in endemic regions. Treatment records. Nerve conduction studies. Dermatology records.
C&P Exam Tips
Document areas of numbness. Describe muscle weakness. Show skin changes. Bring nerve conduction studies. Mention ongoing medications.
How to File
File under DC 6302 with diagnostic confirmation and service records. Claim residual nerve damage and skin changes separately.
Common Mistakes
Common mistakes include not claiming peripheral neuropathy separately, failing to document nerve damage with objective testing, not photographing skin changes, and accepting a low rating without considering combined residuals.
Frequently Asked Questions
How long after exposure can leprosy symptoms appear?
Typically 2 to 10 years, with periods as long as 20 years documented. Symptoms may not appear until years after leaving service.
Is leprosy still relevant for veterans?
While uncommon, leprosy occurs in tropical regions where veterans may have served. The long incubation period means exposure decades ago may still produce diagnosis.