VA Disability Rating for Systemic Lupus Erythematosus (DC 6350)
Diagnostic Code 6350 · 38 CFR §4.88b
What Is It?
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
| Rating | Criteria |
|---|---|
| 100% | Acute lupus with frequent exacerbations producing severe impairment of health. |
| 60% | Exacerbations lasting a week or more, occurring two or three times per year. |
| 10% | Exacerbations once or twice a year, or symptomatic during the past two years. |
Evidence Needed
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.
C&P Exam Tips
Keep a detailed flare diary. Bring disease activity lab results. List all medications and side effects. Describe the worst flare episode. Document how the disease affects work and daily tasks.
How to File
File under DC 6350 with rheumatology records and flare documentation. Also file separate claims for each significantly affected organ. The VA uses whichever method — the DC 6350 rating or combined organ-specific ratings — yields the higher evaluation.
Common Mistakes
Common mistakes include not documenting flare frequency, filing only under the lupus code, underreporting during remission periods, and not claiming medication side effects.
Frequently Asked Questions
How does the VA evaluate lupus affecting multiple organs?
The VA can rate lupus itself under DC 6350 and separately rate each damaged organ, using whichever method gives you the higher evaluation.
Can lupus be service-connected?
Yes, through direct onset during service, aggravation of pre-existing condition, or secondary to environmental exposures or medications during service.
What if lupus goes into remission between flares?
The VA rates based on the overall pattern, not a single exam. Document every flare with medical records.