For many veterans, hidradenitis suppurativa (HS) is far more than a skin condition it’s a chronic, painful disease that affects mobility, hygiene, work performance, and mental health. Recurrent abscesses, draining lesions, and scarring can make everyday activities uncomfortable or even unbearable.
Although HS does not have its own diagnostic code, the Department of Veterans Affairs does recognize the condition for disability compensation when it is properly documented and linked to military service. Understanding how the VA evaluates HS, what ratings are possible, and how to prove service connection is essential for veterans seeking the compensation they deserve.
This guide explains exactly how the VA rates hidradenitis suppurativa in 2026, from 0% to 60%, using the official skin rating criteria.
Overview: How HS Is Evaluated by the VA
| Evaluation Factor | VA Consideration |
|---|---|
| Unique Diagnostic Code | No |
| Rating Method | By analogy under DC 7806 |
| Max Rating | 60% |
| Key Evidence | Body coverage + treatment records |
| C&P Exam | Commonly required |
What Is Hidradenitis Suppurativa?
Hidradenitis suppurativa is a chronic inflammatory skin disorder involving hair follicles and sweat glands. It most commonly affects areas where skin rubs together.
Commonly Affected Areas
- Armpits (axillae)
- Groin and inner thighs
- Buttocks
- Under the breasts
HS often progresses over time. Early nodules can develop into recurrent abscesses, draining sinus tracts, and permanent scarring.
“HS is not just cosmetic it’s a painful inflammatory disease that can severely impact quality of life,” notes a VA dermatology consultant.
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Common Symptoms of Hidradenitis Suppurativa
Veterans with HS may experience:
- Painful subcutaneous nodules
- Recurrent abscesses filled with pus or blood
- Chronic draining sores
- Sinus tracts (tunnels under the skin)
- Permanent scarring and skin thickening
- Restricted movement due to pain and friction
These symptoms often flare repeatedly, making HS a long-term disabling condition rather than a temporary skin issue.
Hidradenitis Suppurativa in Veterans
While HS can affect anyone, many veterans report worsened symptoms during or after service due to:
- Prolonged wearing of tight uniforms
- Heat, sweat, and friction during training or deployment
- Stress and disrupted hygiene conditions
- Limited access to early dermatologic care
“Military environments can aggravate inflammatory skin conditions like HS, especially when early symptoms go untreated,” explains a VA-accredited clinician.
How the VA Rates Hidradenitis Suppurativa?
The VA does not assign a unique diagnostic code for HS. Instead, it is rated by analogy under the General Rating Formula for the Skin in38 C.F.R. § 4.118, most often using Diagnostic Code 7806 (dermatitis or eczema).
The VA focuses on two main factors:
- Percentage of body or exposed areas affected
- Type and duration of treatment, especially systemic therapy
Hidradenitis Suppurativa VA Rating Chart (0%–60%)
| VA Disability Rating | Rating Criteria |
|---|---|
| 60% | Characteristic lesions affecting more than 40% of the entire body or exposed areas OR constant or near-constant systemic therapy during the past 12 months |
| 30% | Lesions affecting 20–40% of the entire body or exposed areas OR systemic therapy for 6 weeks or more, but not constant |
| 10% | Lesions affecting 5–20% of the entire body or exposed areas OR intermittent systemic therapy for less than 6 weeks |
| 0% | Lesions affecting less than 5% of the body and only topical therapy required |
What Counts as Systemic Therapy?
Systemic therapy may include:
- Oral or injected corticosteroids
- Biologic medications (e.g., TNF inhibitors)
- Retinoids
- Immunosuppressive drugs
- Phototherapy or PUVA
“The duration and intensity of systemic treatment often make the difference between a 10%, 30%, or 60% rating,” says a former VA rater.
Proving Service Connection for HS
To receive a hidradenitis suppurativa VA rating, veterans must establish service connection.
Requirements for Primary Service Connection
- A current diagnosis of HS
- Evidence of an in-service event, injury, illness, or aggravation
- A medical nexus linking HS to service
This may include documentation showing symptoms began during service or were aggravated by service conditions.
“A strong nexus opinion from a dermatologist can be decisive in HS claims,” advises a veterans law attorney.
How to File a VA Claim for Hidradenitis Suppurativa?
Step-by-Step Process
- Gather Evidence
- DD214 or separation documents
- Service treatment records
- Dermatology records and prescriptions
- Photos of flare-ups and scarring
- Submit Your Claim
- Online at VA.gov
- By mail using VA Form 21-526EZ
- Through a VSO or accredited representative
- Attend the C&P Exam
- Examiner evaluates severity, body coverage, and treatment history
- Track and Respond
- Answer VA requests promptly to avoid delays
Why Medical Evidence Matters So Much?
Because HS lacks a specific diagnostic code, documentation is critical. Veterans should:
- Keep records of all flare-ups
- Document systemic medications and duration
- Photograph lesions during active outbreaks
- Submit lay statements describing pain, drainage, and functional impact
“Photos and treatment timelines often carry more weight than verbal descriptions alone,” says a VA claims examiner.
Why This Matters for Veterans?
HS can affect:
- Ability to work in physical or uniformed jobs
- Mobility and hygiene
- Mental health due to chronic pain and embarrassment
A proper VA rating can provide monthly tax-free compensation, access to VA healthcare, and long-term stability.
FAQs
Is hidradenitis suppurativa a VA disability?
Yes. HS is compensable when service-connected and rated under the VA skin criteria.
What VA ratings are possible for HS?
0%, 10%, 30%, or 60%, depending on severity and treatment.
Is HS a presumptive VA condition?
No, HS is not currently presumptive.
What diagnostic code does the VA use?
Typically DC 7806 (dermatitis or eczema).
What evidence strengthens an HS claim?
Dermatology records, systemic treatment history, photos, lay statements, and a medical nexus opinion.
