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    Skin / Agent Orange

    Porphyria Cutanea Tarda (PCT) VA Rating

    38 CFR § 4.118 (rated analogously); 38 CFR § 3.309(e)

    Last updated: April 2026
    General education only. This page summarizes how VA generally rates this condition under 38 CFR Part 4. It is not legal advice or medical advice and is not a recommendation about any individual claim. Every veteran's facts and evidence are different — for guidance on a specific situation, speak with a VA-accredited representative or your treating clinician.

    Overview

    PCT is a metabolic disorder causing photosensitive blistering skin lesions.

    Liver involvement and iron overload may lead to additional ratings.

    How to Establish Service Connection

    • Presumptive: Agent Orange (within one year of exposure).
    • Direct service connection always available with evidence.

    Rating Criteria

    Paraphrased from 38 CFR § 4.118 (rated analogously); 38 CFR § 3.309(e)

    RatingCriteria
    VariableRated analogously based on skin lesions, scarring, and treatment requirements.

    See what each percentage pays in 2026 and how it combines with your current rating →

    Evidence Checklist

    • Dermatology records.
    • Urine porphyrin labs.
    • Liver function tests.
    • Exposure documentation.

    Frequently Asked Questions

    Have a Porphyria Cutanea Tarda (PCT) claim or denial?

    Four fields. A VA-accredited claims agent reviews it and responds within 3–5 business days. Contingent fees apply only to awarded past-due benefits on appeals — never on initial claims.

    Requesting a consultation does not create representation and is not a guarantee of any outcome. Representation begins only after a written fee agreement and VA Form 21-22a are signed.

    Educational content only — not legal advice and not medical advice. Rating criteria on this page are summarized in plain English from 38 CFR Part 4; consult VA.gov or the current Code of Federal Regulations for official criteria. This page provides general education about how the VA rates this condition; it is not individualized advice, does not establish a representation relationship, and should not be used to self-diagnose, self-treat, or decide a course of action without speaking to a qualified clinician and a VA-accredited representative. Outcomes depend on each veteran's individual facts, evidence, and the adjudicator's judgment; no specific rating, effective date, or other result is guaranteed. Oakridge Claims is a private business and is not affiliated with, endorsed by, or operated by the US Department of Veterans Affairs.

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