★ Skin / Agent Orange
Porphyria Cutanea Tarda (PCT) VA Rating
38 CFR § 4.118 (rated analogously); 38 CFR § 3.309(e)
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)
| Rating | Criteria |
|---|---|
| Variable | Rated 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.

